Evidence map›Paper›PMID 34815139›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

Benefits of Cognitive Behavioral Therapy for Insomnia for Women Veterans with and without Probable Post-Traumatic Stress Disorder.

Gwendolyn C Carlson, Monica R Kelly, Michael Mitchell, Karen R Josephson, Sarah Kate McGowan, Najwa C Culver, Morgan Kay, Cathy A Alessi, Constance H Fung, Donna L Washington and 3 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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.

NCT03377452 nacompletednot on this map

Diagnosis and Treatment of Sleep Apnea in Women Veterans

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2018 to 2022Enrolled90ConditionsSleep ApneaArmsAcceptance and the Behavioral Changes to Treat Sleep Apnea (ACB-SA), Non-directive sleep apnea education control
NCT05194930 narecruitingnot on this map

A Novel Acceptance-based Treatment for Insomnia in Veterans With Post-Traumatic Stress Disorder

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2022 to 2027Enrolled400ConditionsInsomnia, PTSDArmsThe ABC of Insomnia (Acceptance and the Behavioral Changes to treat Insomnia), Cognitive-Behavioral Therapy for Insomnia
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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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

13 authors at 3 institutions in 1 country.

Gwendolyn C CarlsonDepartment of Mental Health, Veterans Affairs (VA) Greater Los Angles Healthcare System, Los Angeles, California; VA Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California. Electronic address: Gwendolyn.Carlson@va.gov.
Monica R KellyGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California.
Michael MitchellGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Karen R JosephsonGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Sarah Kate McGowanDepartment of Mental Health, Veterans Affairs (VA) Greater Los Angles Healthcare System, Los Angeles, California; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California.
Najwa C CulverDepartment of Mental Health, Veterans Affairs (VA) Greater Los Angles Healthcare System, Los Angeles, California.
Morgan KayDepartment of Mental Health, Veterans Affairs (VA) Greater Los Angles Healthcare System, Los Angeles, California.
Cathy A AlessiGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California.
Constance H FungGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California.
Donna L WashingtonVA Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California.
Alison HamiltonVA Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California.
Elizabeth M YanoVA Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California; Department of Health Policy & Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California.
Jennifer L MartinGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California.
University of California, Los Angeles · USGeriatric Research Education and Clinical Center · USVA Greater Los Angeles Healthcare System · US

Funding

Sleep health in special populationsK24HL143055 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTIN, JENNIFER L · 2018 to 2025
$898k
A Patient-Focused Approach to Insomnia Treatment for Women VeteransI01HX001287 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI MARTIN, JENNIFER L · 2014 to 2014
–
HSR&D Research Career Scientist AwardIK6HX003160 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI MARTIN, JENNIFER L · 2020 to 2025
–
HSRD VA I01 HX001287HSRD VA I01 HX002300HSRD VA IK6 HX003160NHLBI NIH HHS K24 HL143055
6 · The paper itself

Abstract

objectiveThis study compared the benefits of cognitive-behavioral therapy for insomnia for sleep, mental health symptoms, and quality of life (QoL) in a sample of women veterans with and without probable post-traumatic stress disorder (PTSD) comorbid with insomnia disorder.

methodsSeventy-three women veterans (30 with probable PTSD) received a manual-based 5-week cognitive-behavioral therapy for insomnia treatment as part of a behavioral sleep intervention study. Measures were completed at baseline, post-treatment, and 3-month follow-up. Sleep measures included the Insomnia Severity Index, Pittsburgh Sleep Quality Index, sleep efficiency measured by actigraphy, and sleep efficiency and total sleep time measured by sleep diary. Mental health measures included the PTSD Checklist-5, nightmares per week, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7 scale. QoL was measured with the Short Form-12. Linear mixed models compared changes over time across groups. Independent t tests examined PTSD symptom changes in women veterans with probable PTSD.

resultsBoth groups demonstrated improvements across sleep (ps < .001-.040), mental health symptoms (ps < .001), and QoL measures (ps < .001). The probable PTSD group reported greater improvements in diary sleep efficiency (p = .046) and nightmares per week (p = .001) at post-treatment and in total sleep time (p = .029) and nightmares per week (p = .006) at follow-up. Most participants with probable PTSD experienced clinically significant reductions in PTSD symptoms at post-treatment (66.7%) and follow-up (60.0%). Significant reductions in intrusive and arousal/reactivity symptoms were maintained at follow-up.

conclusionsCognitive-behavioral therapy for insomnia improves insomnia, mental health symptoms, and QoL among women veterans, with greater improvement in those with probable PTSD.

Indexed as

Cognitive Behavioral TherapySleep Initiation and Maintenance DisordersStress Disorders, Post-TraumaticVeteransFemaleHumansQuality of Life

Identifiers

PMID34815139
PMCPMC9124441
OpenAlexW3215612297

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.