AI Article Synopsis

  • Cognitive Processing Therapy (CPT) for veterans with PTSD has been shown to improve sleep quality, though most studies relied on self-reported measures rather than objective data.
  • This study involved 37 war veterans undergoing CPT, assessing sleep symptoms with advanced insomnia measures, including daily sleep diaries and actigraphy.
  • Results indicated only small to moderate improvements in PTSD symptoms, but negligible changes in sleep indices, suggesting insomnia requires additional clinical focus alongside PTSD treatment.

Article Abstract

: Patients receiving Cognitive Processing Therapy (CPT), an evidence based therapy for posttraumatic stress disorder (PTSD), report improved sleep quality. However, the majority of studies have examined residual sleep disturbance via self-report surveys or separate items on PTSD measures. This study examined whether CPT delivered to veterans in a VA setting improved sleep indices using state-of-the-art objective and subjective insomnia measures. : Participants were war veterans with a current PTSD diagnosis scheduled to begin outpatient individual or group CPT at two Veteran's Affairs (VA) locations (n = 37). : Sleep symptom severity was assessed using the recommended research consensus insomnia assessment, the consensus daily sleep diary and actigraphy. PTSD symptomatology pre- and post-treatment were assessed using the Clinician Administered PTSD Scale. : A small to moderate benefit was observed for the change in PTSD symptoms across treatment (ES = .43). Effect sizes for changes on daily sleep diary and actigraphy variables after CPT were found to be negligible (Range ES = - .16 to .17). Sleep indices remained at symptomatic clinical levels post-treatment. : These findings support previous research demonstrating a need for independent clinical attention to address insomnia either before, during, or after PTSD treatment.

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Source
http://dx.doi.org/10.1080/15402002.2019.1692848DOI Listing

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