@article{lind_relationships_2017,
	title = {Relationships between potentially traumatic events, sleep disturbances, and symptoms of {PTSD} and alcohol use disorder in a young adult sample},
	volume = {34},
	issn = {1389-9457},
	url = {https://www.sciencedirect.com/science/article/pii/S1389945717301144},
	doi = {10.1016/j.sleep.2017.02.024},
	abstract = {Objective
Traumatic events, particularly those that are interpersonal in nature, are associated with increased risk for co-occurring sequelae, including sleep disturbances, posttraumatic stress disorder (PTSD), and alcohol use disorder (AUD). However, the associations between these phenotypes have not been explored among college students.
Methods
We examined relationships between type of potentially traumatic event (PTE) exposure (pre-college) and sleep disturbances, as well as mediating effects of lifetime PTSD and AUD symptoms on these relationships, in a large undergraduate sample (N = 1599, 64.7\% female). Hierarchical linear regressions were conducted, beginning with demographics and then adding interpersonal and accidental PTEs in a stepwise regression; mediation analyses were run.
Results
Within the sample, 33.7\% endorsed at least one interpersonal PTE, while 64.4\% endorsed at least one accidental PTE. Hierarchical regressions demonstrated that interpersonal (β = 0.202, p = 0.000), but not accidental PTE exposure significantly predicted disturbed sleep. Both PTSD and AUD symptoms significantly mediated (p values {\textless} 0.001) the relationship between interpersonal PTE exposure and sleep, with indirect effects accounting for 61\% and 17\% of total effects, respectively. In the correlated mediation model, both disorders remained significant mediators (p {\textless} 0.001), with indirect effects accounting for 56\% (PTSD symptoms) and 14\% (AUD symptoms) of total effects on sleep.
Conclusions
Results suggest that interpersonal PTEs are more potent predictors of sleep problems than accidental PTEs. Further, trauma exposure psychiatric symptom sequelae (PTSD, AUD) account for part of the relationship between interpersonal PTE exposure and disturbed sleep, which both independently and jointly suggests that treating PTSD and AUD symptoms in college students may also improve sleep.},
	urldate = {2025-06-09},
	journal = {Sleep Medicine},
	author = {Lind, Mackenzie J. and Baylor, Allison and Overstreet, Cassie M. and Hawn, Sage E. and Rybarczyk, Bruce D. and Kendler, Kenneth S. and Dick, Danielle M. and Amstadter, Ananda B.},
	month = jun,
	year = {2017},
	keywords = {Alcohol use disorder, College students, Posttraumatic stress disorder, Potentially traumatic events, Sleep disturbances},
	pages = {141--147},
}

{"_id":"hW3iXWGjj9tvmAxmP","bibbaseid":"lind-baylor-overstreet-hawn-rybarczyk-kendler-dick-amstadter-relationshipsbetweenpotentiallytraumaticeventssleepdisturbancesandsymptomsofptsdandalcoholusedisorderinayoungadultsample-2017","author_short":["Lind, M. J.","Baylor, A.","Overstreet, C. M.","Hawn, S. E.","Rybarczyk, B. D.","Kendler, K. S.","Dick, D. M.","Amstadter, A. B."],"bibdata":{"bibtype":"article","type":"article","title":"Relationships between potentially traumatic events, sleep disturbances, and symptoms of PTSD and alcohol use disorder in a young adult sample","volume":"34","issn":"1389-9457","url":"https://www.sciencedirect.com/science/article/pii/S1389945717301144","doi":"10.1016/j.sleep.2017.02.024","abstract":"Objective Traumatic events, particularly those that are interpersonal in nature, are associated with increased risk for co-occurring sequelae, including sleep disturbances, posttraumatic stress disorder (PTSD), and alcohol use disorder (AUD). However, the associations between these phenotypes have not been explored among college students. Methods We examined relationships between type of potentially traumatic event (PTE) exposure (pre-college) and sleep disturbances, as well as mediating effects of lifetime PTSD and AUD symptoms on these relationships, in a large undergraduate sample (N = 1599, 64.7% female). Hierarchical linear regressions were conducted, beginning with demographics and then adding interpersonal and accidental PTEs in a stepwise regression; mediation analyses were run. Results Within the sample, 33.7% endorsed at least one interpersonal PTE, while 64.4% endorsed at least one accidental PTE. Hierarchical regressions demonstrated that interpersonal (β = 0.202, p = 0.000), but not accidental PTE exposure significantly predicted disturbed sleep. Both PTSD and AUD symptoms significantly mediated (p values \\textless 0.001) the relationship between interpersonal PTE exposure and sleep, with indirect effects accounting for 61% and 17% of total effects, respectively. In the correlated mediation model, both disorders remained significant mediators (p \\textless 0.001), with indirect effects accounting for 56% (PTSD symptoms) and 14% (AUD symptoms) of total effects on sleep. Conclusions Results suggest that interpersonal PTEs are more potent predictors of sleep problems than accidental PTEs. Further, trauma exposure psychiatric symptom sequelae (PTSD, AUD) account for part of the relationship between interpersonal PTE exposure