The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Residual insomnia following cognitive behavioral therapy for PTSD
Abstract
This studs examined whether insomnia persisted after completion of cognitive behavioral therapy (CBT) for PTSD and whether persistence of insomnia was associated with continuing nightmares, vigilance, depression, childhood abuse history, or having been traumatized in a sleep‐related context. A retrospective analysis of posttreatment Clinician‐Administered PTSD Scale (CAPS) data from 27 patients who no longer met PTSD diagnosis following CBT for PTSD revealed that 48% reported residual insomnia. For the large majority, insomnia persisted in the absence of continuing nightmares and hypervigilance. Experiencing trauma in a sleep‐related context was associated with greater risk for residual insomnia, whereas childhood abuse history and depression were not. These findings suggest that interventions to address factors maintaining insomnia residual to PTSD warrant study.
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“Furthermore, PTSD treatment does not often result in insomnia remission, (Zayfert & DeViva, 2004), yet mental health symptoms, particularly depression symptoms (Tsuno, Besset, & Ritchie, 2005; Wagley, Rybarczyk, Nay, Danish, & Lund, 2013), do improve following engagement in CBT-I.”
From Benefits of Cognitive Behavioral Therapy for Insomnia for Women Veterans with and without Probable Post-Traumatic Stress Disorder (2022) · cites this paper as Zayfert & DeViva, 2004
In the citing paper
“With sleep disturbances being resistant to first-line treatments for PTSD (i.e., pharmacotherapy [71] and cognitive behavioral therapy [72]), firefighters suffering from PTSD and insomnia may need multiple forms of treatment; however, this needs further”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [72]
Citations
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Disturbed sleep in post-traumatic stress disorder: secondary symptom or core feature?
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Metadata
- Authors
- Zayfert, C., & DeViva, J. C.
- Affiliations
- Dartmouth–Hitchcock Medical Center (US)
- Corresponding author
- Zayfert, Claudia
- ORCID
- DeViva, Jason C.
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2004-02
- Volume
- 17
- Issue
- 1
- Pages
- 69-73
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2068031806
- Cited by
- 340
- References
- 17
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 7 · 2023: 8 · 2022: 19 · 2021: 23 · 2020: 26 · 2019: 28 · 2018: 20 · 2017: 19 · 2016: 21 · 2015: 23 · 2014: 21 · 2013: 20 · 2012: 16
- FWCI
- 7.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- post-traumatic stress disorder, nightmares, hypervigilance, depression, childhood abuse
- MeSH terms
- Adult, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Surveys and Questionnaires, Recurrence, Severity of Illness Index, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Prevalence
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- Zayfert, C., & DeViva, J. C. (2004). Residual insomnia following cognitive behavioral therapy for PTSD. Journal of Traumatic Stress. https://doi.org/10.1023/b%3Ajots.0000014679.31799.e7
