scholarly journals Positive airway pressure adherence and subthreshold adherence in posttraumatic stress disorder patients with comorbid sleep apnea

2017 ◽  
Vol Volume 11 ◽  
pp. 1923-1932 ◽  
Author(s):  
Barry Krakow ◽  
Jessica Obando ◽  
Victor Ulibarri ◽  
Natalia D. McIver
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Sleep Apnea ◽  
Posttraumatic Stress ◽  
Airway Pressure ◽  
Stress Disorder ◽  
Positive Airway Pressure

scholarly journals Positive Airway Pressure Adherence in Veterans with Posttraumatic Stress Disorder

SLEEP ◽  
2010 ◽  
Vol 33 (11) ◽  
pp. 1495-1500 ◽  
Author(s):  
Ali A. El-Solh ◽  
Lakshmy Ayyar ◽  
Morohonfolu Akinnusi ◽  
Sachin Relia ◽  
Opeoluwa Akinnusi
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Airway Pressure ◽  
Stress Disorder ◽  
Positive Airway Pressure

scholarly journals Obstructive Sleep Apnea, Posttraumatic Stress Disorder, and Health in Immigrants

2012 ◽  
Vol 74 (8) ◽  
pp. 824-831 ◽  
Author(s):  
Bengt B. Arnetz ◽  
Thomas Templin ◽  
Waleed Saudi ◽  
Hikmet Jamil
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Obstructive Sleep

scholarly journals Mobile Intervention to Improve Sleep and Functional Health of Veterans With Insomnia: Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Erin Dawna Reilly ◽  
Stephanie A Robinson ◽  
Beth Ann Petrakis ◽  
Melissa M Gardner ◽  
Renda Soylemez Wiener ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Sleep Apnea ◽  
Cognitive Behavioral Therapy ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Behavioral Therapy ◽  
Mobile App ◽  
Lifestyle Changes ◽  
Cognitive Behavioral ◽  
Subjective Sleep

BACKGROUND Insomnia is a prevalent and debilitating disorder among veterans. Cognitive behavioral therapy for insomnia (CBTI) can be effective for treating insomnia, although many cannot access this care. Technology-based solutions and lifestyle changes, such as physical activity (PA), offer affordable and accessible self-management alternatives to in-person CBTI. OBJECTIVE This study aims to extend and replicate prior pilot work to examine whether the use of a mobile app for CBTI (cognitive behavioral therapy for insomnia coach app [CBT-i Coach]) improves subjective and objective sleep outcomes. This study also aims to investigate whether the use of the CBT-i Coach app with adjunctive PA improves sleep outcomes more than CBT-i Coach alone. METHODS A total of 33 veterans (mean age 37.61 years, SD 9.35 years) reporting chronic insomnia were randomized to use either the CBT-i Coach app alone or the CBT-i Coach app with a PA intervention over 6 weeks, with outcome measures of objective and subjective sleep at pre- and posttreatment. RESULTS Although the PA manipulation was unsuccessful, both groups of veterans using the CBT-i Coach app showed significant improvement from baseline to postintervention on insomnia (<i>P</i>&lt;.001), sleep quality (<i>P</i>&lt;.001), and functional sleep outcomes (<i>P</i>=.002). Improvements in subjective sleep outcomes were similar in those with and without posttraumatic stress disorder and mild-to-moderate sleep apnea. We also observed a significant but modest increase in objective sleep efficiency (<i>P</i>=.02). CONCLUSIONS These findings suggest that the use of a mobile app–delivered CBTI is feasible and beneficial for improving sleep outcomes in veterans with insomnia, including those with comorbid conditions such as posttraumatic stress disorder or mild-to-moderate sleep apnea. CLINICALTRIAL ClinicalTrials.gov NCT03305354; https://clinicaltrials.gov/ct2/show/NCT03305354

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