Cited by 340Sleep and related disordersPosttraumatic Stress Disorder ResearchPsychoanalysis and Psychopathology Research

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Residual insomnia following cognitive behavioral therapy for PTSD

Zayfert, Claudia, DeViva, Jason C.·2004·Journal of Traumatic Stress

DOI 10.1023/b:jots.0000014679.31799.e7

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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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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
DOI: 10.1023/b:jots.0000014679.31799.e7
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
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 515 d)
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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Residual insomnia following cognitive behavioral therapy for PTSD

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