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Delivering Cognitive Behavioral Therapy for Insomnia in Military Personnel and Veterans.
Kelly MR, Robbins R, Martin JL. Delivering Cognitive Behavioral Therapy for Insomnia in Military Personnel and Veterans. Sleep medicine clinics. 2019 Jun 1; 14(2):199-208.
Insomnia is commonly reported by military populations, especially those with comorbid mental and physical health conditions. Co-occurring conditions result in an altered presentation of insomnia symptoms, and complicate provision of cognitive-behavioral therapy for insomnia (CBT-I), requiring supplementary assessment or modifications to traditional techniques. CBT-I has consistently demonstrated positive outcomes for active-duty service members and veterans, even in the context of significant comorbidities such as post-traumatic stress disorder, depression, sleep apnea, and chronic pain. Despite its promise, studies of CBT-I in some populations, including women and individuals with substance use disorders, remain relatively understudied in active-duty and veteran populations.