Brief Behavioral Treatment for Insomnia in Veterans With Posttraumatic Stress Disorder

Description

This study will investigate treatments for insomnia in Veterans who have posttraumatic stress disorder (PTSD). The purpose of this study is to compare a brief behavioral treatment for insomnia (BBTI) to a treatment that helps promote relaxation (progressive muscle relaxation training or PMRT). The investigators will examine improvements in psychosocial functioning and insomnia severity. The investigators will also examine whether treatment gains last over time and whether suicidal ideation decreases following insomnia treatment.

Conditions

Posttraumatic Stress Disorder, Insomnia Disorder

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Study Overview

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Study Details

Study overview

This study will investigate treatments for insomnia in Veterans who have posttraumatic stress disorder (PTSD). The purpose of this study is to compare a brief behavioral treatment for insomnia (BBTI) to a treatment that helps promote relaxation (progressive muscle relaxation training or PMRT). The investigators will examine improvements in psychosocial functioning and insomnia severity. The investigators will also examine whether treatment gains last over time and whether suicidal ideation decreases following insomnia treatment.

Brief Behavioral Treatment for Insomnia in Veterans With Posttraumatic Stress Disorder

Brief Behavioral Treatment for Insomnia in Veterans With Posttraumatic Stress Disorder

Condition
Posttraumatic Stress Disorder
Intervention / Treatment

-

Contacts and Locations

San Francisco

San Francisco VA Medical Center, San Francisco, CA, San Francisco, California, United States, 94121-1563

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Individuals between the ages of 18-75 years who served in the military
  • * Veterans who meet DSM-5 Criteria for Insomnia Disorder.
  • * Veterans who meet DSM-5 Criteria for current PTSD
  • * If currently taking insomnia, PTSD or other psychotropic medications, must be stable on these medications for at least one month and not make any changes to medications during the active treatment phase of the study.
  • * If currently receiving any type of psychotherapy, must have received this treatment for at least one month and do not plan to discontinue treatment during the BBTI trial. Individuals planning to start a new type of psychotherapy will be required to wait one month prior to study enrollment. Individuals currently engaged or planning to engage in evidence-based treatments that are recognized by the VA as directly targeting insomnia or PTSD (i.e., Cognitive Behavioral Therapy for Insomnia, Cognitive Processing Therapy, or Prolonged Exposure Therapy) must complete treatment and wait one month prior to screening for the trial.
  • * The investigators will not exclude individuals with TBI, given that prior studies have found that individuals with mild to severe TBI can benefit from behavioral interventions for insomnia.
  • * The investigators will not exclude individuals with chronic pain, given that prior studies have found that these individuals can benefit from behavioral interventions for insomnia.
  • * The investigators will not exclude individuals with treated sleep apnea or untreated mild sleep apnea.
  • * Veterans with a lifetime history of psychotic disorder or manic episodes.
  • * Veterans with moderate to severe alcohol or substance use disorder.
  • * Veterans with recent homicidal behaviors. Veterans with suicidal ideation will not be excluded. However, Veterans with recent suicidal behaviors or hospitalization or those who report prominent suicidal ideation with intent or a plan will be excluded.
  • * Veterans who are pregnant
  • * Veterans who work night or rotating shifts
  • * Veterans with unstable housing
  • * Veterans with untreated moderate to severe obstructive sleep apnea (OSA)
  • * Veterans with untreated medical conditions that are known to affect sleep (e.g., restless legs syndrome)

Ages Eligible for Study

18 Years to 75 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

VA Office of Research and Development,

Shira Maguen, PhD, PRINCIPAL_INVESTIGATOR, San Francisco VA Medical Center, San Francisco, CA

Study Record Dates

2027-04-30