- Cognitive behavioral therapy for insomnia in veterans trial#
- Cognitive behavioral therapy for insomnia in veterans plus#
Cognitive behavioral therapy for insomnia in veterans plus#
“However, no studies have examined the impact of CBT-I in women with insomnia plus PTSD.
Carlson, PhD, and colleagues, up to 25% of women veterans who are receiving VA healthcare meet diagnostic criteria for a set of comorbid conditions that CBT-I might help: insomnia disorder and PTSD. This access to care has been a concern for veterans for quite some time, and as CBT-I has shown to be effective at improving sleep among individuals with comorbid psychiatric conditions, it appeared to hold promise for one such population-women veterans.Īccording to Gwendolyn C. wrote, pointing to a critical need in access.
“Yet, as many patients are unable to access this specialist-driven care, a critical need exists to increase its accessibility,” Kalmbach et al. As well, the differences from baseline to postintervention for all secondary outcomes, with the exception of sleep duration, were statistically significant for those in the CBT group. Those randomized to digital CBT (n = 105) experienced significantly greater improvement in insomnia symptoms, as measured by the total score on the ISI, compared to those who received standard treatment (n = 103), for a difference of −0.36 (95% CI, −0.48 to −0.23 χ2, 29.8 P <.001 d = −1.03). The insomnia therapy also appeared to be scalable to a larger population of patients. One such piece of evidence was data published in January this year, which deemed CBT-I effective, safe, and acceptable by investigators as an intervention for insomnia symptoms in pregnant women. noted that the efficacy of face-to-face cognitive-behavioral therapy for insomnia has been supported for prenatal insomnia by early evidence. READ MORE: Community-Based Study Confirms REM Sleep Behavior Disorder Risk Factors “Despite high rates of prenatal insomnia and known maternal consequences, efficacious insomnia treatment options for this population are woefully scant.” “Over half of pregnant women experience clinical insomnia, which is linked to perinatal depression and cognitive-emotional dysregulation,” Kalmbach and colleagues wrote.
There were no pre- or post-natal treatment effects on depression or cognitive arousal observed, as measured by the Edinburgh Postnatal Depression Scale (EPDS), and Pre-Sleep Arousal Scale’s Cognitive factor (PSAS-C). 01) and reported better sleep maintenance relative to controls. Overall, these patients reported increases in nightly sleep duration of 32 minutes.Īdditionally, Kalmbach and colleagues noted that after childbirth, CBT-I randomized patients slept longer by 40 minutes per night ( P =.
Cognitive behavioral therapy for insomnia in veterans trial#
Kalmbach, PhD, researcher, Sleep Medicine, Henry Ford Health System, the first study was a single-site randomized trial that included 91 pregnant women aged 29 years (±4.16).įrom pre-treatment to post-treatment, patients randomized to CBT-I reported reductions in Insomnia Severity Index (ISI) scores of 4.91 points ( P <.001) as well as reductions in Pittsburgh Sleep Quality Index (PSQI) scores of 2.98 points ( P <.001). 1 The second abstract suggested that CBT-I could be an effective treatment for insomnia symptoms in women veterans regardless of the presence of posttraumatic stress disorder (PTSD), but appropriate sequencing remains unstudied and possibly important. The first abstract’s findings showed that a digital CBT-I tool can improve sleep quality and sleep duration for women both during pregnancy and post-childbirth, though the authors did not that the tool likely needs to be more specifically tailored to optimize outcomes for perinatal patients. Cognitive behavioral therapy for insomnia (CBT-I) appears to be a positive tool for the improvement of sleep and insomnia symptoms in women with insomnia, according to a number of abstracts presented virtually at SLEEP 2020.
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