{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:02:03Z","timestamp":1790694123687,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,11,9]],"date-time":"2016-11-09T00:00:00Z","timestamp":1478649600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["#MH074505"],"award-info":[{"award-number":["#MH074505"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Chronic insomnia and recurrent nightmares are prominent features of posttraumatic stress disorder (PTSD). Evidence from adult research indicates that these sleep disturbances do not respond as well to cognitive\u2013behavioral therapies for PTSD and are associated with poorer functional outcomes. This study examined the effect of prolonged exposure therapy for adolescents versus client\u2010centered therapy on posttraumatic sleep disturbance, and the extent to which sleep symptoms impacted global functioning among adolescents with sexual abuse\u2010related PTSD. Participants included 61 adolescent girls seeking treatment at a rape crisis center. The Child PTSD Symptom Scale\u2010Interview (Foa, Johnson, Feeny, &amp; Treadwell, 2001) was used to assess PTSD diagnosis and severity of symptoms, including insomnia and nightmares. The Children's Global Assessment Scale (Shaffer et\u00a0al., 1983) was used to assess global functioning. There were significant main effects of time and treatment on insomnia symptoms. Additionally, there was a main effect of time on nightmares. Results also showed that insomnia and nightmares significantly predicted poorer global functioning posttreatment (\n                    <jats:italic>R<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    = .21). Despite significant improvements in posttraumatic sleep disturbance, there were still clinically significant insomnia symptoms after treatment, suggesting that additional interventions may be warranted to address residual sleep disturbance in PTSD.\n                  <\/jats:p>","DOI":"10.1002\/jts.22139","type":"journal-article","created":{"date-parts":[[2016,11,10]],"date-time":"2016-11-10T04:47:49Z","timestamp":1478753269000},"page":"515-521","source":"Crossref","is-referenced-by-count":42,"title":["Influence of Sleep Disturbance on Global Functioning After Posttraumatic Stress Disorder Treatment"],"prefix":"10.1002","volume":"29","author":[{"given":"Janeese A.","family":"Brownlow","sequence":"first","affiliation":[{"name":"Department of Psychiatry Perelman School of Medicine at the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen P.","family":"McLean","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Perelman School of Medicine at the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip R.","family":"Gehrman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Perelman School of Medicine at the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerlinde C.","family":"Harb","sequence":"additional","affiliation":[{"name":"Behavioral Health Service\/Research Corporal Michael J. Crescenz Veterans Affairs Medical Center  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Ross","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Perelman School of Medicine at the University of Pennsylvania  Philadelphia Pennsylvania USA"},{"name":"Behavioral Health Service\/Research Corporal Michael J. Crescenz Veterans Affairs Medical Center  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edna B.","family":"Foa","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Perelman School of Medicine at the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e3181961d8e"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2010.09.022"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-015-0587-8"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200202000-00010"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.06.002"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11065-010-9155-5"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20015"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15374424JCCP3003_9"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.282829"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000059"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20418"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.2798"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926771.2011.613448"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2013.09.008"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.10.012"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0014056"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413-81232014193.15972013"},{"key":"e_1_2_5_21_1","volume-title":"Treatment of posttraumatic stress disorder: An assessment of the evidence","author":"Institute of Medicine","year":"2008"},{"key":"e_1_2_5_22_1","article-title":"Psychological and pharmacological treatments for adults with posttraumatic stress disorder (PTSD)","volume":"92","author":"Jonas D. 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