1. Cognitive –Behavioral Therapy for Insomnia (CBT-i) patient selection and special considerations in the military population
Objectives
a. Identify appropriate candidates for CBT-i
b. Recognize contraindications for use of CBT-i
c. Understand relevant concerns related to insomnia treatment in the military
Readings
- Capaldi, V.F., Balkin, T.J. & Mysliwiec, V. (2019). Optimizing sleep in the military: Challenges and opportunities. Chest, 155 (1), 215-226. Doi: https://doi.org/10.1016/j.chest.2018.08.1061
- Capaldi, V., Kim, J., Grillakis, A., Taylor, M. & York, C. (2015). Insomnia in the Military: Application and Effectiveness of Cognitive and Pharmacologic Therapies. Current Psychiatry Report, 17:85. Doi: 10.1007/s11920-015-0622-9
- Matsangas, P. & Shattuck, N. L. (2018). Discriminating between fatigue and sleepiness in the naval operational environment. Behavioral Sleep Medicine, 16 (5), 427-436. (not available online)
- Qaseem, A., Kansagara, D., Forciea, M., Cooke, M. &Denberg, T.D. (2016). Management of chronic insomnia disorder in adults: A clinical practice guideline from the American college of physicians. Annals of Internal Medicine, 165, 125-133. doi: 10.7326/M15-2175
- Smith, M.T. & Perlis, M. L. (2006). Who is a Candidate for Cognitive–Behavioral Therapy for Insomnia? Health Psychology, 25 (1), 15-19.
- Ulmer, C.S., Hall, M.H., Dennis, P.A., Beckham, J.C. & Germain, A. (2018). Posttraumatic stress disorder diagnosis is associated with reduced parasympathetic activity during sleep in US Veterans and military service members of the Iraq and Afghanistan wars. Sleep, 41(12), doi: 10.1093/sleep/zsy174
2. Circadian Rhythm Disorders
Objectives
a. Understand the impact of the Circadian system on sleep
b. Identify the sub-types of Circadian Rhythm Disorders (CRDs)
c. Understand how an underlying CRD impacts the treatment of insomnia
Readings
- Auger, R.R., Burgess, H.J., Emens, J.S., Deriy, L.V., Thomas, S.M., & Sharkey, K.M. (2015). Clinical practice guideline for the treatment of intrinsic circadian rhythm sleep-wake disorders: advanced sleep-wake phase disorder (ASWPD), delayed sleep-wake phase disorder (DSWPD), non-24-hour sleep-wake rhythm disorder (N24SWD), and irregular sleep-wake rhythm disorder (ISWRD): An update for 2015. Journal of Clinical Sleep Medicine, 11(10), 1199 –1236
3. Clinical Evaluation and Treatment of Nightmares
Objectives
a. Identify the current diagnostic criteria for Nightmare Disorder
b. Understand the proposed theories regarding the onset and maintenance of nightmares
c. Learn treatment options for nightmares, including incorporation of CBT-I, Image Rehearsal Therapy (IRT), Exposure, Relaxation & Rescription Therapy (ERRT), and pharmacological options
Readings
- Krakow, B. & Zadra, A. (2006). Clinical Management of Chronic Nightmares: Imagery Rehearsal Therapy. Behavioral Sleep Medicine, 4(1), 45-70.
- Lancee, M.Sc., Spoormaker, V.I., Krakow, B. & van den Bout, J. (2008). A Systematic Review of Cognitive-Behavioral Treatment for Nightmares: Toward a Well-Established Treatment. Journal of Clinical Sleep Medicine, Vol 4 (5), 475-480.
- Morgenthaler TI, Auerbach S, Casey KR, Kristo D, Maganti R, Ramar K, Zak R, Kartje R. Position paper for the treatment of nightmare disorder in adults: an American Academy of Sleep Medicine position paper. J Clin Sleep Med. 2018;14(6):1041–1055.
- Nappi, C.M., Sean, P.A., & Hall, J.M.H. (2012). Treating nightmares and insomnia in posttraumatic stress disorder: A review of current evidence. Neuropharmacology (62) 576-585.
