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Explore sleep-related predictors of outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Sleep was evaluated in 128 participants in a parent randomized clinical trial comparing Spaced formats of Prolonged Exposure (PE) or Present Centered Therapy and a Massed format of PE. In the current study, Spaced formats were combined and evaluated separately from Massed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>At baseline, the average sleep duration was &amp;lt; 5 h per night on weekdays\/workdays and &amp;lt; 6 h per night on weekends\/off days. The majority of participants reported clinically significant insomnia, clinically significant nightmares, and probable sleep apnea and approximately half reported excessive daytime sleepiness at baseline. Insomnia and nightmares improved significantly from baseline to posttreatment in all groups, but many patients reported clinically significant insomnia (&amp;gt;70%) and nightmares (&amp;gt;38%) posttreatment. Excessive daytime sleepiness significantly improved only in the Massed group, but 40% continued to report clinically significant levels at posttreatment. Short sleep (Spaced only), clinically significant insomnia and nightmares, excessive daytime sleepiness, and probable sleep apnea (Massed only) at baseline predicted higher PTSD symptoms across treatment course. Short weekends\/off days sleep predicted lower PTSD symptom improvement in the Spaced treatments.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Various sleep disorder symptoms were high at baseline, were largely unchanged with PTSD treatment, and were related to worse PTSD treatment outcomes. Studies are needed with objective sleep assessments and targeted sleep disorders treatments in PTSD patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Trial Registration<\/jats:title>\n                  <jats:p>NCT01049516.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/sleep\/zsaa065","type":"journal-article","created":{"date-parts":[[2020,4,4]],"date-time":"2020-04-04T04:55:18Z","timestamp":1585976118000},"source":"Crossref","is-referenced-by-count":49,"title":["Sleep problems in active duty military personnel seeking treatment for posttraumatic stress disorder: presence, change, and impact on outcomes"],"prefix":"10.1093","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3433-2516","authenticated-orcid":false,"given":"Daniel J","family":"Taylor","sequence":"first","affiliation":[{"name":"Department of Psychology, University of North Texas, Denton, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristi E","family":"Pruiksma","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willie","family":"Hale","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX"},{"name":"Department of Psychology, University of Texas at San Antonio, San Antonio, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen P","family":"McLean","sequence":"additional","affiliation":[{"name":"National Center for PTSD, Dissemination and Training Division, VA Palo Alto Healthcare System, Menlo Park, CA"},{"name":"Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie J","family":"Zandberg","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jim","family":"Mintz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX"},{"name":"Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey","family":"Young-McCaughan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan L","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX"},{"name":"Department of Psychology, University of Texas at San Antonio, San Antonio, TX"},{"name":"Research and Development Service, South Texas Veterans Health Care System, San Antonio, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey S","family":"Yarvis","sequence":"additional","affiliation":[{"name":"Department of Behavioral Health, Carl R. Darnall Army Medical Center, Fort Hood, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine A","family":"Dondanville","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett T","family":"Litz","sequence":"additional","affiliation":[{"name":"Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston, MA"},{"name":"Department of Psychiatry, Boston University School of Medicine, Boston, MA"},{"name":"Department of Psychological and Brain Sciences, Boston University, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Roache","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, 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