Brief Behavioral Treatment for Insomnia in Veterans With Posttraumatic Stress Disorder (BBTI & PTSD)
Posttraumatic Stress Disorder, Insomnia Disorder
About this trial
This is an interventional treatment trial for Posttraumatic Stress Disorder focused on measuring PTSD, Insomnia
Eligibility Criteria
Inclusion Criteria: Individuals between the ages of 18-75 years who served in the military Veterans who meet DSM-5 Criteria for Insomnia Disorder. Veterans who meet DSM-5 Criteria for current PTSD If currently taking insomnia, PTSD or other psychotropic medications, must be stable on these medications for at least one month and not make any changes to medications during the active treatment phase of the study. If currently receiving any type of psychotherapy, must have received this treatment for at least one month and do not plan to discontinue treatment during the BBTI trial. Individuals planning to start a new type of psychotherapy will be required to wait one month prior to study enrollment. Individuals currently engaged or planning to engage in evidence-based treatments that are recognized by the VA as directly targeting insomnia or PTSD (i.e., Cognitive Behavioral Therapy for Insomnia, Cognitive Processing Therapy, or Prolonged Exposure Therapy) must complete treatment and wait one month prior to screening for the trial. The investigators will not exclude individuals with TBI, given that prior studies have found that individuals with mild to severe TBI can benefit from behavioral interventions for insomnia. The investigators will not exclude individuals with chronic pain, given that prior studies have found that these individuals can benefit from behavioral interventions for insomnia. The investigators will not exclude individuals with treated sleep apnea or untreated mild sleep apnea. Exclusion Criteria: Veterans with a lifetime history of psychotic disorder or manic episodes. Veterans with moderate to severe alcohol or substance use disorder. Veterans with recent homicidal behaviors. Veterans with suicidal ideation will not be excluded. However, Veterans with recent suicidal behaviors or hospitalization or those who report prominent suicidal ideation with intent or a plan will be excluded. Veterans who are pregnant Veterans who work night or rotating shifts Veterans with unstable housing Veterans with untreated moderate to severe obstructive sleep apnea (OSA) Veterans with untreated medical conditions that are known to affect sleep (e.g., restless legs syndrome)
Sites / Locations
- San Francisco VA Medical Center, San Francisco, CARecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
BBTI
PMRT
Participants in this arm will receive 4 sessions (20-60 minutes) of a brief behavioral treatment for insomnia (BBTI). Relaxation techniques are not a component of BBTI.
Participants in this arm will receive 4 sessions (20-60 minutes) of progressive muscle relaxation training (PMRT).