scholarly journals 0483 Predictors of Cognitive Behavioral Therapy for Insomnia (CBT) Outcomes in Active Duty U.S. Army Personnel

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A185-A185
Author(s):  
K E Pruiksma ◽  
W Hale ◽  
J Mintz ◽  
A Peterson ◽  
S Young-McCaughan ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Medical Research ◽  
Behavioral Therapy ◽  
Active Duty ◽  
Cognitive Behavioral ◽  
Depression Symptoms ◽  
Predictors Of Response ◽  
The Impact ◽  
Insomnia Severity ◽  
The U.S

Abstract Introduction Cognitive behavioral therapy for insomnia (CBTi) is well established as the first-line treatment for the management of chronic insomnia. Identifying predictors of response to CBTi should enable the field to efficiently utilize resources to treat those who are likely to respond and to personalize treatment approaches to optimize outcomes for those who are less likely to respond to traditional CBTi. Although a range of studies have been conducted, no clear pattern of predictors of response to CBTi has emerged. Methods The purpose of this study was to examine the impact and relative importance of a comprehensive group of pretreatment predictors of insomnia outcomes in 99 active duty service members who received in-person CBTi in a randomized clinical trial. Results Results indicated that higher levels of baseline insomnia severity and total sleep time predicted greater improvements on the Insomnia Severity Index (ISI) following treatment. Higher depression symptoms and a history of head injury predicted a worse response to treatment (i.e., smaller improvements on the ISI). Conclusion Clinically meaningful improvements, as measured by the reliable change index (RCI), were found in 59% of the sample. Over and above baseline insomnia severity, only depressive symptoms predicted this outcome. Future studies should examine if modifications to CBTi based on these predictors of response can improve outcomes. Support This study was conducted with support from the U.S. Department of Defense through the U.S. Army Medical Research and Materiel Command, Congressionally Directed Medical Research Programs, Psychological Health and Traumatic Brain Injury Research Program award W81XWH-10-1-0828 (PI: Dr Taylor).

scholarly journals Effect of Cognitive-Behavioral Group Therapy on the Anxiety and Depression of War-Handicapped

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Mehryar Anasseri
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Test Phase ◽  
Cognitive Behavioral ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
War Veterans ◽  
Statistical Population ◽  
Post Test ◽  
The Impact

Background: Depression and anxiety as the most common psychiatric problems in survivors of traumatic events pose a significant burden on health systems and families. Objectives: This study was conducted to determine the impact of group cognitive-behavioral therapy on the anxiety and depression of war veterans. Methods: This was a quasi-experimental study with pre-test and post-test and a control group. The statistical population included all men with war disabilities who visited Sadra Psychiatric Hospital in Tehran. By convenience and purposive sampling, 116 people were selected and randomly assigned to two groups. Therapeutic interventions (group cognitive-behavioral therapy and Jacobsen's progressive muscle relaxation technique) were applied to each group for 12 sessions, 2 sessions per week and 2 sessions each. Beck’s Depression Scale (Beck, 1961) and Spielberger’s Anxiety Scale (Spielberger, 1970) were used to collect the data. Data was analyzed using analysis of covariance. Results: The mean scores of anxiety and depression in the post-test phase decreased compared to the pre-test phase (P < 0.05). Therefore, group cognitive-behavioral therapy improved the psychological symptoms of the participants. Conclusions: Cognitive-behavioral therapy improved cognitive flexibility and diminished anxiety-depression symptoms in war veterans; thus, it can be considered a useful treatment strategy to improve the psychological status of war veterans.

Cognitive behavioral therapy for insomnia among active duty military personnel.

2019 ◽  
Author(s):  
Marquisha R. G. Lee ◽  
Joshua Breitstein ◽  
Timothy Hoyt ◽  
Jason Stolee ◽  
Tristin Baxter ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Military Personnel ◽  
Behavioral Therapy ◽  
Active Duty ◽  
Cognitive Behavioral ◽  
Active Duty Military

scholarly journals Feasibility and acceptability of cognitive behavioral therapy for insomnia (CBT-I) or acupuncture for insomnia and related distress among cancer caregivers

2020 ◽  
Vol 18 (6) ◽  
pp. 644-647
Author(s):  
Allison J. Applebaum ◽  
Kara Buda ◽  
Michael A. Hoyt ◽  
Kelly Shaffer ◽  
Sheila Garland ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Treatment Modality ◽  
Behavioral Therapy ◽  
Informal Caregivers ◽  
Cognitive Behavioral ◽  
Pharmacological Interventions ◽  
Psychological Outcome ◽  
Patients With Cancer ◽  
The Impact ◽  
Preliminary Support

AbstractObjectiveInsomnia is a common, distressing, and impairing psychological outcome experienced by informal caregivers (ICs) of patients with cancer. Cognitive behavioral therapy for insomnia (CBT-I) and acupuncture both have known benefits for patients with cancer, but such benefits have yet to be evaluated among ICs. The purpose of the present study was to evaluate the feasibility, acceptability and preliminary effects of CBT-I and acupuncture among ICs with moderate or greater levels of insomnia.MethodParticipants were randomized to eight sessions of CBT-I or ten sessions of acupuncture.ResultsResults highlighted challenges of identifying interested and eligible ICs and the impact of perception of intervention on retention and likely ultimately outcome.Significance of the resultsFindings suggest preliminary support for non-pharmacological interventions to treat insomnia in ICs and emphasize the importance of matching treatment modality to the preferences and needs of ICs.

