Special Considerations in the Adaptation of Cognitive Behavioral Therapy for Insomnia With Active-Duty U.S. Army Personnel

STRONG STAR Consortium

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)515-530
Number of pages16
JournalCognitive and Behavioral Practice
Volume25
Issue number4
DOIs
StatePublished - Nov 2018

Keywords

  • Cognitive Behavioral Therapy for Insomnia
  • active-duty military
  • deployment
  • insomnia
  • treatment

ASJC Scopus subject areas

  • Clinical Psychology

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