Values Expressed by Women Veterans Receiving Treatment for Chronic Insomnia Disorder.

Saldana KS, Carlson GC, Revolorio K, Kelly MR, Josephson KR, Mitchell MN, Culver N, Kay M, McGowan SK, Song Y, Deleeuw C, Martin JL. Values Expressed by Women Veterans Receiving Treatment for Chronic Insomnia Disorder. Behavioral sleep medicine. 2023 Sep 25; 1-13.

Related HSR&D Project(s)

• CDA 20-227 – Increasing PTSD Treatment Engagement in Women Veterans: Role of CBT for Insomnia
• RCS 20-191 – Research Career Scientist Award
• IIR 16-244 – Diagnosis and Treatment of Sleep Apnea in Women Veterans

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Abstract:

OBJECTIVES: Insomnia may contribute to fewer value-consistent choices and less engagement in meaningful life activities. We sought to identify values commonly expressed by women veterans engaged in a trial testing psychological treatment of insomnia disorder. METHODS: Seventy-four women veterans (mean age = 48.3 [±13] years), meeting DSM-5 diagnostic criteria for insomnia disorder received an acceptance-based behavioral treatment for insomnia. In the first session, participants responded to questions regarding personal values and the impact of insomnia on those values. Responses were categorized into values domains informed by the Bull's Eye Values survey (level 1 categories) and the Valued Living Questionnaire (level 2 categories). RESULTS: Raters reached 100% agreement after independent coding and adjudication. Level 1 value categories in frequency order were: relationships ( = 68), personal care/health ( = 51), work/education ( = 46), pets ( = 12), and leisure ( = 5). The most frequently reported level 2 value categories were: family (other than marriage/parenting; = 50), parenting ( = 31), work ( = 31), physical health ( = 30), and spirituality ( = 19). The level 1 value categories impacted by insomnia in frequency order were: personal care/health ( = 65), relationships ( = 58), work/education ( = 46), pets ( = 12), and leisure ( = 5). CONCLUSIONS: Women veterans undergoing insomnia treatment highly value relationships and personal care/health, which should be considered patient-centered outcomes of insomnia treatments. CLINICAL TRIALS REGISTRATION: NCT02076165.