ArticleSleep advances : a journal of the Sleep Research Society2023
Fear of sleep in first responders: associations with trauma types, psychopathology, and sleep disturbances.
Article in Sleep advances : a journal of the Sleep Research Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 16 citations in OpenAlex.
- Bringing cognitive behavioral therapy for nightmares to patients with trauma: increasing access and feasibility via primary and acute care.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026Article
- Fear of Sleep in the Acute Aftermath of Trauma Predicts Future Posttraumatic Stress Disorder: The Moderating Role of Community Violence Exposure.Behavioral sciences (Basel, Switzerland) · 2026Article
- Real-world reduction in nightmare frequency and distress among San Francisco first responders treated with a prescription wearable device: a 60-day open-label pilot.Frontiers in sleep · 2026Article
- Reflecting on 2025. Anticipating 2026.Sleep advances : a journal of the Sleep Research Society · 2026Article
- Cognitive processing therapy for posttraumatic stress disorder in first responders and veterans: Flexing the approach with explicit case formulation.Journal of traumatic stress · 2025Article
- Trauma Exposure, Insomnia, and Fatigue: A Cross-Sectional Study of the Pathways to Burnout Among South African First Responders.Health science reports · 2025Article
- Adaptations to cognitive behavioral therapy for insomnia to address fear of sleep and its sequential impact on posttraumatic stress disorder following cognitive processing therapy.Sleep advances : a journal of the Sleep Research Society · 2025Article
- Evaluating the Insomnia Severity Index among South African first responders: evidence from classical test theory, Rasch, and Mokken analyses.Frontiers in sleep · 2025Article
- Article
- 'I've got no PPE to protect my mind': understanding the needs and experiences of first responders exposed to trauma in the workplace.European journal of psychotraumatology · 2024Article
- Understanding nightmares after traumatic events in Detroit (UNiTED): prospective associations with interpersonal violence and posttraumatic stress disorder symptoms.European journal of psychotraumatology · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Study Objectives: Fear of sleep contributes to insomnia in some individuals with posttraumatic stress disorder (PTSD) but remains uncharacterized in first responders, a population with high rates of insomnia and PTSD. We evaluated the clinical relevance of fear of sleep in first responders by (1) examining its relationship with trauma types and clinical symptoms and (2) assessing differences in fear of sleep severity between those reporting provisional PTSD, insomnia, or both. Methods: A cross-sectional study of 242 first responders across the United States (59.2% male, 86.4% white, 56.2% law enforcement officers, 98.7% active duty, and Results: Fear of sleep was associated with trauma types characterized by interpersonal violence and victimization, as well as symptoms of PTSD, depression, anxiety, stress, alcohol use problems, insomnia, and trauma-related nightmares. Fear of sleep was most pronounced among first responders reporting provisional PTSD comorbid with insomnia compared to those with PTSD or insomnia only. Post hoc analyses revealed PTSD hyperarousal symptoms and trauma-related nightmares were independently associated with fear of sleep, even after adjusting for the remaining PTSD clusters, insomnia, sex, and years of service. Conclusions: Fear of sleep is a clinically relevant construct in first responders that is associated with a broad range of psychopathology symptoms and is most severe among those with cooccurring PTSD and insomnia. Fear of sleep may merit targeted treatment in first responders. This paper is part of the Sleep and Circadian Health in the Justice System Collection.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.