Delivering Cognitive Behavioral Therapy for Insomnia in Military Personnel and Veterans

Kelly, Mónica; Robbins, Ruth; Martin, Jennifer L.

doi:10.1016/j.jsmc.2019.01.003

Cited by 10 publications

(3 citation statements)

References 107 publications

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“…The application of CBT in the context of PTSD within military personnel has yielded noteworthy outcomes, showcasing substantial reductions in symptoms and associated depression. The effectiveness of CBT in addressing combat-related mental health issues has been emphatically underscored, emphasising its pivotal role in enhancing the psychological well-being of military personnel [ 65 ]. Also, the integration of virtual reality (VR) into psychological training signifies a cutting-edge method for readying soldiers to meet the mental challenges of combat.…”

Section: Mind Tactics: the Art Of Psychological Training In The Militarymentioning

confidence: 99%

Optimising Combat Readiness: Practical Strategies for Integrating Physiological and Psychological Resilience in Soldier Training

Tornero-Aguilera,

Stergiou,

Rubio-Zarapuz

et al. 2024

Healthcare

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This narrative review examines the intricate psychophysiological interplay between cognitive functions and physical responses within military personnel engaged in combat. It elucidates the spectrum of responses elicited by symmetric and asymmetric warfare alongside specialised combat scenarios, including close-quarters and subterranean warfare. Central to this discourse is the emphasis on integrating training programs beyond physical conditioning to encompass psychological resilience and decision-making efficacy under duress. The exploration further ventures into applying advanced technologies such as virtual reality and wearable devices, highlighting their pivotal role in augmenting training outcomes and supporting soldier health. Through a detailed analysis of psychophysiological variations across different military branches of service, the narrative review advocates for bespoke training regimens and support frameworks tailored to address the unique exigencies of each service branch. Concluding observations stress the importance of evolving military training paradigms, advocating for adopting realistic, immersive training simulations that mirror the complexities of the contemporary battlefield. This synthesis aims to contribute to the ongoing discourse on optimising military training protocols and enhancing the operational readiness and well-being of armed forces personnel. This narrative review is essential for military psychologists, trainers, and policymakers, aiming to bridge the gap between theoretical knowledge and practical implementation in military training programs.

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Section: Mind Tactics: the Art Of Psychological Training In The Militarymentioning

confidence: 99%

Optimising Combat Readiness: Practical Strategies for Integrating Physiological and Psychological Resilience in Soldier Training

Tornero-Aguilera,

Stergiou,

Rubio-Zarapuz

et al. 2024

Healthcare

View full text Add to dashboard Cite

show abstract

“…CBT-I consists of several therapeutic components targeting different aspects of the sleep disorder: psychoeducation about sleep and sleep hygiene, relaxation training, behavioral interventions such as stimulus control (focus on re-connection of bed/bedroom with sleep) and sleep restriction (focus on reduction of time in bed to total sleep time), and cognitive therapy ( 48 ). Drawn from clinical experience and the cognitive behavioral model of PTSD, the following interventions within CBT-I require specific attention in PTSD: relaxation training because of hyperarousal ( 57 ); treatment of trauma-related triggers associated with sleep, the bed and/or bedroom, with exposure in vivo , EMDR and/or cognitive therapy. Furthermore, other interventions promoting the feeling of safety, such as a photograph of a loved one next to the bed, sleeping with a dim light, soothing music or white noise can be helpful.…”

Section: Non-pharmacological Treatment Of Sleep Disturbances In Ptsdmentioning

confidence: 99%

Disturbed Sleep in PTSD: Thinking Beyond Nightmares

et al. 2021

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Sleep disturbances frequently co-occur with posttraumatic stress disorder (PTSD). Insomnia and nightmares are viewed as core symptoms of PTSD. Yet, relations between disturbed sleep and PTSD are far more complex: PTSD is linked to a broad range of sleep disorders and disturbed sleep markedly affects PTSD-outcome. This article provides a concise overview of the literature on prevalent comorbid sleep disorders, their reciprocal relation with PTSD and possible underlying neurophysiological mechanisms. Furthermore, diagnostic procedures, standard interventions—particularly first choice non-pharmacological therapies—and practical problems that often arise in the assessment and treatment of sleep disturbances in PTSD are described. Finally, we will present some perspectives on future multidisciplinary clinical and experimental research to develop new, more effective sleep therapies to improve both sleep and PTSD.

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“…Leaders should be aware that the US Department of Veteran's Affairs hosts a free online resource called "Path to Better Sleep" which implements cognitive-behavioral therapy concepts to help improve sleep without medications. 83 Cognitive-behavioral therapy is a well-established 84 and effective 85 non-pharmacologic treatment for insomnia and sleep problems and can be delivered online 86 or in brief coaching sessions. 87 The US Army's Performance Triad initiative and resources provide a structured and tailored way for leaders to deliver operationally-relevant coaching and instruction on sleep as well as activity and nutrition to improve military readiness and performance.…”

Section: Improving Warfighter Fatigue Managementmentioning

confidence: 99%

How sleep can help maximize human potential: The role of leaders

Teyhen

Capaldi

Drummond

et al. 2021

Journal of Science and Medicine in Sport

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During multi-domain operations (MDO), soldiers need the physical supremacy, cognitive dominance, and emotional resilience to help defend and win our nation's wars. Optimal sleep has been shown to boost physical performance and cognitive processing. This manuscript will discuss how recent advances in sleep science strongly argue for the integration of sleep planning into military operations. Design: Review article. Methods: We reviewed the current understanding of how sleep affects Soldier readiness, how sleep and pain are interrelated, and unique challenges to obtaining adequate sleep in military training environments. We then address solutions that can be implemented by leaders and individuals to manage warfighter fatigue and optimize unit performance. Results: Since sleep is foundational to soldier health and readiness, improving warfighter fatigue management is a priority for leaders. Conclusion:To succeed in MDO, military personnel require physical supremacy, cognitive dominance, and emotional resilience to fight and win. Sleep science is a rapidly emerging field, and the clear implications for maximizing human performance argue strongly for more deliberate integration into military training and operations. Leaders that incorporate sleep and fatigue management into the planning and execution phases of operations will help facilitate mission priorities and prove a powerful force multiplier.

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Delivering Cognitive Behavioral Therapy for Insomnia in Military Personnel and Veterans

Cited by 10 publications

References 107 publications

Optimising Combat Readiness: Practical Strategies for Integrating Physiological and Psychological Resilience in Soldier Training

Optimising Combat Readiness: Practical Strategies for Integrating Physiological and Psychological Resilience in Soldier Training

Disturbed Sleep in PTSD: Thinking Beyond Nightmares

How sleep can help maximize human potential: The role of leaders

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