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Home - Medicine - The Body’s Alarm Clock: The Distinct Physiology of Trauma Nightmares

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The Body’s Alarm Clock: The Distinct Physiology of Trauma Nightmares

Last updated: February 16, 2026 1:25 pm
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The Body’s Alarm Clock: The Distinct Physiology of Trauma Nightmares

A home-based study of military personnel with PTSD has identified a unique physiological signature for trauma-related nightmares (TRNs). Using multi-sensor devices, researchers found that awakenings from TRNs are preceded by heightened sudomotor (sweat gland) activity and reduced heart rate variability. Following the awakening, there is a sharp surge in heart rate and prolonged electrodermal activity, creating a distinct pattern not seen in spontaneous awakenings of healthy controls or even other awakenings in PTSD patients without TRNs.

Why it might matter to you:
This work moves beyond subjective report to define an objective, autonomic biomarker for a specific and debilitating symptom. For a researcher focused on the neurobiology of pain and placebo, it demonstrates a powerful methodology for quantifying subconscious physiological states that precede conscious experience. The findings could inform the development of closed-loop interventions, a concept with potential parallels in neuromodulation for chronic pain.


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