Trauma- and Stressor-Related Disorders

Trauma- and stressor-related disorders (TSRD) are disabling psychiatric disorders that have distinct diagnostic criteria; however, some share commonly endorsed symptoms including disturbed sleep. This chapter provides a comprehensive description of sleep–wake disturbances common in TSRD and summarizes the evidence for empirically supported psychotherapeutic and pharmacological treatments for these sleep disturbances. There are few controlled studies of the applicability of currently available sleep-focused interventions to the management of disturbed sleep in TSRD. However, there is evidence supporting the efficacy of some psychotherapeutic and pharmacological treatments for the sleep disturbances in TSRD. Future investigations should include randomized clinical trials that combine treatments focused on sleep with treatments effective in managing other symptoms of TSRD.