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Editorial
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Volume 345:1846-1848 December 20, 2001 Number 25
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Tragedy and Insomnia

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 by Lavie, P.
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In this issue of the Journal, Lavie points out the high frequency of sleep disturbances, primarily insomnia and nightmares, that occur after local or distant disasters.1 This observation is supported by the recent article on stress reactions after the September 11 terrorist attacks.2 Schuster et al. reported that 11 percent of randomly selected adults in the United States have had "trouble falling or staying asleep" since the attacks.2 Lavie also stresses that such sleep disturbances may precede or even predict the development of more sustained sleep disturbances, psychiatric disorders, or physical symptoms. The question therefore becomes whether sleep disturbances related . . . [Full Text of this Article]

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