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Previous Volume 346:1334-1335 April 25, 2002 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Lavie (Dec. 20 issue)¹ has shown that objective, sleep-laboratory measures do not consistently support the subjective reports of insomnia given by Western survivors of traumatic events. However, Lavie does not provide an explanation for this inconsistency.

We believe that beliefs about illness, which vary among cultures,² may play a part. Elevated rates of subjective reporting of insomnia after trauma are not necessarily found outside of the Western or industrialized world. In a population-based study comparing 526 Bhutanese refugees in Nepal who had been tortured with 526 who had not been tortured, those who had been tortured were . . . [Full Text of this Article]

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