Evidence map›Paper›PMID 25194223›Full record

Trial reportBehaviour research and therapy2014

Treatment for insomnia in combat-exposed OEF/OIF/OND military veterans: preliminary randomized controlled trial.

Anne Germain, Robin Richardson, Ryan Stocker, Oommen Mammen, Martica Hall, Adam D Bramoweth, Amy Begley, Noelle Rode, Ellen Frank, Gretchen Haas and 1 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Behaviour research and therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00840255 (Treatment of Insomnia in Military Veterans), which is not on this map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00840255 nacompletednot on this map

Treatment of Insomnia in Military Veterans:Phase 2

TypeinterventionalSponsorUniversity of PittsburghRan2009 to 2012Enrolled40ConditionsChronic InsomniaArmsBBTI-MV, Information Control
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Insomnia Interventions in the Workplace: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020
    Pooled it
  4. Pooled it
  5. Trial
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  8. Brief behavioral treatment for insomnia decreases trauma-related nightmare frequency in veterans.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Trial
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  14. Article
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  18. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Anne GermainDepartment of Psychiatry, University of Pittsburgh School of Medicine, USA. Electronic address: germax@upmc.edu.
Robin RichardsonUniversity of Pittsburgh Medical Center, USA.
Ryan StockerUniversity of Pittsburgh Medical Center, USA.
Oommen MammenDepartment of Psychiatry, University of Pittsburgh School of Medicine, USA.
Martica HallDepartment of Psychiatry, University of Pittsburgh School of Medicine, USA.
Adam D BramowethDepartment of Psychiatry, University of Pittsburgh School of Medicine, USA; VISN4 Mental Illness Research, Education and Clinical Center (MIRECC), VA Pittsburgh Healthcare System, USA.
Amy BegleyUniversity of Pittsburgh Medical Center, USA.
Noelle RodeUniversity of Pittsburgh Medical Center, USA.
Ellen FrankDepartment of Psychiatry, University of Pittsburgh School of Medicine, USA.
Gretchen HaasDepartment of Psychiatry, University of Pittsburgh School of Medicine, USA; VISN4 Mental Illness Research, Education and Clinical Center (MIRECC), VA Pittsburgh Healthcare System, USA.
Daniel J BuysseDepartment of Psychiatry, University of Pittsburgh School of Medicine, USA.
University of Pittsburgh · USUniversity of Pittsburgh Medical Center · US

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
REDUCING STRESS /SLEEP DISTURBANCES IN CAREGIVERS OF ADP01AG020677 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BUYSSE, DANIEL J. · 2003 to 2015
$17.5M
Treatment of Comorbid Insomnia in Military VeteransR34MH080696 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GERMAIN, ANNE · 2008 to 2010
$613k
NCRR NIH HHS UL1 RR024153NCRR NIH HHS UL1RR024153NIA NIH HHS P01 AG020677NIA NIH HHS P01AG020677NIMH NIH HHS MH080696NIMH NIH HHS R34 MH080696
6 · The paper itself

Abstract

Chronic insomnia is highly prevalent among military personnel returning from Iraq and Afghanistan. We evaluated the effects of a military version of a brief behavioral treatment of insomnia (BBTI-MV) compared to an information only control (IC) condition in combat-exposed Veterans of Operations Enduring/Iraqi Freedom or Operation New Dawn (OEF/OIF/OND) on insomnia, sleep quality, and daytime symptoms of anxiety and depression. Forty OEF/OIF/OND Veterans (Mean age = 38.4 years old, s.d. = 11.69; 85% men; 77.5% white) were randomized to one of two conditions. BBTI-MV consisted of two in-person sessions and two telephone contacts delivered over four weeks, and included personalized recommendations to reduce insomnia. The IC condition also consisted of 2 in-person sessions two telephone contacts delivered over four weeks, and Veterans were encouraged to read written information about sleep-promoting behaviors. The Insomnia Severity Index, Pittsburgh Sleep Quality Index, PTSD Checklist, and Beck Depression and Anxiety Inventories were completed at baseline, post-treatment, and at the six-month follow-up. Both interventions were associated with clinically significant improvements in insomnia, although the magnitude of improvements in sleep and rates of treatment response and remission were greater for BBTI-MV compared to IC from pre- to post-treatment. Both BBTI-MV and the provision of information were associated with clinically significant improvements in insomnia among Veterans. Despite the preliminary nature of the findings and limitations inherent to small controlled trials, the findings suggest that both approaches may provide viable options in a stepped-care approach to the treatment of insomnia in retuning combat-exposed Veterans. Larger, confirmatory effectiveness trials are required. CLINICALTRIALSGOV IDENTIFIER: NCT00840255.

Indexed as

VeteransAdultAfghan Campaign 2001-AgedAnxietyBehavior TherapyDepressionFemaleHumansIraq War, 2003-2011MaleMiddle AgedSleepSleep Initiation and Maintenance DisordersTelephoneYoung AdultEducationInsomniaMilitary VeteransSleep restrictionStimulus control

Identifiers

PMID25194223
PMCPMC4180045
OpenAlexW2037500153

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.