Evidence map›Paper›PMID 41987509›Full record

ArticleBehavioral sleep medicine2026

Experiential Avoidance is Associated with Insomnia Symptoms and Related Consequences Among Veterans with Posttraumatic Stress Disorder.

Gwendolyn C Carlson, Alaina I Gold, Alexander J Erickson, Monica R Kelly, Michael N Mitchell, Karen R Josephson, Katie J Carlson, Sarah Kate McGowan, Chase H G MacCabe, Michelle R Zeidler and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Behavioral sleep medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05194930 (A Novel Acceptance-based Treatment for Insomnia in Veterans With Post-Traumatic Stress Disorder), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Gwendolyn C CarlsonDepartment of Mental Health, Veterans Affairs (VA) Greater Los Angeles Healthcare System, Los Angeles, CA, USA.ORCID 0000-0002-5636-2970
Alaina I GoldDepartment of Mental Health, Veterans Affairs (VA) Greater Los Angeles Healthcare System, Los Angeles, CA, USA.ORCID 0000-0001-9466-792X
Alexander J EricksonGreater Los Angeles Veterans Research and Education Foundation, Los Angeles, CA, USA.ORCID 0000-0002-1025-427X
Monica R KellyDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.ORCID 0000-0002-4713-7210
Michael N MitchellGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.ORCID 0009-0001-3219-1943
Karen R JosephsonGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.ORCID 0000-0003-4237-5858
Katie J CarlsonGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.ORCID 0009-0001-6690-8666
Sarah Kate McGowanDepartment of Mental Health, Veterans Affairs (VA) Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Chase H G MacCabeDepartment of Mental Health, Veterans Affairs (VA) Greater Los Angeles Healthcare System, Los Angeles, CA, USA.ORCID 0000-0001-6820-3355
Michelle R ZeidlerDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.ORCID 0000-0003-0997-9713
Constance H FungVA Health Systems Research (HSR) Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.ORCID 0000-0002-0140-7932
Cathy A AlessiDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.ORCID 0000-0002-0396-9066
Elizabeth M YanoVA Health Systems Research (HSR) Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.ORCID 0000-0002-9385-0025
Thomas C NeylanDepartment of Psychiatry and Neurology, University of California, San Francisco, CA, USA.ORCID 0000-0002-1572-2626
Jennifer L MartinGeriatric Research, Education and Clinical Center, VA Miami Healthcare System, Miami, FL, USA.ORCID 0000-0003-0849-3391

Funding

Clinical Features and Neuropathological Basis of Sleep Wake Behavior in Alzheimer's and PSPR01AG060477 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Lea Tenenholz Grinberg, Thomas C Neylan · 2019 to 2026
$8.2M
Investigating Fear System Myelination in PTSD Using In Vivo and Post Mortem DataR01MH132617 · NIMH · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI HUBER, BERTRAND R, NEYLAN, THOMAS C · 2023 to 2025
$2.1M
Insomnia Treatment and Cardiometabolic Health in Older Adults with Posttraumatic Stress DisorderK23HL157754 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Monica R Kelly · 2022 to 2026
$999k
Sleep health in special populationsK24HL143055 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTIN, JENNIFER L · 2018 to 2025
$898k
CSRD VA I01 CX001917HSRD VA I01 HX003321HSRD VA IK2 HX003332HSRD VA IK6 HX002836HSRD VA IK6 HX003160NHLBI NIH HHS K23 HL157754NHLBI NIH HHS K24 HL143055NIA NIH HHS R01 AG060477NIMH NIH HHS R01 MH132617
6 · The paper itself

Abstract

objectivesExperiential avoidance is the unwillingness to come into contact with aversive internal experiences. Trauma exposure is associated with greater experiential avoidance and insomnia symptoms. Experiential avoidance may perpetuate insomnia symptoms in patients with posttraumatic stress disorder (PTSD). We examined the relationship between experiential avoidance and insomnia symptoms among veterans with PTSD (based on the Clinician-Administered PTSD Scale for DSM-5).

methodThe sample included 93 veterans (

resultsThere were significant positive associations between the BEAQ and the ISI, PSQI daily disturbance factor, ESS, and ICSD daytime consequences.

conclusionsGreater experiential avoidance was associated with worse insomnia symptoms and consequences, particularly daytime dysfunction. Experiential avoidance may be an overlooked, but relevant treatment target for patients with comorbid insomnia and PTSD.

Identifiers

PMID41987509
PMCPMC13155084

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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.