Brief Versus Standard Cognitive Behavioral Therapy for Insomnia in Veterans
Insomnia
About this trial
This is an interventional treatment trial for Insomnia focused on measuring Insomnia, Cognitive-Behavioral Therapy for Insomnia, Functional Health, Mental Health, Veterans
Eligibility Criteria
Inclusion Criteria: A diagnosis of insomnia as classified by the (a) Diagnostic and Statistical Manual of Mental Disorders-5 (DSM 5) which includes daytime impairment in functioning for > 3 months and occurring at least 3 nights per week and (b) subjective sleep disturbance defined by an Insomnia Severity Index (ISI) score >7 at intake Meets current DSM 5 criteria for a comorbid mental health disorder No formal therapist guided treatment with brief or standard Cognitive-Behavioral Therapy for Insomnia within the past 2 years on stable medication regimen for at least 4 weeks prior to enrollment in study. Exclusion Criteria: History of a acute or unstable neurological disorder(s), dementia, or premorbid IQ <70 Schizophrenia, psychotic disorder, and/or bipolar disorder Suicidality more than "medium risk" as determined by the VA Comprehensive Suicide Risk Assessment Sleep disturbances other than insomnia (e.g., untreated obstructive sleep apnea, periodic limb movements, narcolepsy, and/or circadian-based sleep disruptions) alcohol and/or substance use disorder for 90 days prior to intake, but past history of alcohol and/or substance use is not exclusionary.
Sites / Locations
- VA San Diego Healthcare System, San Diego, CARecruiting
- VA Finger Lakes Healthcare System, Canandaigua, NYRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Cognitive-Behavioral Therapy for Insomnia (CBT-I)
Standard Cognitive-Behavioral Therapy for Insomnia (CBT-I)
Compare two behavioral interventions for insomnia
Standard VA 6 session version of CBT-I