Cognitive Behavioral Therapy for Insomnia and Imagery Rehearsal in Combat Veterans with Comorbid Posttraumatic Stress: A Case Series.
Todd M Bishop, Peter C Britton, Kerry L Knox, Wilfred R Pigeon
Military behavioral health 2016 DOI: 10.1080/21635781.2015.1100564 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Case-series Case report Peer reviewed |
|---|---|
| Sample size | 14 |
| Population | Combat veterans diagnosed with insomnia and experiencing posttraumatic stress and/or depression |
| Interventions | cognitive behavioral therapy for insomnia imagery rehearsal therapy |
| Keywords | Behavioral treatment Combat veterans Insomnia Nightmares Sleep |
| Key findings | Combined CBT-I and IRT led to clinically significant sleep improvements and statistically significant reductions in insomnia, nightmare, depression, and posttraumatic stress severity. |
Abstract
Disrupted sleep is common among combat veterans and can negatively impact response to mental health treatments. A trial of cognitive behavioral therapy for insomnia (CBT-I) and imagery rehearsal therapy (IRT) for nightmares was conducted with 14 combat veterans diagnosed with insomnia, and who were experiencing posttraumatic stress and/or depression. In the case-series that follows veterans experienced clinically significant changes in sleep, and statistically significant reductions in insomnia, nightmare, depression and posttraumatic stress severity following treatment. Combined CBT-I and IRT is a promising treatment for patients with combat-related trauma and psychiatric morbidity.