and disturbed sleep, which both independently and jointly suggests that treating PTSD and AUD symptoms in college students may also improve sleep.","urldate":"2025-06-09","journal":"Sleep Medicine","author":[{"propositions":[],"lastnames":["Lind"],"firstnames":["Mackenzie","J."],"suffixes":[]},{"propositions":[],"lastnames":["Baylor"],"firstnames":["Allison"],"suffixes":[]},{"propositions":[],"lastnames":["Overstreet"],"firstnames":["Cassie","M."],"suffixes":[]},{"propositions":[],"lastnames":["Hawn"],"firstnames":["Sage","E."],"suffixes":[]},{"propositions":[],"lastnames":["Rybarczyk"],"firstnames":["Bruce","D."],"suffixes":[]},{"propositions":[],"lastnames":["Kendler"],"firstnames":["Kenneth","S."],"suffixes":[]},{"propositions":[],"lastnames":["Dick"],"firstnames":["Danielle","M."],"suffixes":[]},{"propositions":[],"lastnames":["Amstadter"],"firstnames":["Ananda","B."],"suffixes":[]}],"month":"June","year":"2017","keywords":"Alcohol use disorder, College students, Posttraumatic stress disorder, Potentially traumatic events, Sleep disturbances","pages":"141–147","bibtex":"@article{lind_relationships_2017,\n\ttitle = {Relationships between potentially traumatic events, sleep disturbances, and symptoms of {PTSD} and alcohol use disorder in a young adult sample},\n\tvolume = {34},\n\tissn = {1389-9457},\n\turl = {https://www.sciencedirect.com/science/article/pii/S1389945717301144},\n\tdoi = {10.1016/j.sleep.2017.02.024},\n\tabstract = {Objective\nTraumatic events, particularly those that are interpersonal in nature, are associated with increased risk for co-occurring sequelae, including sleep disturbances, posttraumatic stress disorder (PTSD), and alcohol use disorder (AUD). However, the associations between these phenotypes have not been explored among college students.\nMethods\nWe examined relationships between type of potentially traumatic event (PTE) exposure (pre-college) and sleep disturbances, as well as mediating effects of lifetime PTSD and AUD symptoms on these relationships, in a large undergraduate sample (N = 1599, 64.7\\% female). Hierarchical linear regressions were conducted, beginning with demographics and then adding interpersonal and accidental PTEs in a stepwise regression; mediation analyses were run.\nResults\nWithin the sample, 33.7\\% endorsed at least one interpersonal PTE, while 64.4\\% endorsed at least one accidental PTE. Hierarchical regressions demonstrated that interpersonal (β = 0.202, p = 0.000), but not accidental PTE exposure significantly predicted disturbed sleep. Both PTSD and AUD symptoms significantly mediated (p values {\\textless} 0.001) the relationship between interpersonal PTE exposure and sleep, with indirect effects accounting for 61\\% and 17\\% of total effects, respectively. In the correlated mediation model, both disorders remained significant mediators (p {\\textless} 0.001), with indirect effects accounting for 56\\% (PTSD symptoms) and 14\\% (AUD symptoms) of total effects on sleep.\nConclusions\nResults suggest that interpersonal PTEs are more potent predictors of sleep problems than accidental PTEs. Further, trauma exposure psychiatric symptom sequelae (PTSD, AUD) account for part of the relationship between interpersonal PTE exposure and disturbed sleep, which both independently and jointly suggests that treating PTSD and AUD symptoms in college students may also improve sleep.},\n\turldate = {2025-06-09},\n\tjournal = {Sleep Medicine},\n\tauthor = {Lind, Mackenzie J. and Baylor, Allison and Overstreet, Cassie M. and Hawn, Sage E. and Rybarczyk, Bruce D. and Kendler, Kenneth S. and Dick, Danielle M. and Amstadter, Ananda B.},\n\tmonth = jun,\n\tyear = {2017},\n\tkeywords = {Alcohol use disorder, College students, Posttraumatic stress disorder, Potentially traumatic events, Sleep disturbances},\n\tpages = {141--147},\n}\n\n\n\n","author_short":["Lind, M. J.","Baylor, A.","Overstreet, C. M.","Hawn, S. E.","Rybarczyk, B. D.","Kendler, K. S.","Dick, D. M.","Amstadter, A. B."],"key":"lind_relationships_2017","id":"lind_relationships_2017","bibbaseid":"lind-baylor-overstreet-hawn-rybarczyk-kendler-dick-amstadter-relationshipsbetweenpotentiallytraumaticeventssleepdisturbancesandsymptomsofptsdandalcoholusedisorderinayoungadultsample-2017","role":"author","urls":{"Paper":"https://www.sciencedirect.com/science/article/pii/S1389945717301144"},"keyword":["Alcohol use disorder","College students","Posttraumatic stress disorder","Potentially traumatic events","Sleep disturbances"],"metadata":{"authorlinks":{}}},"bibtype":"article","biburl":"https://bibbase.org/zotero-group/delaniw5/6020220","dataSources":["4z3mP88oxCFL4p44f"],"keywords":["alcohol use disorder","college students","posttraumatic stress disorder","potentially traumatic events","sleep disturbances"],"search_terms":["relationships","between","potentially","traumatic","events","sleep","disturbances","symptoms","ptsd","alcohol","use","disorder","young","adult","sample","lind","baylor","overstreet","hawn","rybarczyk","kendler","dick","amstadter"],"title":"Relationships between potentially traumatic events, sleep disturbances, and symptoms of PTSD and alcohol use disorder in a young adult sample","year":2017}