Associations of war-related PTSD symptoms with sleep disturbance: The explanatory roles of emotion regulation difficulties and intolerance of uncertainty.
Bibliographic record
Abstract
OBJECTIVE: Although associations between posttraumatic stress disorder (PTSD) and sleep disturbance are well-established, relatively little work has examined mechanisms that may underlie this association. This study aimed to examine the explanatory role of emotion regulation difficulties and intolerance of uncertainty (IU) in associations between PTSD symptoms and sleep disturbance among a sample of war-exposed Iraqi individuals. METHOD: = 4.81; 46.03% females) to model indirect effects from PTSD symptoms to the sleep disturbance via emotion regulation difficulties and IU. Participants completed PTSD symptoms, sleep disturbance, difficulties in emotion regulation, and IU scales. RESULTS: s < .001). CONCLUSION: Findings add to the emerging body of literature examining potential mechanisms that may help to explain the maintenance or even escalation of PTSD-related sleep disturbance. Findings have clinical implications in designing specialized treatments for individuals with PTSD and suggest focusing on emotion regulation difficulties and IU as potential therapeutic targets that putatively underlie PTSD-related sleep disturbance. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.009 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".