Cognitive Behavioral Social Rhythm Therapy (CBSRT) for Sleep and Mood Disturbances in Veterans with PTSD
Final rept. 1 Sep 2008-31 Aug 2012
ARIZONA UNIV TUCSON
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The purpose of this study was to perform a randomized, double blind controlled trial to test the efficacy of Cognitive Behavioral Social Rhythm Therapy CBSRT in male veterans and active-duty personnel with posttraumatic stress disorder PTSD, major depressive disorder MDD, and sleep or scheduling problems over the course of 4 years 3 years plus 1 year EWOF. To our knowledge, this project was the first to test a social rhythm therapy in a PTSD population. We hypothesized that CBSRT would be superior to an active control group therapy condition Present Centered Group Therapy, PCT in improving depression and sleep symptoms. Over the course of the study, 43 participants were randomized and started group therapies across 5 waves. Intent-to-treat analyses indicated that both therapies resulted in clinically significant improvements in depression, sleep, and PTSD with few statistically significant differences between conditions. Some data indicated that CBSRT may have slight benefit over PCT in improving depression and sleep efficiency. Significant residual symptoms remained in all outcome categories. CBSRT was associated with fewer therapy dropouts demonstrating that it may be a more acceptable therapy than PCT. Overall, these findings are valuable in that they suggest that CBSRT may be an acceptable, present-focused, adjunctive group therapy treatment option for Veterans with comorbid PTSD and MDD.
- Medicine and Medical Research