TY - JOUR
T1 - Cognitive Behavioral Social Rhythm Group Therapy for Veterans with posttraumatic stress disorder, depression, and sleep disturbance
T2 - Results from an open trial
AU - Haynes, Patricia L.
AU - Kelly, Monica
AU - Warner, Lesley
AU - Quan, Stuart F.
AU - Krakow, Barry
AU - Bootzin, Richard R.
N1 - Funding Information:
This project was supported by the American Sleep Medicine Foundation Career Development Grant (Grant #37-CA-06 ) and the Institute for Mental Health Research Pilot Award . The authors gratefully acknowledge the assistance of Marta Williamson, Valerie Scheller, Sacha Brown, and Suzanne Perkins. Dr. Haynes, Ms. Kelly, and Ms. Warner are no longer affiliated with the Southern Arizona VA Health Care System.
Publisher Copyright:
© 2015 Elsevier B.V.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Introduction Cognitive Behavioral Social Rhythm Therapy (CBSRT) is a group psychotherapy tailored for Veterans with Posttraumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), and sleep disturbances. The aims of this study were to introduce and present initial outcomes of Cognitive Behavioral Social Rhythm Therapy (CBSRT), a 12-week skills group therapy designed to improve sleep and mood by reducing chaotic or isolated lifestyles in Veterans with PTSD. Methods Twenty-four male Veterans with at least moderate PTSD and MDD participated in this open trial. Main outcomes were the daily sleep diary for sleep disturbances, the Clinician-Administered PTSD Scale (CAPS) for PTSD, and the Hamilton Depression Rating scale for MDD. Results Veterans improved on all measures (a) with large within subject effects on PTSD symptoms, MDD symptoms, and sleep quality, and (b) with 46-58% of the sample receiving clinically significant benefits on MDD and PTSD symptoms respectively. The consistency of social rhythms was associated with the average reduction in global CAPS scores over time. Only 13% of participants dropped-out of the group therapy prematurely suggesting that this new group therapy is relatively well-tolerated by Veterans. Limitations Future research that employs a control condition is necessary to establish efficacy of CBSRT. Conclusions Data from this initial pilot study demonstrate that CBSRT may be an effective group treatment option for Veterans presenting with all three symptom complaints. These data also suggest that daily routine may be an important mechanism to consider in the treatment of PTSD symptoms comorbid with depression.
AB - Introduction Cognitive Behavioral Social Rhythm Therapy (CBSRT) is a group psychotherapy tailored for Veterans with Posttraumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), and sleep disturbances. The aims of this study were to introduce and present initial outcomes of Cognitive Behavioral Social Rhythm Therapy (CBSRT), a 12-week skills group therapy designed to improve sleep and mood by reducing chaotic or isolated lifestyles in Veterans with PTSD. Methods Twenty-four male Veterans with at least moderate PTSD and MDD participated in this open trial. Main outcomes were the daily sleep diary for sleep disturbances, the Clinician-Administered PTSD Scale (CAPS) for PTSD, and the Hamilton Depression Rating scale for MDD. Results Veterans improved on all measures (a) with large within subject effects on PTSD symptoms, MDD symptoms, and sleep quality, and (b) with 46-58% of the sample receiving clinically significant benefits on MDD and PTSD symptoms respectively. The consistency of social rhythms was associated with the average reduction in global CAPS scores over time. Only 13% of participants dropped-out of the group therapy prematurely suggesting that this new group therapy is relatively well-tolerated by Veterans. Limitations Future research that employs a control condition is necessary to establish efficacy of CBSRT. Conclusions Data from this initial pilot study demonstrate that CBSRT may be an effective group treatment option for Veterans presenting with all three symptom complaints. These data also suggest that daily routine may be an important mechanism to consider in the treatment of PTSD symptoms comorbid with depression.
KW - Cognitive behavioral therapy
KW - Depression
KW - Insomnia
KW - Post-traumatic stress disorder
KW - Veterans
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U2 - 10.1016/j.jad.2015.12.012
DO - 10.1016/j.jad.2015.12.012
M3 - Article
C2 - 26748739
AN - SCOPUS:84952803199
VL - 192
SP - 234
EP - 243
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
SN - 0165-0327
ER -