{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T22:12:16Z","timestamp":1780438336953,"version":"3.54.1"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,2,23]],"date-time":"2022-02-23T00:00:00Z","timestamp":1645574400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K01MH109871"],"award-info":[{"award-number":["K01MH109871"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["IK2CX002032"],"award-info":[{"award-number":["IK2CX002032"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The coronavirus disease 2019 (COVID\u201019) pandemic is a global health crisis with the potential to elicit and worsen psychiatric symptoms, particularly post\u2010traumatic stress disorder (PTSD) symptoms. Identifying modifiable protective factors is critical for preventing and treating PTSD symptoms both during and following the COVID\u201019 pandemic. The present study examined associations of self\u2010reported sleep quality and anticipatory threat appraisals of the pandemic with PTSD symptoms 6\u00a0months later in a sample enriched for pre\u2010pandemic trauma exposure and PTSD. The sample included 590 adults (mean age 38.2\u00a0years) who completed a baseline survey in August\/September 2020 and follow\u2010up survey in March\/April 2021. The sample was recruited from a pool of participants interested in a prior study about traumatic stress. Participants self\u2010reported sleep quality and pandemic\u2010related anticipatory threat appraisals at baseline. PTSD symptoms were assessed at baseline and follow\u2010up. Baseline sleep quality was associated with PTSD symptoms at follow\u2010up controlling for baseline PTSD symptoms (<jats:italic>B<\/jats:italic>\u00a0=\u00a0\u22122.49, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.001). Perceived anticipatory threat of the pandemic moderated this association such that worse sleep quality was related to more severe PTSD symptoms at follow\u2010up for participants with higher (<jats:italic>B<\/jats:italic>\u00a0=\u00a0\u22124.07, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) but not lower (<jats:italic>B<\/jats:italic>\u00a0=\u00a0\u22120.43, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.679) anticipatory threat about the COVID\u201019 pandemic. These findings suggest that poor sleep quality may enhance vulnerability to later PTSD symptoms during the pandemic, particularly among those individuals who perceived the pandemic as threatening for their future. Treatments that address sleep problems may be beneficial for reducing trauma\u2010related symptoms during and following the global health crisis.<\/jats:p>","DOI":"10.1111\/jsr.13568","type":"journal-article","created":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T02:13:16Z","timestamp":1645668796000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Worse sleep, worsening post\u2010traumatic stress disorder (PTSD): Poor sleep quality associated with increases in PTSD symptoms amongst those experiencing high threat of the COVID\u201019 pandemic"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7859-8108","authenticated-orcid":false,"given":"Laura D.","family":"Straus","sequence":"first","affiliation":[{"name":"Mental Health Service San Francisco Veterans Affairs Medical Center  San Francisco California USA"},{"name":"Department of Psychiatry University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2770-2796","authenticated-orcid":false,"given":"Emily A.","family":"Dolsen","sequence":"additional","affiliation":[{"name":"Mental Health Service San Francisco Veterans Affairs Medical Center  San Francisco California USA"},{"name":"Department of Psychiatry University of California  San Francisco California USA"},{"name":"Mental Illness Research Education and Clinical Centers San Francisco Veterans Affairs Health Care System  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Nishimi","sequence":"additional","affiliation":[{"name":"Mental Health Service San Francisco Veterans Affairs Medical Center  San Francisco California USA"},{"name":"Department of Psychiatry University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas C.","family":"Neylan","sequence":"additional","affiliation":[{"name":"Mental Health Service San Francisco Veterans Affairs Medical Center  San Francisco California USA"},{"name":"Department of Psychiatry University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aoife","family":"O\u2019Donovan","sequence":"additional","affiliation":[{"name":"Mental Health Service San Francisco Veterans Affairs Medical Center  San Francisco California USA"},{"name":"Department of Psychiatry University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010019\u20100987\u20102"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.567367"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-381522-4.00015-8"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsaa200"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608\u2010018\u20109923\u20108"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/2167702620902119"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0001157"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2012.01.007"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0002\u20109432.72.4.476"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7478"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2021.103892"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.05.009"},{"key":"e_1_2_8_14_1","volume-title":"The ptsd checklist for dsm\u20105 (pcl\u20105)","author":"Weathers F. 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