Going direct to the consumer: Examining treatment preferences for veterans with insomnia, PTSD, and depression
Open accessAbstract
Inclusion of consumer preferences to disseminate evidence-based psychosocial treatment (EBPT) is crucial to effectively bridge the science-to-practice quality chasm. We examined this treatment gap for insomnia, posttraumatic stress disorder (PTSD), depression, and comorbid symptoms in a sample of 622 young adult veterans through preference in symptom focus, treatment modality, and related gender differences among those screening positive for each problem. Data were collected from veteran drinkers recruited through targeted Facebook advertisements as part of a brief online alcohol intervention. Analyses demonstrated that veterans reported greater willingness to seek insomnia-focused treatment over PTSD- or depression-focused care. Notably, even when participants screened negative for insomnia, they preferred sleep-focused care to PTSD- or depression-focused care. Although one in five veterans with a positive screen would not consider care, veterans screening for both insomnia and PTSD who would consider care had a preference for in-person counseling, and those screening for both insomnia and depression had similar preferences for in-person and mobile app-based/computer self-help treatment. Marginal gender differences were found. Incorporating direct-to-consumer methods into research can help educate stakeholders about methods to expand EBPT access. Though traditional in-person counseling was often preferred, openness to app-based/computer interventions offers alternative methods to provide veterans with EBPTs.
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When veterans are shown descriptions of evidence-based PTSD and insomnia treatments, those who screen positive for insomnia and PTSD report greater willingness to seek insomnia treatment than PTSD treatment.
“Previous research has demonstrated that when veterans are presented with descriptions of evidence-based treatments for PTSD and insomnia, veterans who screen positive for insomnia and PTSD report greater willingness to seek insomnia versus PTSD treatment (Gutner, Pedersen, & Drummond, 2018).”
From Benefits of Cognitive Behavioral Therapy for Insomnia for Women Veterans with and without Probable Post-Traumatic Stress Disorder (2022) · cites this paper as Gutner, Pedersen, & Drummond, 2018
The Results (§3.2.1) report that veterans screening positive for both insomnia and PTSD were more willing to seek sleep treatment than PTSD treatment. But the Methods (§2.2.4) describe ratings of willingness to consider counseling for specified symptoms, not responses to descriptions of evidence-based PTSD and insomnia treatments. (LLM, conf=0.88)
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- Authors
- Gutner, C. A., Pedersen, E. R., & Drummond, S. P. A.
- Affiliations
- Boston University (US)
- RAND Corporation (US)
- Monash University (AU)
- Corresponding author
- Gutner, Cassidy A.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2018-05
- Volume
- 263
- Pages
- 108-114
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC5911221
- OpenAlex
- W2795084431
- Cited by
- 40
- References
- 53
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 6 · 2021: 7 · 2020: 6 · 2019: 7
- FWCI
- 6.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Psychiatry Research (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K23MH103396, R25MH080916)
- National Institute on Alcohol Abuse and Alcoholism (R34AA022400)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- treatment preferences, veterans, insomnia, post-traumatic stress disorder, depression, comorbid symptoms, treatment gap, in-person counseling, gender differences, Facebook advertising
- MeSH terms
- Adult, Consumer Behavior, Depression, Female, Follow-Up Studies, Humans, Sleep Initiation and Maintenance Disorders, Male, Sleep, Stress Disorders, Post-Traumatic, Veterans, Comorbidity, Young Adult, Patient Preference
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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