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Correspondence
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Volume 346:1334-1335 April 25, 2002 Number 17
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Post-Traumatic Stress Disorder and Sleep

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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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