Brief Behavioral Treatment of Insomnia in Military Veterans: Phase 1 (BBTIMV1)
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Purpose
The purpose of this study is to adapt and test the effects of a 4-week behavioral treatment that targets chronic insomnia (lasting >1 month) in service members returning from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF).
| Condition | Intervention |
|---|---|
|
Chronic Insomnia |
Behavioral: Brief Behavioral Treatment for Insomnia |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Treatment of Insomnia in Military Veterans:Phase 1 |
- Pittsburgh Sleep Diary [ Time Frame: Weekly during entire participation ] [ Designated as safety issue: No ]
- Pittsburgh Sleep Quality Index (PSQI) [ Time Frame: Baseline and Post Intervention ] [ Designated as safety issue: No ]
- PSQI Addendum for PTSD (PSQIA) [ Time Frame: Baseline and Post Intervention ] [ Designated as safety issue: No ]
- Sleep quality defined by:PIRS 20 and the ISI [ Time Frame: Screening, Baseline, and Post Intervention ] [ Designated as safety issue: No ]
- PTSD symptom severity as measured by the CAPS [ Time Frame: Screening ] [ Designated as safety issue: Yes ]
- Depression: BDI [ Time Frame: Baseline and Post Intervention ] [ Designated as safety issue: No ]
- Anxiety: BAI [ Time Frame: Baseline and Post Intervention ] [ Designated as safety issue: No ]
- Medical History: MHQ, MEDHIST_2WK, MOS [ Time Frame: Screening, Baseline, and Post Intervention ] [ Designated as safety issue: No ]
- Trauma History: THQ,CES,PCL-C,ICG [ Time Frame: Screening, Baseline, and Post Intervention ] [ Designated as safety issue: No ]
- Post Sleep Self Report: PSEQ-SV and POST [ Time Frame: Screening ] [ Designated as safety issue: No ]
- Sleepiness: EPWORTH, BASS [ Time Frame: Screening, Baseline, and Post Intervention ] [ Designated as safety issue: No ]
- Expectations and Satisfaction: TEQ-94, Client Satisfaction Survey [ Time Frame: Baseline and Post Intervention ] [ Designated as safety issue: No ]
| Enrollment: | 12 |
| Study Start Date: | June 2008 |
| Study Completion Date: | April 2009 |
| Primary Completion Date: | April 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Brief Behavioral Treatment for Insomnia
|
Behavioral: Brief Behavioral Treatment for Insomnia
Effective behavioral insomnia treatments are typically delivered over an 8-week period. This format may not be easily exportable to primary and community care settings where military returnees and veterans seek help. The goal here is to test the effects of a 4-week behavioral treatment that targets chronic insomnia (lasting >1 month) in service members returning from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF), and who present with the typical psychiatric comorbidities associated of combat-related anxiety and mood disorders and stress reactions.
Other Name: BBTI
|
Detailed Description:
Insomnia is one of the most common reasons for referral to mental health services in active duty personnel. Chronic insomnia often persists post-deployment, contributes to poor mental and physical health outcomes, and requires targeted interventions. Effective behavioral treatments of insomnia have not been adapted and tested for the treatment of chronic insomnia comorbid to combat-related mental disorders and stress reactions. In addition, effective behavioral insomnia treatments are typically delivered over an 8-week period. This format may not be easily exportable to primary and community care settings where military returnees and veterans seek help. The goal of this R34 Exploratory Clinical Research Grant is to adapt and test the effects of a 4-week behavioral treatment that targets chronic insomnia (lasting >1 month) in service members returning from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF), and who present with the typical psychiatric comorbidities associated of combat-related anxiety and mood disorders and stress reactions. We call this intervention the Brief Behavioral Treatment of Insomnia for Military Veterans (BBTI-MV). The proposed study includes two phases. Phase I aims at iteratively adapting and refining a treatment manual for insomnia in OIF/OEF military returnees. Outcomes of interest include self-report, diary, and actigraphic sleep measures, as well as measures of PTSD, anxiety, and depression, and perceived physical health.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age is 18 and older.
- Military returnees from OIF/OEF
Meet diagnostic criteria for chronic insomnia as defined by:
- a. Complaint of sleep latency >30 minutes, or wake time after sleep onset >30 minutes, or Sleep Efficiency <85%, or a complaint of non-restorative sleep;
- b. Frequency of insomnia complaint >3 times per week;
- c. Duration of insomnia complaint >1 month
- d. Associated with at least one daytime consequences
- If using sleep medications, medication and dosage have not been changed in the past month, and will remain unchanged for the duration of the acute treatment phase of the study (i.e., 4 weeks)
- If using other psychotropic medications, medication and dosage have not been changed in the past 2 months, and will remain unchanged for the duration of the acute treatment phase of the study (i.e., 4 weeks)
Exclusion Criteria:
- Active duty personnel, or reservists/national guards scheduled for re-deployment over the following eight months
- Untreated, current, and severe PTSD as determined on the SCID.
- Untreated, current, and severe Major Depressive Disorder as determined by the Structured Clinical Interview for DSM-IV and a score > 30 on the Beck Depression Inventory
- Psychotic or bipolar disorder
- Current substance or alcohol use disorder as determined by the SCID or by positive drug toxicology results
- Unstable medical condition
- Hospitalization in the previous 2 weeks for a medical condition or surgery for which recovery overlaps with the study onset and duration
- Seizure disorder or traumatic brain injury.
- Current sleep disorders such as nightmare disorder, restless legs syndrome, or suspected sleep disorder requiring polysomnographic assessment, such as obstructive sleep apnea or periodic leg movements.
- Sleep apnea revealed during the screening sleep study.
- Pregnancy.
Contacts and Locations| United States, Pennsylvania | |
| Western Psychiatric Institute and Clinic | |
| Pittsburgh, Pennsylvania, United States, 15213 | |
| Principal Investigator: | Anne Germain, PhD. | University of Pittsburgh, Department of Psychiatry |
More Information
Additional Information:
No publications provided
| Responsible Party: | Anne Germain, Associate Professor, University of Pittsburgh |
| ClinicalTrials.gov Identifier: | NCT00679406 History of Changes |
| Other Study ID Numbers: | PRO07110063, NIMH: 1 R34 MH080696 |
| Study First Received: | May 14, 2008 |
| Last Updated: | June 15, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Pittsburgh:
|
Chronic Insomnia lasting more than 1 month |
Additional relevant MeSH terms:
|
Sleep Initiation and Maintenance Disorders Sleep Disorders, Intrinsic Dyssomnias |
Sleep Disorders Nervous System Diseases Mental Disorders |
ClinicalTrials.gov processed this record on May 21, 2013