Insomnia
Conditions
Brief summary
The investigators intend to assess the following: * the efficacy of CBTi in treating insomnia during recovery, * does a family history of alcoholism moderate the insomnia symptoms, * does an improvement in insomnia lead to a decrease in impulsivity.
Detailed description
The primary goals of this pilot study are the following: a) to assess for the difference in improvement insomnia, after 8 weeks of treatment with recommended CBTi, in Veterans with alcohol dependence during early recovery, The secondary goals include the following: 1. to assess for any change in the alcohol consumption indices between the groups after 8 weeks of CBTi, 2. to assess for change in psychiatric symptoms of mood and anxiety across the groups, 3. to assess for differences in insomnia in subjects, with and without a first degree family history of alcohol dependence, 4. to evaluate for any change in impulsivity-related measure with insomnia treatment.
Interventions
BEHAVIORALCognitive Behavioral Therapy for Insomnia (CBT-I)
Behavioral management of insomnia
Sponsors
Corporal Michael J. Crescenz VA Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. Presence of insomnia currently 2. DSM IV diagnosis of alcohol dependence within the past year 3. Not in acute alcohol withdrawal and within a year of sobriety from alcoholism 4. Patients with moderate-severe sleep apnea compliant on their PAP device 5. Can speak, understand and print in English. 6. Is capable of giving written informed consent.
Exclusion criteria
1. Dependence on psychoactive substance (excluding alcohol, nicotine and cannabis) in the past 12 months, or evidence of chronic opiate use. 2. Unstable/serious psychiatric condition e.g. schizophrenia, bipolar disorder. 3. Unstable or serious medical/neurologic illness 4. Severe cognitive impairment 5. Untreated moderate - severe obstructive sleep apnea
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Insomnia Severity Index total score | 8 weeks. | There will be post-treatment follow up at 3 months and 6 months. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time Line Follow Back measure | 8 weeks. | There will be post-study follow-up at 3 months and 6 months also. |
Countries
United States
Outcome results
None listed