Effect of cognitive behavioral therapy on heart rate variability during REM sleep in female rape victims with PTSD.
Six female rape victims with posttraumatic stress disorder (PTSD) were assessed for sleep disturbances. Five responded to cognitive-behavioral therapy (CBT) and one did not complete treatment. Sympatho-vagal balance was measured using heart rate variability (HRV) during rapid eye movement (REM) sleep. The treatment responders significantly decreased on HRV while the noncompleter increased. The responders also significantly decreased on sleep disturbances. The noncompleter remained unchanged. Thus a remission in PTSD symptoms following CBT accompanied a reduction in the HRV indicator of sympathetic predominance in REM sleep.
Nishith
Pallavi
P
Center for Trauma Recovery, University of Missouri-St. Louis, St. Louis, Missouri 63121, USA. pnishith@umsl.edu
Duntley
Stephen P
SP
Domitrovich
Peter P
PP
Uhles
Matthew L
ML
Cook
Brenda J
BJ
Stein
Phyllis K
PK
D000328:Adult; D015928:Cognitive Behavioral Therapy; D005260:Female; D006339:Heart Rate; D006801:Humans; D011902:Rape / Q000523:psychology*; D012895:Sleep, REM / Q000502:physiology*; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology* / Q000628:therapy*