Treatment for insomnia in combat-exposed OEF/OIF/OND Military Veterans: Preliminary randomized controlled trial
Identifieur interne : 004D67 ( Main/Exploration ); précédent : 004D66; suivant : 004D68Treatment for insomnia in combat-exposed OEF/OIF/OND Military Veterans: Preliminary randomized controlled trial
Auteurs : Anne Germain [États-Unis] ; Robin Richardson [États-Unis] ; Ryan Stocker [États-Unis] ; Oommen Mammen [États-Unis] ; Martica Hall [États-Unis] ; Adam D. Bramoweth [États-Unis] ; Amy Begley [États-Unis] ; Noelle Rode [États-Unis] ; Ellen Frank [États-Unis] ; Gretchen Haas [États-Unis] ; Daniel J. Buysse [États-Unis]Source :
- Behaviour research and therapy [ 0005-7967 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Anciens combattants, Anxiété (), Anxiété (psychologie), Dépression (), Dépression (psychologie), Femelle, Guerre afghane 2001-, Guerre d'Irak 2003-2011, Humains, Jeune adulte, Mâle, Sommeil, Sujet âgé, Thérapie comportementale (), Troubles de l'endormissement et du maintien du sommeil (), Troubles de l'endormissement et du maintien du sommeil (psychologie), Téléphone.
- MESH :
- psychologie : Anxiété, Dépression, Troubles de l'endormissement et du maintien du sommeil.
- Pascal (Inist)
- Adulte, Adulte d'âge moyen, Anciens combattants, Anxiété, Dépression, Femelle, Guerre afghane 2001-, Guerre d'Irak 2003-2011, Humains, Jeune adulte, Mâle, Sommeil, Sujet âgé, Thérapie comportementale, Traitement, Insomnie, Combat, Militaire, Ancien combattant, Essai thérapeutique contrôlé, Contrôle stimulus, Privation, Sommeil, Homme, Troubles de l'endormissement et du maintien du sommeil, Téléphone.
- Wicri :
- topic : Ancien combattant, Homme.
English descriptors
- KwdEn :
- Adult, Afghan Campaign 2001-, Aged, Anxiety (psychology), Anxiety (therapy), Behavior Therapy (methods), Controlled therapeutic trial, Depression (psychology), Depression (therapy), Deprivation, Female, Fighting, Human, Humans, Insomnia, Iraq War, 2003-2011, Male, Middle Aged, Military, Sleep, Sleep Initiation and Maintenance Disorders (psychology), Sleep Initiation and Maintenance Disorders (therapy), Stimulus control, Telephone, Treatment, Veteran, Veterans, Young Adult.
- MESH :
- methods : Behavior Therapy.
- psychology : Anxiety, Depression, Sleep Initiation and Maintenance Disorders.
- therapy : Anxiety, Depression, Sleep Initiation and Maintenance Disorders.
- Adult, Afghan Campaign 2001-, Aged, Female, Humans, Iraq War, 2003-2011, Male, Middle Aged, Sleep, Telephone, Veterans, Young Adult.
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.
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Le document en format XML
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aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Psychiatry, University of Pittsburgh School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Richardson, Robin" sort="Richardson, Robin" uniqKey="Richardson R" first="Robin" last="Richardson">Robin Richardson</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Pittsburgh Medical Center</s1><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>University of Pittsburgh Medical Center</wicri:noRegion></affiliation></author><author><name sortKey="Stocker, Ryan" sort="Stocker, Ryan" uniqKey="Stocker R" first="Ryan" last="Stocker">Ryan Stocker</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Pittsburgh Medical Center</s1><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>University of Pittsburgh Medical Center</wicri:noRegion></affiliation></author><author><name sortKey="Mammen, Oommen" sort="Mammen, Oommen" uniqKey="Mammen O" first="Oommen" last="Mammen">Oommen Mammen</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Psychiatry, University of Pittsburgh School of Medicine</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Psychiatry, University of Pittsburgh School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Hall, Martica" sort="Hall, Martica" uniqKey="Hall M" first="Martica" last="Hall">Martica Hall</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Psychiatry, University of Pittsburgh School of Medicine</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Psychiatry, University of Pittsburgh School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Bramoweth, Adam D" sort="Bramoweth, Adam D" uniqKey="Bramoweth A" first="Adam D." last="Bramoweth">Adam D. Bramoweth</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Psychiatry, University of Pittsburgh School of Medicine</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Psychiatry, University of Pittsburgh School of Medicine</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>VISN4 Mental Illness Research, Education and Clinical Center (MIRECC), VA Pittsburgh Healthcare System</s1><s3>USA</s3><sZ>6 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>VISN4 Mental Illness Research, Education and Clinical Center (MIRECC), VA Pittsburgh Healthcare System</wicri:noRegion></affiliation></author><author><name sortKey="Begley, Amy" sort="Begley, Amy" uniqKey="Begley A" first="Amy" last="Begley">Amy Begley</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Pittsburgh Medical Center</s1><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>University of Pittsburgh Medical Center</wicri:noRegion></affiliation></author><author><name sortKey="Rode, Noelle" sort="Rode, Noelle" uniqKey="Rode N" first="Noelle" last="Rode">Noelle Rode</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Pittsburgh Medical Center</s1><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>University of Pittsburgh Medical Center</wicri:noRegion></affiliation></author><author><name sortKey="Frank, Ellen" sort="Frank, Ellen" uniqKey="Frank E" first="Ellen" last="Frank">Ellen Frank</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Psychiatry, University of Pittsburgh School of Medicine</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Psychiatry, University of Pittsburgh School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Haas, Gretchen" sort="Haas, Gretchen" uniqKey="Haas