RecruitingNot ApplicableNCT05516277

Insomnia Treatment and Cardiometabolic Health in Older Adults With Posttraumatic Stress Disorder

Sponsor

University of California, Los Angeles

Enrollment

167 participants

Start Date

Apr 1, 2023

Study Type

INTERVENTIONAL

Conditions

Insomnia Cardiovascular Diseases Metabolic Disease Posttraumatic Stress Disorder

Summary

This pilot pre-post trial will address a gap in knowledge related to addressing modifiable risk factors for cardiometabolic disease through treating residual insomnia, sleep difficulties that remain after successful treatment of another condition, in the context of PTSD in understudied older adults. This study provides a non-medication treatment for PTSD called Cognitive Processing Therapy (CPT) followed by a non-medication sleep education and treatment program (Cognitive Behavioral Therapy for Insomnia, CBT-I) for sleep problems that remain after completing PTSD treatment in older adults with PTSD. The aims of this project are to evaluate 1) the added benefits of treating residual insomnia on sleep and PTSD symptoms; 2) the added benefits of treating residual insomnia following CPT on cardiometabolic risk biomarkers and quality of life; and 3) the durability of the sleep, PTSD, cardiometabolic and quality of life benefits of treating residual insomnia following CPT at 6-month follow-up in older adults with PTSD.

Eligibility

Min Age: 50 Years

Plain Language Summary

Simplified for easier understanding

This study tests whether treating insomnia (using cognitive behavioral therapy for insomnia, or CBT-I) in older veterans with PTSD also improves heart and metabolic health — including blood pressure, blood sugar, and inflammation. Veterans with PTSD often have both sleep disorders and heart disease risks, and the researchers believe treating sleep may help both conditions. **You may be eligible if...** - You are a veteran aged 50 or older - You have received care from a VA facility in the past year - You have been diagnosed with both PTSD and insomnia - You live within 50 miles of the VA Sepulveda Ambulatory Care Center (Southern California) - You have stable housing **You may NOT be eligible if...** - You have active substance use problems or are in early recovery (less than 90 days sober) - You have severe cardiovascular or respiratory disease (e.g., heart failure on a ventilator) - You have unstable psychiatric or medical conditions - You are unable to consent for yourself - You are unable to attend in-person meetings as required by the study Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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