Special Considerations in the Adaptation of Cognitive Behavioral Therapy for Insomnia With Active-Duty U.S. Army Personnel. Issue 4 (November 2018)

• Record Type: Journal Article
• Authors: Pruiksma, Kristi E.; Fina, Brooke; Dietch, Jessica R.; Dondanville, Katherine A.; Williams, Jacob; Wright, Edward C.; Molino, Alma; Hall-Clark, Brittany; Nicholson, Karin L.; Peterson, Alan L.; Taylor, Daniel J.
• Is Part Of: Cognitive and behavioral practice. Volume 25:Issue 4(2018)
• Page Start: 515
• Page End: 530
• Publication Date: 2018-11
• Subjects: insomnia -- Cognitive Behavioral Therapy for Insomnia -- active-duty military -- deployment -- treatment; Behavior therapy -- Periodicals; Cognitive therapy -- Periodicals; Behavior Therapy -- Periodicals; Cognitive Therapy -- Periodicals; 616.8914205
• DOI: 10.1016/j.cbpra.2017.12.007
• Languages: English
• ISSNs: 1077-7229

Abstract

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. Highlights: Insomnia is highly prevalent among active duty military service members CBT-I is a well-established and efficacious treatment for insomnia Military-specific factors directly impact service members' insomnia and treatment Clinical practice strategies aid in implementation of CBT-I with service members