Evidence map›Paper›PMID 28732289›Full record

Trial reportBehaviour research and therapy2017

Effects of psychotherapies for posttraumatic stress disorder on sleep disturbances: Results from a randomized clinical trial.

Elizabeth Woodward, Ann Hackmann, Jennifer Wild, Nick Grey, David M Clark, Anke Ehlers

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Behaviour research and therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
4.7field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Ten misconceptions about trauma-focused CBT for PTSD.Cognitive behaviour therapist · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Predicting Attentional Impairment in Women With Posttraumatic Stress Disorder Using Self-Reported and Objective Measures of Sleep.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019
    Article
  13. Review
  14. Review
  15. Review
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

6 authors at 4 institutions in 1 country.

Elizabeth WoodwardDepartment of Experimental Psychology, University of Oxford, UK; National Institute for Health Research (NIHR), Oxford Health Biomedical Research Centre, Oxford, UK. Electronic address: elizabeth.woodward@psy.ox.ac.uk.
Ann HackmannNational Institute for Health Research (NIHR), Oxford Health Biomedical Research Centre, Oxford, UK.
Jennifer WildDepartment of Experimental Psychology, University of Oxford, UK; National Institute for Health Research (NIHR), Oxford Health Biomedical Research Centre, Oxford, UK.
Nick GreyNational Institute for Health Research (NIHR) Mental Health Biomedical Research Centre, South London Maudsley NHS Foundation Trust, King's College London, UK.
David M ClarkDepartment of Experimental Psychology, University of Oxford, UK; National Institute for Health Research (NIHR), Oxford Health Biomedical Research Centre, Oxford, UK; National Institute for Health Research (NIHR) Mental Health Biomedical Research Centre, South London Maudsley NHS Foundation Trust, King's College London, UK.
Anke EhlersDepartment of Experimental Psychology, University of Oxford, UK; National Institute for Health Research (NIHR), Oxford Health Biomedical Research Centre, Oxford, UK; National Institute for Health Research (NIHR) Mental Health Biomedical Research Centre, South London Maudsley NHS Foundation Trust, King's College London, UK. Electronic address: anke.ehlers@psy.ox.ac.uk.
University of Oxford · GBKing's College London · GBNational Institute for Health Research · GBSouth London and Maudsley NHS Foundation Trust · GB

Funding

Wellcome Trust 069777Wellcome Trust 200796/Z/16/Z
6 · The paper itself

Abstract

The effectiveness and mechanisms of psychotherapies for posttraumatic stress disorder (PTSD) in treating sleep problems is of interest. This study compared the effects of a trauma-focused and a non-trauma-focused psychotherapy on sleep, to investigate whether 1) sleep improves with psychotherapy for PTSD; 2) the degree of sleep improvement depends on whether the intervention is trauma or nontrauma-focused; 3) the memory-updating procedure in cognitive therapy for PTSD (CT-PTSD) is associated with sleep improvements; 4) initial sleep duration affects PTSD treatment outcome; and 5) which symptom changes are associated with sleep duration improvements. Self-reported sleep was assessed during a randomized controlled trial (Ehlers et al., 2014) comparing CT-PTSD (delivered weekly or intensively over 7-days) with emotion-focused supportive therapy, and a waitlist. Sleep duration was reported daily in sleep diaries during intensive CT-PTSD. CT-PTSD led to greater increases in sleep duration (55.2 min) and reductions in insomnia symptoms and nightmares than supportive therapy and the waitlist. In intensive CT-PTSD, sleep duration improved within 7 days, and sleep diaries indicated a 40-min sleep duration increase after updating trauma memories. Initial sleep duration was not related to CT-PTSD treatment outcome when initial PTSD symptom severity was controlled. The results suggest that trauma-focused psychotherapy for PTSD is more effective than nontrauma-focused therapy in improving self-reported sleep, and that CT-PTSD can still be effective in the presence of reduced sleep duration.

Indexed as

Cognitive Behavioral TherapyDreamsAdolescentAdultAgedFemaleHumansMaleMiddle AgedPsychotherapySleep Initiation and Maintenance DisordersStress Disorders, Post-TraumaticYoung AdultCognitive behavioural therapyPosttraumatic stress disorderRandomized controlled trialSleep disturbances

Identifiers

PMID28732289
PMCPMC5608018
OpenAlexW2728730040

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.