Treatment of residual insomnia after CBT for PTSD: Case studies

被引：69

作者：

DeViva, JC

Zayfert, C

Pigeon, WR

Mellman, TA

机构：

[1] Dartmouth Coll Sch Med, Lebanon, NH USA

[2] Univ Rochester, Ctr Med, Dept Psychiat, Rochester, NY USA

来源：

JOURNAL OF TRAUMATIC STRESS | 2005年 / 18卷 / 02期

关键词：

D O I：

10.1002/jts.20015

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Insomnia is one of the most common symptoms of posttraumatic stress disorder (PTSD). Evidence suggests that insomnia may persist for many PTSD patients after other symptoms have responded to cognitive-behavioral therapy (CBT). The present article reports the effects of administering a five-session cognitive-behavioral insomnia treatment to 5 patients who responded to CBT for PTSD yet continued to report insomnia. Insomnia treatment was associated with improvements on subjective sleep measures (Pittsburgh Sleep Quality Index, Insomnia Severity Index, and Beliefs and Attitudes about Sleep Scale) and self-monitored sleep efficiency and related measures in 4 of 5 cases. Results highlight issues specific to treating insomnia in trauma populations and future directions for examining treatment of insomnia associated with PTSD.

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收藏

页码：155 / 159

页数：5

相关论文

共 16 条

[1]

[Anonymous], COGNITIVE BEHAV THER

[2] Validation of the Insomnia Severity Index as an outcome measure for insomnia research [J].

Bastien, Celyne H. ;

Vallieres, Annie ;

Morin, Charles M. .

SLEEP MEDICINE, 2001, 2 (04) :297-307

[3] A scale for assessing sleep hygiene:: Preliminary data [J].

Blake, DD ;

Gómez, MH .

PSYCHOLOGICAL REPORTS, 1998, 83 (03) :1175-1178

[4]

BLAKE DD, 1994, PTSD RES Q, V5, P1

[5] THE PITTSBURGH SLEEP QUALITY INDEX - A NEW INSTRUMENT FOR PSYCHIATRIC PRACTICE AND RESEARCH [J].

BUYSSE, DJ ;

REYNOLDS, CF ;

MONK, TH ;

BERMAN, SR ;

KUPFER, DJ .

PSYCHIATRY RESEARCH, 1989, 28 (02) :193-213

[6] IMAGINAL FLOODING AS A SUPPLEMENTARY TREATMENT FOR PTSD IN COMBAT VETERANS - A CONTROLLED-STUDY [J].

COOPER, NA ;

CLUM, GA .

BEHAVIOR THERAPY, 1989, 20 (03) :381-391

[7] An open-label trial of evidence-based cognitive behavior therapy for nightmares and insomnia in crime victims with PTSD [J].

Krakow, B ;

Johnston, L ;

Melendrez, D ;

Hollifield, M ;

Warner, TD ;

Chavez-Kennedy, D ;

Herlan, MJ .

AMERICAN JOURNAL OF PSYCHIATRY, 2001, 158 (12) :2043-2047

[8] Imagery rehearsal therapy for chronic nightmares in sexual assault survivors with posttraumatic stress disorder - A randomized controlled trial [J].

Krakow, B ;

Hollifield, M ;

Johnston, L ;

Koss, M ;

Schrader, R ;

Warner, TD ;

Tandberg, D ;

Lauriello, J ;

McBride, L ;

Cutchen, L ;

Cheng, D ;

Emmons, S ;

Germain, A ;

Melendrez, D ;

Sandoval, D ;

Prince, H .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (05) :537-545

[9] A retrospective study on improvements in nightmares and post-traumatic stress disorder following treatment for co-morbid sleep-disordered breathing [J].

Krakow, B ;

Lowry, C ;

Germain, A ;

Gaddy, L ;

Hollifield, M ;

Koss, M ;

Tandberg, D ;

Johnston, L ;

Melendrez, D .

JOURNAL OF PSYCHOSOMATIC RESEARCH, 2000, 49 (05) :291-298

[10]

MORIN CM, 1994, AM J PSYCHIAT, V151, P1172