Sleep and posttraumatic stress disorder (PTSD) have a complex relationship, with some studies showing that disrupted sleep is associated with subsequent development of PTSD. The purpose of the current study was to examine the relationship between sleep quality and the development of probable PTSD in U.S. veterans surveyed as part of the National Health and Resilience in Veterans Study, a 7-year, nationally representative, prospective cohort study with four waves of data collection. Sociodemographic, military, trauma, and clinical variables were entered into a multivariate analysis to examine independent determinants of new-onset PTSD. A total of 142 (7.3 %) veterans developed PTSD over the 7-year study period. Poor/fair sleep quality at Wave 1 was associated with 60 % greater likelihood of developing PTSD, with more than twice as many veterans who developed PTSD reporting poor sleep quality at Wave 1 (47.8 % vs. 20.7 %). Younger age, using the VA as a primary source of healthcare, greater traumas since Wave, and lifetime depression were additionally associated with this outcome. Results of this study underscore the importance of self-reported sleep quality as a potential risk factor for the development of PTSD in the U.S. veteran population.

睡眠与创伤后应激障碍（PTSD）有复杂的关系，一些研究表明睡眠中断与PTSD的后续发展有关。本研究的目的是检查美国退伍军人的睡眠质量与可能的PTSD的发展之间的关系，这是一项为期7年，具有全国代表性的前瞻性队列研究，分为四次研究，该研究是《全国退伍军人健康与抵御能力研究》的一部分。数据收集。将社会人口统计学，军事，创伤和临床变量纳入多变量分析，以检查新发PTSD的独立决定因素。在为期7年的研究期内，共有142名（7.3％）退伍军人发展了PTSD。在第1浪中，睡眠质量较差/不合理与发生PTSD的可能性增加了60％相关，发生PTSD的退伍军人是第一波的较差睡眠质量的两倍（47.8％比20.7％）。使用VA作为主要医疗保健来源的年龄较小，自Wave以来遭受的创伤更大，并且终生沮丧也与该结果相关。这项研究的结果强调了自我报告的睡眠质量作为美国退伍军人人群PTSD发展的潜在危险因素的重要性。