Cognitive Behavioral Therapy for Insomnia in Posttraumatic Stress Disorder: A Randomized Controlled Trial

Abstract

NCT00881647.

Cognitive-behavioral therapy for sleep disturbances in treating posttraumatic stress disorder symptoms: A meta-analysis of randomized controlled trials

“…Self-report sleep measures included Pittsburgh sleep quality index (PSQI) (Davis & Wright, 2007;Davis et al, 2011;Germain et al, 2012;Krakow et al, 2000Krakow et al, , 2001aMack, 2013;Margolies et al, 2013;Rose, 2013;Talbot et al, 2014;Ulmer et al, 2011), sleep diary (Germain et al, 2012;Mack, 2013;Margolies et al, 2013;Talbot et al, 2014;Ulmer et al, 2011;Ustinov, 2013), insomnia severity index (ISI) (Germain et al, 2012;Mack, 2013;Margolies et al, 2013;Talbot et al, 2014;Ulmer et al, 2011;Ustinov, 2013), and medical outcome study-sleep scale (MOS-SS) (Nakamura et al, 2011). One study included objective measures, polysomnography and actigraphy (Talbot et al, 2014). The major inclusion and exclusion criteria are presented in Table 3.…”

“…Self-report and clinicianadministered measures of MDD symptoms included Beck depression inventory (BDI) (Davis & Wright, 2007;Germain et al, 2012;Talbot et al, 2014;Ustinov, 2013), patient health questionnaire (PHQ) (Mack, 2013;Margolies et al, 2013;Ulmer et al, 2011), center for epidemiological studies -depression (CES-D) (Nakamura et al, 2011), and trauma symptom inventory (TSI) (Davis et al, 2011). Self-report sleep measures included Pittsburgh sleep quality index (PSQI) (Davis & Wright, 2007;Davis et al, 2011;Germain et al, 2012;Krakow et al, 2000Krakow et al, , 2001aMack, 2013;Margolies et al, 2013;Rose, 2013;Talbot et al, 2014;Ulmer et al, 2011), sleep diary (Germain et al, 2012;Mack, 2013;Margolies et al, 2013;Talbot et al, 2014;Ulmer et al, 2011;Ustinov, 2013), insomnia severity index (ISI) (Germain et al, 2012;Mack, 2013;Margolies et al, 2013;Talbot et al, 2014;Ulmer et al, 2011;Ustinov, 2013), and medical outcome study-sleep scale (MOS-SS) (Nakamura et al, 2011). One study included objective measures, polysomnography and actigraphy (Talbot et al, 2014).…”

“…A variety of outcome measures assessing PTSD symptoms in either self-report or clinician-administered formats were employed: PTSD checklist/PTSD checklist -military (PCL/PCL-M) (Germain et al, 2012;Nakamura, Lipschitz, Landward, Kuhn, & West, 2011;Rose, 2013;Talbot et al, 2014;Ulmer, Edinger, & Calhoun, 2011;Ustinov, 2013), PTSD symptom scale/modified PTSD symptom scale (PSS/ MPSS) (Davis & Wright, 2007;Krakow et al, 2000Krakow et al, , 2001aMack, 2013;Margolies, Rybarczyk, Vrana, Leszczyszyn, & Lynch, 2013), trauma symptom inventory (TSI) (Davis et al, 2011), and Clinicianadministered PTSD scale (CAPS) (Davis et al, 2011;Krakow et al, 2000Krakow et al, , 2001aTalbot et al, 2014). Self-report and clinicianadministered measures of MDD symptoms included Beck depression inventory (BDI) (Davis & Wright, 2007;Germain et al, 2012;Talbot et al, 2014;Ustinov, 2013), patient health questionnaire (PHQ) (Mack, 2013;Margolies et al, 2013;Ulmer et al, 2011), center for epidemiological studies -depression (CES-D) (Nakamura et al, 2011), and trauma symptom inventory (TSI) (Davis et al, 2011). Self-report sleep measures included Pittsburgh sleep quality index (PSQI) (Davis & Wright, 2007;Davis et al, 2011;Germain et al, 2012;Krakow et al, 2000Krakow et al, , 2001aMack, 2013;Margolies et al, 2013;Rose, 2013;Talbot et al, 2014;Ulmer et al, 2011), sleep diary …”

A Comparison of Sleep Difficulties among Iraq/Afghanistan Theater Veterans with and without Mental Health Diagnoses

“…14,15 In veterans, sleep disturbances explained 57% of the variance in time-tosuicide in suicide completers even after adjusting for psychiatric and substance abuse symptoms. 15 The literature reviewed above reflects an awareness of the importance of addressing the sleep complaints of veterans diagnosed with certain mental health disorders, such as PTSD, [16][17][18] but largely absent from the literature is a comparison of the sleep characteristics/complaints of veterans deployed to Iraq and Afghanistan who do not meet diagnostic criteria for a mental health disorder relative to those do. Though sleep disturbance is strongly associated with PTSD and depression diagnoses in IA veterans, 1,19,20 sleep problems are also common among veterans without mental health conditions as well.…”

Insomnia in the Military: Application and Effectiveness of Cognitive and Pharmacologic Therapies

“…Comorbid disorders require clinicians to modify their approaches to treatment. Interventions aimed at trauma-specific sleep disturbances have been successful [39,40], and future research should aim to compare which behavioral approaches (e.g., CBTi alone or in conjunction with other treatment) are most effective. More research is necessitated by the combination of comorbidities that service members may bring home; new publications should make an effort to standardize treatment for each insomnia and comorbidity development.…”