Nocturnal blood pressure non-dipping, posttraumatic stress disorder, and sleep quality in women.

Journal Article (Journal Article)

Women with posttraumatic stress disorder (PTSD) have poor sleep quality and increased risk of cardiovascular disease (CVD). Non-dipping of nocturnal blood pressure may be an explanatory factor for the relationship between sleep and CVD found in previous research. The current study was designed to determine if non-dipping nocturnal blood pressure was associated with trauma exposure, PTSD diagnosis, PTSD symptoms, and sleep quality in a sample of women. Participants completed 24 hours of ABPM and self-report questionnaires. Non-dipping was defined as less than 10% reduction in blood pressure during sleep. The frequency of non-dippers did not differ by diagnostic status (d = .15). However, non-dippers endorsed more traumatic event categories (d = .53), more PTSD hyperarousal symptoms (d = .53), poorer overall sleep quality (d = .59), more frequent use of sleep medication (d = .62), greater sleep-related daytime dysfunction (d = .58), and longer sleep onset latencies (d = .55) than dippers. Increased attention to nocturnal blood pressure variation may be needed to improve blood pressure control in trauma-exposed women.

Full Text

Duke Authors

Cited Authors

  • Ulmer, CS; Calhoun, PS; Bosworth, HB; Dennis, MF; Beckham, JC

Published Date

  • 2013

Published In

Volume / Issue

  • 39 / 4

Start / End Page

  • 111 - 121

PubMed ID

  • 24236808

Pubmed Central ID

  • PMC3964784

International Standard Serial Number (ISSN)

  • 0896-4289

Digital Object Identifier (DOI)

  • 10.1080/08964289.2013.813434


  • eng

Conference Location

  • United States