G" first="Gretchen" last="Haas">Gretchen Haas</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Psychiatry, University of Pittsburgh School of Medicine</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Psychiatry, University of Pittsburgh School of Medicine</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>VISN4 Mental Illness Research, Education and Clinical Center (MIRECC), VA Pittsburgh Healthcare System</s1><s3>USA</s3><sZ>6 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>VISN4 Mental Illness Research, Education and Clinical Center (MIRECC), VA Pittsburgh Healthcare System</wicri:noRegion></affiliation></author><author><name sortKey="Buysse, Daniel J" sort="Buysse, Daniel J" uniqKey="Buysse D" first="Daniel J." last="Buysse">Daniel J. Buysse</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Psychiatry, University of Pittsburgh School of Medicine</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Psychiatry, University of Pittsburgh School of Medicine</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Behaviour research and therapy</title><title level="j" type="abbreviated">Behav. res. ther.</title><idno type="ISSN">0005-7967</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Behaviour research and therapy</title><title level="j" type="abbreviated">Behav. res. ther.</title><idno type="ISSN">0005-7967</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Afghan Campaign 2001-</term><term>Aged</term><term>Anxiety (psychology)</term><term>Anxiety (therapy)</term><term>Behavior Therapy (methods)</term><term>Controlled therapeutic trial</term><term>Depression (psychology)</term><term>Depression (therapy)</term><term>Deprivation</term><term>Female</term><term>Fighting</term><term>Human</term><term>Humans</term><term>Insomnia</term><term>Iraq War, 2003-2011</term><term>Male</term><term>Middle Aged</term><term>Military</term><term>Sleep</term><term>Sleep Initiation and Maintenance Disorders (psychology)</term><term>Sleep Initiation and Maintenance Disorders (therapy)</term><term>Stimulus control</term><term>Telephone</term><term>Treatment</term><term>Veteran</term><term>Veterans</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anciens combattants</term><term>Anxiété ()</term><term>Anxiété (psychologie)</term><term>Dépression ()</term><term>Dépression (psychologie)</term><term>Femelle</term><term>Guerre afghane 2001-</term><term>Guerre d'Irak 2003-2011</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Sommeil</term><term>Sujet âgé</term><term>Thérapie comportementale ()</term><term>Troubles de l'endormissement et du maintien du sommeil ()</term><term>Troubles de l'endormissement et du maintien du sommeil (psychologie)</term><term>Téléphone</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Behavior Therapy</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Anxiété</term><term>Dépression</term><term>Troubles de l'endormissement et du maintien du sommeil</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Anxiety</term><term>Depression</term><term>Sleep Initiation and Maintenance Disorders</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Anxiety</term><term>Depression</term><term>Sleep Initiation and Maintenance Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Afghan Campaign 2001-</term><term>Aged</term><term>Female</term><term>Humans</term><term>Iraq War, 2003-2011</term><term>Male</term><term>Middle Aged</term><term>Sleep</term><term>Telephone</term><term>Veterans</term><term>Young Adult</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anciens combattants</term><term>Anxiété</term><term>Dépression</term><term>Femelle</term><term>Guerre afghane 2001-</term><term>Guerre d'Irak 2003-2011</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Sommeil</term><term>Sujet âgé</term><term>Thérapie comportementale</term><term>Traitement</term><term>Insomnie</term><term>Combat</term><term>Militaire</term><term>Ancien combattant</term><term>Essai thérapeutique contrôlé</term><term>Contrôle stimulus</term><term>Privation</term><term>Sommeil</term><term>Homme</term><term>Troubles de l'endormissement et du maintien du sommeil</term><term>Téléphone</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Ancien combattant</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Germain, Anne" sort="Germain, Anne" uniqKey="Germain A" first="Anne" last="Germain">Anne Germain</name></noRegion><name sortKey="Begley, Amy" sort="Begley, Amy" uniqKey="Begley A" first="Amy" last="Begley">Amy Begley</name><name sortKey="Bramoweth, Adam D" sort="Bramoweth, Adam D" uniqKey="Bramoweth A" first="Adam D." last="Bramoweth">Adam D. Bramoweth</name><name sortKey="Bramoweth, Adam D" sort="Bramoweth, Adam D" uniqKey="Bramoweth A" first="Adam D." last="Bramoweth">Adam D. Bramoweth</name><name sortKey="Buysse, Daniel J" sort="Buysse, Daniel J" uniqKey="Buysse D" first="Daniel J." last="Buysse">Daniel J. Buysse</name><name sortKey="Frank, Ellen" sort="Frank, Ellen" uniqKey="Frank E" first="Ellen" last="Frank">Ellen Frank</name><name sortKey="Haas, Gretchen" sort="Haas, Gretchen" uniqKey="Haas G" first="Gretchen" last="Haas">Gretchen Haas</name><name sortKey="Haas, Gretchen" sort="Haas, Gretchen" uniqKey="Haas G" first="Gretchen" last="Haas">Gretchen Haas</name><name sortKey="Hall, Martica" sort="Hall, Martica" uniqKey="Hall M" first="Martica" last="Hall">Martica Hall</name><name sortKey="Mammen, Oommen" sort="Mammen, Oommen" uniqKey="Mammen O" first="Oommen" last="Mammen">Oommen Mammen</name><name sortKey="Richardson, Robin" sort="Richardson, Robin" uniqKey="Richardson R" first="Robin" last="Richardson">Robin Richardson</name><name sortKey="Rode, Noelle" sort="Rode, Noelle" uniqKey="Rode N" first="Noelle" last="Rode">Noelle Rode</name><name sortKey="Stocker, Ryan" sort="Stocker, Ryan" uniqKey="Stocker R" first="Ryan" last="Stocker">Ryan Stocker</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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