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- W4293066987 abstract "Abstract Introduction PTSD has been associated with PSG-derived measurements of REM without atonia suggestive of RBD (Elliott et al, Sleep 2020 Mar 12;43(3):zsz237). Those findings have been reported in men in their mid-50’s. In a relatively younger, diverse, help-seeking, psychiatric outpatient population enriched with PTSD, we examined the impact of demographics (self-reported gender, race, education) on the association between primary diagnosis of PTSD and probable RBD assessed with a validated questionnaire. Methods Patients (n = 1,658) were enrolled in a non-VA based treatment program for veterans. Patients underwent detailed diagnostic interviews and psychometrics. About 48% (549 men, 251 women; mean age 40.0 [SD = 9.6] years; 381 non-white) met criteria for PTSD. Typical other diagnoses included Axis I defined major depression and various anxiety disorders (without re-experiencing). Dream enactment was assessed with the previously validated University of Michigan RBD Questionnaire (UMRBDQ), completed either by patient or bedpartner. Mean (SD) and 50th% UMRBDQ scores were 0.52 (SD = 0.26) and 0.50. We defined likelihood of RBD by the 90th% of UMRBDQ score (> .80), based on previously published psychometrics, and used multiple logistic regression to define predictors of high vs low UMRBDQ scores. Predictors were diagnosis, self-reported gender (male), race (non-white [vs white]) and education (at least partial college). Results PTSD diagnosis was strongly associated with positive UMRBDQ (31.5% vs 22.0%; OR = 1.77; 95% CI 1.40-2.23). Significant predictors were male gender (OR = 1.93, 95% CI 1.45-2.58) and non-white race (OR = 1.81; 95% CI 1.03-1.65) but not education (OR = 0.86; 95% CI 0.68-1.09). Models of 2-way interactions were all non-significant. Linear models employing UMRBDQ as continuous scores yielded similar results. Conclusion These results confirmed that PTSD may be associated with higher likelihood of reported dream enactment and that these results were not dependent on self-reported gender, race or education. Support (If Any) Wounded Warrior Project" @default.
- W4293066987 created "2022-08-26" @default.
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- W4293066987 date "2022-05-25" @default.
- W4293066987 modified "2023-09-27" @default.
- W4293066987 title "0647 DSM-V Diagnosed Post-traumatic Stress Disorder (PTSD) is Associated with Reported Dream Enactment Independently from Gender, Race or Education in a Psychiatric Outpatient Population" @default.
- W4293066987 doi "https://doi.org/10.1093/sleep/zsac079.644" @default.
- W4293066987 hasPublicationYear "2022" @default.
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