{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T22:09:51Z","timestamp":1790633391998,"version":"4.1.0"},"reference-count":61,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Posttraumatic stress disorder (PTSD) is associated with sleep disturbances including insomnia and nightmares. This study compared cognitive behavioral therapy for insomnia (CBT\u2010I) with CBT\u2010I combined with imagery rehearsal therapy (IRT) for nightmares to evaluate if the combined treatment led to greater reductions in trauma\u2010related sleep disturbances in Australian veterans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Veterans with diagnosed PTSD, high insomnia symptom severity, and nightmares (<jats:italic>N<\/jats:italic>\u2009=\u200931) were randomized to eight group CBT\u2010I sessions or eight group CBT\u2010I\u2009+\u2009IRT sessions. Self\u2010reported sleep, nightmare, and psychological measures (primary outcome: Pittsburgh Sleep Quality Index), and objective actigraphy data were collected; the effect of obstructive sleep apnea (OSA) risk on treatment outcomes was also examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No treatment condition effects were detected for the combined treatment compared to CBT\u2010I alone, and no moderating effect of OSA risk was detected. On average, participants from both groups improved on various self\u2010report measures over time (baseline to 3 months posttreatment). Despite the improvements, mean scores for sleep\u2010specific measures remained indicative of poor sleep quality. There were also no significant differences between the groups on the actigraphy indices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings indicate that there is potential to optimize both treatments for veterans with trauma\u2010related sleep disturbances.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23561","type":"journal-article","created":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T18:11:17Z","timestamp":1688235077000},"page":"2493-2514","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Posttraumatic sleep disturbances in veterans: A pilot randomized controlled trial of cognitive behavioral therapy for insomnia and imagery rehearsal therapy"],"prefix":"10.1002","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4426-5505","authenticated-orcid":false,"given":"Emina","family":"Prguda","sequence":"first","affiliation":[{"name":"Gallipoli Medical Research Foundation Brisbane Queensland Australia"},{"name":"The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justine","family":"Evans","sequence":"additional","affiliation":[{"name":"Gallipoli Medical Research Foundation Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"McLeay","sequence":"additional","affiliation":[{"name":"Gallipoli Medical Research Foundation Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline","family":"Romaniuk","sequence":"additional","affiliation":[{"name":"Gallipoli Medical Research Foundation Brisbane Queensland Australia"},{"name":"The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea J.","family":"Phelps","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Phoenix Australia\u2014Centre for Posttraumatic Mental Health University of Melbourne Carlton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerri","family":"Lewis","sequence":"additional","affiliation":[{"name":"Gallipoli Medical Research Foundation Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Brown","sequence":"additional","affiliation":[{"name":"Gallipoli Medical Research Foundation Brisbane Queensland Australia"},{"name":"The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Fisher","sequence":"additional","affiliation":[{"name":"Gallipoli Medical Research Foundation Brisbane Queensland Australia"},{"name":"The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fraser","family":"Lowrie","sequence":"additional","affiliation":[{"name":"Sleep Care Greenslopes Private Hospital Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise","family":"Saunders\u2010Dow","sequence":"additional","affiliation":[{"name":"Gallipoli Medical Research Foundation Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Dwyer","sequence":"additional","affiliation":[{"name":"Gallipoli Medical Research Foundation Brisbane Queensland Australia"},{"name":"The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14304"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.10.2.176"},{"key":"e_1_2_10_5_1","unstructured":"Australian Institute of Health and Welfare. (2018).A profile of Australia's veterans 2018.https:\/\/www.aihw.gov.au\/reports\/veterans\/a-profile-of-australias-veterans-2018"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(02)00330-6"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1389-9457(00)00065-4"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0094355"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000254"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.06.002"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.152801"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lfs.2021.119147"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-018-0916-9"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4939-7148-0_26"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2022.101648"},{"issue":"2","key":"e_1_2_10_17_1","first-page":"54","article-title":"PTSD\u2010related paradoxical insomnia: an actigraphic study among veterans with chronic PTSD","volume":"7","author":"Ghadami M. R.","year":"2015","journal-title":"Journal of Injury & Violence Research"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.02.045"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7770"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.21854"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/15402002.2019.1692848"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.09.005"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.540"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/15.4.376"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2019.1684226"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12833"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2014.05.001"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1007854015481"},{"key":"e_1_2_10_29_1","volume-title":"Turning nightmares into dreams","author":"Krakow B.","year":"2002"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15402010bsm0401_4"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsmc.2016.05.006"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2010.12.007"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(94)00075-U"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.21970"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja16.00935"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleh.2019.08.010"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2015.01.009"},{"key":"e_1_2_10_39_1","volume-title":"Insomnia: Psychological assessment and management","author":"Morin C. M.","year":"1993"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/34.5.601"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2009.03.003"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-131-7-199910050-00002"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-55909-0_13"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.4998"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0034958"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2011.10111704"},{"key":"e_1_2_10_47_1","unstructured":"Prguda E. &Dwyer M.(2023).Veteran treatment completers' and facilitators' perceptions of cognitive behavioral therapy for insomnia and imagery rehearsal therapy for posttraumatic sleep disturbances. Manuscript submitted for publication."},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.3138\/jmvfh-2021-0072a"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.4354"},{"issue":"20","key":"e_1_2_10_50_1","first-page":"22","article-title":"The Mini\u2010International Neuropsychiatric Interview (MINI): The development and validation of a structured diagnostic psychiatric interview for DSM\u2010IV and ICD\u201010","volume":"59","author":"Sheehan D. V.","year":"1998","journal-title":"The Journal of Clinical Psychiatry"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kaab030"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.8370"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2018.00901"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2017.09.003"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.28042"},{"key":"e_1_2_10_56_1","volume-title":"Mental health prevalence, mental health and wellbeing study","author":"Van Hooff M.","year":"2018"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2017.02.001"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1389-9457(02)00258-7"},{"key":"e_1_2_10_59_1","unstructured":"Weathers F. W. Blake D. D. Schnurr P. Kaloupek D. Marx B. P. &Keane T. M.(2013).The Clinician\u2010Administered PTSD Scale for DSM\u20105 (CAPS\u20105)[Assessment].www.ptsd.va.gov"},{"key":"e_1_2_10_60_1","unstructured":"Weathers F. W. Litz B. T. Keane T. M. Palmieri P. A. Marx B. P. &Schnurr P. P.(2013).The PTSD Checklist for DSM\u20105 (PCL\u20105). National Center for PTSD.www.ptsd.va.gov"},{"issue":"10","key":"e_1_2_10_61_1","first-page":"835","article-title":"An instrument to measure functional status outcomes for disorders of excessive sleepiness","volume":"20","author":"Weaver T. E.","year":"1997","journal-title":"Sleep"},{"key":"e_1_2_10_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2017.04.020"}],"container-title":["Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.23561","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T05:17:02Z","timestamp":1697087822000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jclp.23561"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":61,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1002\/jclp.23561"],"URL":"https:\/\/doi.org\/10.1002\/jclp.23561","archive":["Portico"],"relation":{},"ISSN":["0021-9762","1097-4679"],"issn-type":[{"value":"0021-9762","type":"print"},{"value":"1097-4679","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"2022-08-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}