Cognitive behavioral treatment for insomnia in veterans with long-standing posttraumatic stress disorder: A pilot study
Abstract
This uncontrolled pilot study assessed the effects of cognitive behavioral therapy for insomnia in veterans with long-standing posttraumatic stress disorder. Male veterans with current chronic insomnia and PTSD (n = 8; M age = 58.6, SD = 3.0; 87.5% African American, 12.5% European American; 87.5% Vietnam Veterans, 12.5% 1st Gulf War Veterans) reported a trauma related to their military service. Participants appeared for five weekly individual sessions of cognitive behavioral therapy for insomnia and completed one-week assessments of objective sleep (actigraphy) and subjective sleep (sleep diaries), the Insomnia Severity Index, and measures of functioning, posttraumatic stress disorder, and psychological distress both before and after treatment. Paired t tests revealed significant posttreatment improvements for various subjective assessments of sleep patterns but actigraphy-defined sleep was unchanged. Measures of functioning, nightmares, and posttraumatic stress disorder severity were also unchanged at posttreatment. Preliminary results were encouraging in improving subjective perceptions of sleep in individuals with posttraumatic stress disorder, warranting further study with more rigorous methodology.
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Prior studies support CBT-I efficacy for improving sleep and mental health symptoms in veterans with PTSD.
“Studies have examined the impact of CBT-I in veterans with posttraumatic stress disorder (PTSD), and the results support the efficacy of CBT-I for improving sleep and mental health symptoms (DeViva et al., 2018; Gellis & Gehrman, 2011; Talbot et al., 2014).”
From Benefits of Cognitive Behavioral Therapy for Insomnia for Women Veterans with and without Probable Post-Traumatic Stress Disorder (2022) · cites this paper as Gellis & Gehrman, 2011
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- Authors
- Gellis, L. A., & Gehrman, P. R.
- Affiliations
- Mental Illness Research, Education and Clinical Centers (US)
- Corresponding author
- Gellis, Les A.
- Venue
- Journal of Aggression, Maltreatment & Trauma
- Publisher
- Informa UK Limited
- Published
- 2011-11
- Volume
- 20
- Issue
- 8
- Pages
- 904-916
- ISSN
- 1092-6771 (ISSN-L)
- 1545-083X
- OpenAlex
- W2075808671
- Cited by
- 37
- References
- 44
- Citations by year
- 2024: 1 · 2023: 3 · 2022: 2 · 2021: 4 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 5 · 2016: 4 · 2015: 5 · 2014: 3 · 2013: 4
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Aggression Maltreatment & Trauma (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- cognitive behavioral therapy for insomnia, post-traumatic stress disorder, veterans, chronic insomnia, military trauma, subjective sleep perception, actigraphy, nightmares, psychological distress, Vietnam War veterans, Gulf War veterans
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