Evidence map›Paper›PMID 42171872›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2026

Delivering Cognitive Behavioral Therapy for Nightmares (CBT-N) in primary care within the Veterans Health Administration: A preliminary report on clinician-perceived barriers and benefits.

Courtney J Bolstad, Constance H Fung, Lori Davis, Lisa Zubkoff, Adam D Bramoweth, Audrey L Austin, Gerald McGwin, Christina Krieg, Katherine E Miller

Abstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Bringing cognitive behavioral therapy for nightmares to patients with trauma: increasing access and feasibility via primary and acute care.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
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

9 authors.

Courtney J BolstadBirmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham VA Health Care System, Birmingham, AL, USA. courtney.bolstad@va.gov.ORCID 0000-0003-2297-2778
Constance H FungVA Greater Los Angeles Geriatric Research, Education, and Clinical Center, Los Angeles, CA, USA.
Lori DavisBirmingham VA Health Care System, Birmingham, AL, USA.
Lisa ZubkoffBirmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham VA Health Care System, Birmingham, AL, USA.
Adam D BramowethMental Illness Research, Education, and Clinical Center, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Audrey L AustinBirmingham VA Health Care System, Birmingham, AL, USA.
Gerald McGwinBirmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham VA Health Care System, Birmingham, AL, USA.
Christina KriegPrimary Care Mental Health, VISN 22 Clinical Resource Hub, VA Phoenix Health Care System, Phoenix, AZ, USA.
Katherine E MillerMinneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.

Funding

American Academy of Sleep Medicine Foundation 346-SR-24
6 · The paper itself

Abstract

Nightmares, which are associated with various biopsychosocial issues, are common and often undertreated among veterans. To address the demand for Cognitive Behavioral Therapy for Nightmares (CBT-N) in the Veterans Health Administration (VHA), experts have trained mental health clinicians in its delivery. Program evaluation data show positive clinician perceptions of CBT-N but reveal implementation barriers, including the incompatibility between CBT-N and certain practice settings. One such setting is Primary Care Mental Health Integration (PCMHI), where brief episodes of care may limit CBT-N feasibility. Survey results suggest PCMHI clinicians (n=13) perceive greater CBT-N benefits than clinicians in other settings (n=64) but face barriers such as scheduling constraints. A subanalysis showed that PCMHI clinicians (n=3) find CBT-N to be significantly less appropriate and feasible than clinicians in other settings (n=12). These preliminary findings support adapting CBT-N for PCMHI as a pathway to increased uptake and improved access to nightmare treatment within the VHA.

Indexed as

Attitude of Health PersonnelCognitive Behavioral TherapyDreamsPrimary Health CareVeteransFemaleHumansMaleUnited StatesUnited States Department of Veterans Affairsexposure relaxation and rescripting therapyhealthcare servicesimagery rehearsal therapyimplementation scienceprimary care mental health integration

Identifiers

PMID42171872
PMCPMC13197523

What OpenQuestion holds

Textmetadata
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.