TY - JOUR
T1 - Special Considerations in the Adaptation of Cognitive Behavioral Therapy for Insomnia With Active-Duty U.S. Army Personnel
AU - STRONG STAR Consortium
AU - Pruiksma, Kristi E.
AU - Fina, Brooke
AU - Dietch, Jessica R.
AU - Dondanville, Katherine A.
AU - Williams, Jacob
AU - Wright, Edward C.
AU - Molino, Alma
AU - Hall-Clark, Brittany
AU - Nicholson, Karin L.
AU - Peterson, Alan L.
AU - Taylor, Daniel J.
N1 - Funding Information:
Funding for this work was made possible by the U.S. Department of Defense through the U.S. Army Medical Research and Materiel Command, Congressionally Directed Medical Research Programs, Psychological Health and Traumatic Brain Injury Research Program award W81XWH-10-1-0828 (Daniel Taylor).
Publisher Copyright:
© 2018
PY - 2018/11
Y1 - 2018/11
N2 - Insomnia is highly prevalent among active-duty military service members. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a well-established and effective treatment; however, research and treatment recommendations have primarily focused on civilian or veteran populations. A multitude of military-specific factors directly impact service members’ sleep and the subsequent treatment recommendations. This article provides treatment considerations for the use of CBT-I with active-duty U.S. Army personnel. First, an overview of the theoretical model of insomnia, including military-specific predisposing, precipitating, and perpetuating factors, is presented, followed by a review of common comorbid conditions among service members with insomnia. Finally, discussion focuses on considerations and strategies for implementing components of CBT-I with service members, managing sleep during deployments, and adjusting sleep to accommodate overnight duties. Additional training resources and supplemental video examples (with actors) are provided.
AB - Insomnia is highly prevalent among active-duty military service members. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a well-established and effective treatment; however, research and treatment recommendations have primarily focused on civilian or veteran populations. A multitude of military-specific factors directly impact service members’ sleep and the subsequent treatment recommendations. This article provides treatment considerations for the use of CBT-I with active-duty U.S. Army personnel. First, an overview of the theoretical model of insomnia, including military-specific predisposing, precipitating, and perpetuating factors, is presented, followed by a review of common comorbid conditions among service members with insomnia. Finally, discussion focuses on considerations and strategies for implementing components of CBT-I with service members, managing sleep during deployments, and adjusting sleep to accommodate overnight duties. Additional training resources and supplemental video examples (with actors) are provided.
KW - Cognitive Behavioral Therapy for Insomnia
KW - active-duty military
KW - deployment
KW - insomnia
KW - treatment
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U2 - 10.1016/j.cbpra.2017.12.007
DO - 10.1016/j.cbpra.2017.12.007
M3 - Article
AN - SCOPUS:85048314002
VL - 25
SP - 515
EP - 530
JO - Cognitive and Behavioral Practice
JF - Cognitive and Behavioral Practice
SN - 1077-7229
IS - 4
ER -