Predictors of Cognitive Behavioral Therapy for Insomnia (CBTi) Outcomes in Active-Duty U.S. Army Personnel

2020 ◽  
Vol 51 (4) ◽  
pp. 522-534 ◽  
Author(s):  
Kristi E. Pruiksma ◽  
Willie J. Hale ◽  
Jim Mintz ◽  
Alan L. Peterson ◽  
Stacey Young-McCaughan ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Active Duty ◽  
Cognitive Behavioral ◽  
Army Personnel

scholarly journals Cognitive behavioral therapy for insomnia among young adults who are actively drinking: a randomized pilot trial

SLEEP ◽  
2020 ◽  
Author(s):  
Mary Beth Miller ◽  
Chelsea B Deroche ◽  
Lindsey K Freeman ◽  
Chan Jeong Park ◽  
Nicole A Hall ◽  
...  
Keyword(s):  
Young Adults ◽  
Alcohol Use ◽  
Cognitive Behavioral Therapy ◽  
Binge Drinking ◽  
Behavioral Therapy ◽  
Pilot Trial ◽  
Cognitive Behavioral ◽  
Wrist Actigraphy ◽  
Insomnia Severity

Abstract Study Objectives More than half of young adults at risk for alcohol-related harm report symptoms of insomnia. Insomnia symptoms, in turn, have been associated with alcohol-related problems. Yet one of the first-line treatments for insomnia (Cognitive Behavioral Therapy for Insomnia or CBT-I) has not been tested among individuals who are actively drinking. This study tested (1) the feasibility and short-term efficacy of CBT-I among binge-drinking young adults with insomnia and (2) improvement in insomnia as a predictor of improvement in alcohol use outcomes. Methods Young adults (ages 18–30 years, 75% female, 73% college students) who met criteria for Insomnia Disorder and reported 1+ binge drinking episode (4/5+ drinks for women/men) in the past month were randomly assigned to 5 weekly sessions of CBT-I (n = 28) or single-session sleep hygiene (SH, n = 28). All participants wore wrist actigraphy and completed daily sleep surveys for 7+ days at baseline, posttreatment, and 1-month follow-up. Results Of those randomized, 43 (77%) completed posttreatment (19 CBT-I, 24 SH) and 48 (86%) completed 1-month follow-up (23 CBT-I, 25 SH). CBT-I participants reported greater posttreatment decreases in insomnia severity than those in SH (56% vs. 32% reduction in symptoms). CBT-I did not have a direct effect on alcohol use outcomes; however, mediation models indicated that CBT-I influenced change in alcohol-related consequences indirectly through its influence on posttreatment insomnia severity. Conclusions CBT-I is a viable intervention among individuals who are actively drinking. Research examining improvement in insomnia as a mechanism for improvement in alcohol-related consequences is warranted. Trial Registration U.S. National Library of Medicine, https://clinicaltrials.gov/ct2/show/NCT03627832, registration #NCT03627832

scholarly journals The effects of digital cognitive behavioral therapy for insomnia on cognitive function: a randomized controlled trial

SLEEP ◽  
2020 ◽  
Vol 43 (9) ◽  
Author(s):  
Simon D Kyle ◽  
Madeleine E D Hurry ◽  
Richard Emsley ◽  
Antonia Marsden ◽  
Ximena Omlin ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Behavioral Therapy ◽  
Cognitive Performance ◽  
Behavioral Therapy ◽  
Wait List ◽  
Depression And Anxiety ◽  
Wait List Control ◽  
Cognitive Failures ◽  
The Impact ◽  
Insomnia Severity

Abstract Study Objectives We sought to examine the impact of digital cognitive behavioral therapy (dCBT) for insomnia on both self-reported cognitive impairment and objective cognitive performance. Methods The Defining the Impact of Sleep improvement on Cognitive Outcomes (DISCO) trial was an online, two-arm, single-blind, randomized clinical trial of dCBT versus wait-list control. Participants were aged 25 years and older, met DSM-5 diagnostic criteria for insomnia disorder, and reported difficulties with concentration or memory. Assessments were carried out online at baseline, and 10 and 24 weeks post-randomization. The primary outcome measure was self-reported cognitive impairment, assessed with the British Columbia Cognitive Complaints Inventory (BC-CCI). Secondary outcomes included tests of cognitive performance, insomnia symptoms, cognitive failures, fatigue, sleepiness, depression, and anxiety. Results Four hundred and ten participants with insomnia were recruited and assigned to dCBT (N = 205) or wait-list control (N = 205). At 10 weeks post-randomization the estimated adjusted mean difference for the BC-CCI was −3.03 (95% CI: −3.60, −2.47; p &lt; 0.0001, d = −0.86), indicating that participants in the dCBT group reported less cognitive impairment than the control group. These effects were maintained at 24 weeks (d = −0.96) and were mediated, in part, via reductions in insomnia severity and increased sleep efficiency. Treatment effects in favor of dCBT, at both 10 and 24 weeks, were found for insomnia severity, sleep efficiency, cognitive failures, fatigue, sleepiness, depression, and anxiety. We found no between-group differences in objective tests of cognitive performance. Conclusions Our study shows that dCBT robustly decreases self-reported cognitive impairment at post-treatment and these effects are maintained at 6 months.

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