Publication Name	World Journal of Psychiatry
Manuscript ID	119050
Country	China

Category	Psychiatry
Manuscript Type	Observational Study
Article Title	Post-traumatic sleep disturbance and psychological distress after chest trauma: A five-year observational study of incidence, predictors, recovery outcomes
Manuscript Source	Unsolicited Manuscript
All Author List	Zhong-Yi Sun, Hao Gong, Peng-Zhi Zhu, Hong-Gang Xia, De-Qing Zhu, Hai-Quan Zhang, Ji-Hui Zhang and Dong-Bin Wang
Funding Agency and Grant Number	Funding Agency Grant Number Tianjin Youth Medical Talents Fund TJSQNYXXR-D2-142 Natural Science Foundation of Tianjin 24JCZDJC01170 Key Research Projects of Tianjin Hospital Science and Technology TJYYQ2403
Corresponding Author	Dong-Bin Wang, MD, Department of Cardio-Thoracic Surgery, Tianjin Hospital, No. 406 Jiefang South Road, Tianjin 300211, China. tjdgwdb@126.com
Key Words	Chest trauma; Sleep disturbance; Psychological distress; Post-traumatic stress disorder; Pittsburgh Sleep Quality Index; Recovery outcomes; Rib fractures
Core Tip	This five-year observational study of 128 chest trauma patients reveals that sleep disturbance affects over 70% of patients at discharge, with one-third experiencing persistent problems at one year. We identified Injury Severity Score ≥ 16, multiple rib fractures, and elevated baseline post-traumatic stress symptoms as independent predictors of chronic sleep disturbance. The strong association between sleep problems and psychological distress suggests that integrated screening and early intervention protocols may significantly improve long-term recovery outcomes in this vulnerable population.
Citation	Sun ZY, Gong H, Zhu PZ, Xia HG, Zhu DQ, Zhang HQ, Zhang JH, Wang DB. Post-traumatic sleep disturbance and psychological distress after chest trauma: A five-year observational study of incidence, predictors, recovery outcomes. World J Psychiatry 2026; In press

Received	2026-03-03 10:23
Peer-Review Started	2026-03-03 10:23
First Decision by Editorial Office Director	2026-03-17 07:00
Return for Revision	2026-03-17 07:00
Revised	2026-03-26 16:45
Publication Fee Transferred
Second Decision by Editor	2026-04-08 02:43
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-04-08 06:26
Articles in Press	2026-04-08 06:26
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3206 (online)
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