Effects of psychotherapies for posttraumatic stress disorder on sleep disturbances: Results from a randomized clinical trial.
The effectiveness and mechanisms of psychotherapies for posttraumatic stress disorder (PTSD) in treating sleep problems is of interest. This study compared the effects of a trauma-focused and a non-trauma-focused psychotherapy on sleep, to investigate whether 1) sleep improves with psychotherapy for...
| मुख्य लेखकों: | , , , , , |
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| स्वरूप: | Journal article |
| भाषा: | English |
| प्रकाशित: |
Elsevier
2017
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| _version_ | 1826304442100613120 |
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| author | Woodward, E Hackmann, A Wild, J Grey, N Clark, DM Ehlers, A |
| author_facet | Woodward, E Hackmann, A Wild, J Grey, N Clark, DM Ehlers, A |
| author_sort | Woodward, E |
| collection | OXFORD |
| description | The effectiveness and mechanisms of psychotherapies for posttraumatic stress disorder (PTSD) in treating sleep problems is of interest. This study compared the effects of a trauma-focused and a non-trauma-focused psychotherapy on sleep, to investigate whether 1) sleep improves with psychotherapy for PTSD; 2) the degree of sleep improvement depends on whether the intervention is trauma or nontrauma-focused; 3) the memory-updating procedure in cognitive therapy for PTSD (CT-PTSD) is associated with sleep improvements; 4) initial sleep duration affects PTSD treatment outcome; and 5) which symptom changes are associated with sleep duration improvements. Self-reported sleep was assessed during a randomized controlled trial (Ehlers et al., 2014) comparing CT-PTSD (delivered weekly or intensively over 7-days) with emotion-focused supportive therapy, and a waitlist. Sleep duration was reported daily in sleep diaries during intensive CT-PTSD. CT-PTSD led to greater increases in sleep duration (55.2 min) and reductions in insomnia symptoms and nightmares than supportive therapy and the waitlist. In intensive CT-PTSD, sleep duration improved within 7 days, and sleep diaries indicated a 40-min sleep duration increase after updating trauma memories. Initial sleep duration was not related to CT-PTSD treatment outcome when initial PTSD symptom severity was controlled. The results suggest that trauma-focused psychotherapy for PTSD is more effective than nontrauma-focused therapy in improving self-reported sleep, and that CT-PTSD can still be effective in the presence of reduced sleep duration. |
| first_indexed | 2024-03-07T06:17:52Z |
| format | Journal article |
| id | oxford-uuid:f1b56d6f-793b-4bf6-8fe8-da9c5c6a1e0b |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T06:17:52Z |
| publishDate | 2017 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:f1b56d6f-793b-4bf6-8fe8-da9c5c6a1e0b2022-03-27T11:58:02ZEffects of psychotherapies for posttraumatic stress disorder on sleep disturbances: Results from a randomized clinical trial.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f1b56d6f-793b-4bf6-8fe8-da9c5c6a1e0bEnglishSymplectic Elements at OxfordElsevier2017Woodward, EHackmann, AWild, JGrey, NClark, DMEhlers, AThe effectiveness and mechanisms of psychotherapies for posttraumatic stress disorder (PTSD) in treating sleep problems is of interest. This study compared the effects of a trauma-focused and a non-trauma-focused psychotherapy on sleep, to investigate whether 1) sleep improves with psychotherapy for PTSD; 2) the degree of sleep improvement depends on whether the intervention is trauma or nontrauma-focused; 3) the memory-updating procedure in cognitive therapy for PTSD (CT-PTSD) is associated with sleep improvements; 4) initial sleep duration affects PTSD treatment outcome; and 5) which symptom changes are associated with sleep duration improvements. Self-reported sleep was assessed during a randomized controlled trial (Ehlers et al., 2014) comparing CT-PTSD (delivered weekly or intensively over 7-days) with emotion-focused supportive therapy, and a waitlist. Sleep duration was reported daily in sleep diaries during intensive CT-PTSD. CT-PTSD led to greater increases in sleep duration (55.2 min) and reductions in insomnia symptoms and nightmares than supportive therapy and the waitlist. In intensive CT-PTSD, sleep duration improved within 7 days, and sleep diaries indicated a 40-min sleep duration increase after updating trauma memories. Initial sleep duration was not related to CT-PTSD treatment outcome when initial PTSD symptom severity was controlled. The results suggest that trauma-focused psychotherapy for PTSD is more effective than nontrauma-focused therapy in improving self-reported sleep, and that CT-PTSD can still be effective in the presence of reduced sleep duration. |
| spellingShingle | Woodward, E Hackmann, A Wild, J Grey, N Clark, DM Ehlers, A Effects of psychotherapies for posttraumatic stress disorder on sleep disturbances: Results from a randomized clinical trial. |
| title | Effects of psychotherapies for posttraumatic stress disorder on sleep disturbances: Results from a randomized clinical trial. |
| title_full | Effects of psychotherapies for posttraumatic stress disorder on sleep disturbances: Results from a randomized clinical trial. |
| title_fullStr | Effects of psychotherapies for posttraumatic stress disorder on sleep disturbances: Results from a randomized clinical trial. |
| title_full_unstemmed | Effects of psychotherapies for posttraumatic stress disorder on sleep disturbances: Results from a randomized clinical trial. |
| title_short | Effects of psychotherapies for posttraumatic stress disorder on sleep disturbances: Results from a randomized clinical trial. |
| title_sort | effects of psychotherapies for posttraumatic stress disorder on sleep disturbances results from a randomized clinical trial |
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