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

• DOI: 10.5665/sleep.3408
• Publication Date: 2014-01-31T20:22:05Z
• Authors: Lisa S. Talbot; Shira Maguen; Thomas J. Metzler; Martha Schmitz; Shannon E. McCaslin; Anne Richards; Michael L. Perlis; Donn A. Posner; Brandon Weiss; Leslie Ruoff; Jonathan Varbel; Thomas C. Neylan
• Keywords: Sleep diary

Examine whether cognitive behavioral therapy for insomnia (CBT-I) improves sleep in posttraumatic stress disorder (PTSD) as well nightmares, nonsleep PTSD symptoms, depression and psychosocial functioning. RANDOMIZED CONTROLLED TRIAL WITH TWO ARMS: CBT-I monitor-only waitlist control. Department of Veterans Affairs (VA) Medical Center. Forty-five adults (31 females: [mean age 37 y (22-59 y)] with meeting research diagnostic criteria insomnia, randomly assigned to (n = 29; 22 females) or control 16; nine females). Eight-session weekly individual delivered by a licensed clinical psychologist board-certified psychiatrist. Measures included continuous monitoring diary actigraphy; prepolysomnography postpolysomnography Clinician-Administered Scale (CAPS); pre, mid, post self-report questionnaires, follow-up participants 6 mo later. was superior the condition all outcomes polysomnography-measured total time. Compared participants, reported improved subjective (41% full remission versus 0%), disruptive nocturnal behaviors (based on Pittsburgh Sleep Quality Index-Addendum), overall work interpersonal These effects were maintained at 6-mo follow-up. Both reductions symptoms CAPS-measured nightmares. Cognitive individuals disorder, durable gains mo. Overall functioning following CBT-I. The initial evidence regarding nightmares is promising but further needed. Results suggest that comprehensive approach treatment should include medicine. NAME: Behavioral Treatment Of Insomnia In Posttraumatic Stress Disorder. URL: http://clinicaltrials.gov/ct2/show/NCT00881647. NCT00881647.