Benefits of Cognitive Behavioral Therapy for Insomnia for Women Veterans with and without Probable Post-Traumatic Stress Disorder.
Benefits of Cognitive Behavioral Therapy for Insomnia for Women Veterans with and without Probable Post-Traumatic Stress Disorder.
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DOI：
10.1016/j.whi.2021.10.007
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发表时间：
2022-03
影响因子：
3.2
通讯作者：
Martin, Jennifer L.
中科院分区：
文献类型：
--
作者：
Carlson, Gwendolyn C.;Kelly, Monica R.;Mitchell, Michael;Josephson, Karen R.;McGowan, Sarah Kate;Culver, Najwa C.;Kay, Morgan;Alessi, Cathy A.;Fung, Constance H.;Washington, Donna L.;Hamilton, Alison;Yano, Elizabeth M.;Martin, Jennifer L.
本研究比较了失眠症认知行为疗法（CBT-I）对患有和不患有可能的创伤后应激障碍（PTSD）合并失眠症的女性退伍军人的睡眠，心理健康症状和生活质量（QoL）的益处。73名女性退伍军人（30名可能患有PTSD）接受了为期5周的CBT-I治疗，作为行为睡眠干预研究的一部分。在基线、治疗后和3个月随访时完成测量。睡眠指标包括失眠严重程度指数（ISI）、匹兹堡睡眠质量指数（PSQI）、体动仪测量的睡眠效率、睡眠日记测量的睡眠效率和总睡眠时间（TST）。心理健康指标包括PTSD检查表-5（PCL-5）、每周噩梦、患者健康问卷-9（PHQ-9）和广泛性焦虑症-7（GAD-7）量表。使用简明健康调查表-12（SF-12）测量生活质量。线性混合模型比较了各组随时间的变化。独立的t检验检查了可能患有PTSD的女性退伍军人的PTSD症状变化。两组在睡眠（ps<0.001-0.04），心理健康症状（ps<0.001）和QoL测量（ps<0.001）方面均表现出改善。可能的PTSD组报告治疗后日记睡眠效率（p=0.046）和每周噩梦（p=0.001）以及随访时TST（p=0.029）和每周噩梦（p=0.006）的改善更大。大多数可能患有PTSD的参与者在治疗后（66.7%）和随访（60.0%）时PTSD症状出现临床显著减轻。在随访时，侵入性和唤醒/反应性症状显著减少。CBT-I改善了女性退伍军人的失眠、心理健康症状和生活质量，可能患有创伤后应激障碍的患者改善更大。
This study compared the benefits of Cognitive Behavioral Therapy for Insomnia (CBT-I) for sleep, mental health symptoms, and quality of life (QoL) in a sample of women veterans with and without probable posttraumatic stress disorder (PTSD) comorbid with insomnia disorder. Seventy-three women veterans (30 with probable PTSD) received a manual-based 5-week CBT-I treatment as part of a behavioral sleep intervention study. Measures were completed at baseline, posttreatment, and 3-month follow-up. Sleep measures included the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), sleep efficiency measured by actigraphy, and sleep efficiency and total sleep time (TST) measured by sleep diary. Mental health measures included the PTSD Checklist-5 (PCL-5), nightmares per week, Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder-7 (GAD-7) scale. QoL was measured with the Short Form-12 (SF-12). Linear mixed models compared changes over time across groups. Independent t-tests examined PTSD symptom changes in women veterans with probable PTSD. Both groups demonstrated improvements across sleep (ps<0.001-0.04), mental health symptoms (ps<0.001), and QoL measures (ps<0.001). The probable PTSD group reported greater improvements in diary sleep efficiency (p=0.046) and nightmares per week (p=0.001) at post-treatment and in TST (p=0.029) and nightmares per week (p=0.006) at follow-up. Most participants with probable PTSD experienced clinically significant reductions in PTSD symptoms at post-treatment (66.7%) and follow-up (60.0%). Significant reductions in intrusive and arousal/reactivity symptoms were maintained at follow-up. CBT-I improves insomnia, mental health symptoms and QoL among women veterans, with greater improvement in those with probable PTSD.
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影响因子：
3.1
作者：
Carlson, Gwendolyn C.;Kelly, Monica R.;Grinberg, Austin M.;Mitchell, Michael;McGowan, Sarah Kate;Culver, Najwa C.;Kay, Morgan;Alessi, Cathy A.;Washington, Donna L.;Yano, Elizabeth M.;Martin, Jennifer L.
通讯作者：
Martin, Jennifer L.
影响因子：
4.3
作者：
Creamer, Jennifer L.;Brock, Matthew S.;Mysliwiec, Vincent
通讯作者：
Mysliwiec, Vincent
影响因子：
4.3
作者：
Edinger, Jack D.;Arnedt, J. Todd;Martin, Jennifer L.
通讯作者：
Martin, Jennifer L.
影响因子：
4.8
作者：
Bastien, Celyne H.;Vallieres, Annie;Morin, Charles M.
通讯作者：
Morin, Charles M.
影响因子：
3.2
作者：
Martin, Jennifer L.;Schweizer, C. Amanda;Alessi, Cathy A.
通讯作者：
Alessi, Cathy A.