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Sleep Initiation and Maintenance Disorders: HELP
Articles by Cassidy A. Gutner
Based on 2 articles published since 2009
(Why 2 articles?)

Between 2009 and 2019, Cassidy A. Gutner wrote the following 2 articles about Sleep Initiation and Maintenance Disorders.
+ Citations + Abstracts
1 Article Going direct to the consumer: Examining treatment preferences for veterans with insomnia, PTSD, and depression. 2018

Gutner, Cassidy A / Pedersen, Eric R / Drummond, Sean P A. ·National Center for PTSD Women's Health Sciences Division, VA Boston Healthcare System, Boston, MA, USA; Boston University School of Medicine, Boston, MA, USA. Electronic address: cgutner@bu.edu. · RAND Corporation, Santa Monica, CA, USA. · Monash Institute for Cognitive and Clinical Neuroscience, School of Psychological Sciences, Monash University, Australia. ·Psychiatry Res · Pubmed #29524908.

ABSTRACT: Inclusion of consumer preferences to disseminate evidence-based psychosocial treatment (EBPT) is crucial to effectively bridge the science-to-practice quality chasm. We examined this treatment gap for insomnia, posttraumatic stress disorder (PTSD), depression, and comorbid symptoms in a sample of 622 young adult veterans through preference in symptom focus, treatment modality, and related gender differences among those screening positive for each problem. Data were collected from veteran drinkers recruited through targeted Facebook advertisements as part of a brief online alcohol intervention. Analyses demonstrated that veterans reported greater willingness to seek insomnia-focused treatment over PTSD- or depression-focused care. Notably, even when participants screened negative for insomnia, they preferred sleep-focused care to PTSD- or depression-focused care. Although one in five veterans with a positive screen would not consider care, veterans screening for both insomnia and PTSD who would consider care had a preference for in-person counseling, and those screening for both insomnia and depression had similar preferences for in-person and mobile app-based/computer self-help treatment. Marginal gender differences were found. Incorporating direct-to-consumer methods into research can help educate stakeholders about methods to expand EBPT access. Though traditional in-person counseling was often preferred, openness to app-based/computer interventions offers alternative methods to provide veterans with EBPTs.

2 Article Change in sleep symptoms across Cognitive Processing Therapy and Prolonged Exposure: a longitudinal perspective. 2013

Gutner, Cassidy A / Casement, Melynda D / Stavitsky Gilbert, Karina / Resick, Patricia A. ·National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, Boston, MA, USA; Boston University School of Medicine, Boston, MA, USA. Electronic address: cassidy.gutner@va.gov. ·Behav Res Ther · Pubmed #24184428.

ABSTRACT: Sleep disturbance is a core component in posttraumatic stress disorder (PTSD). Although cognitive-behavioral treatments for PTSD reduce the severity of sleep symptoms, they do not lead to complete remission. The present study examines the impact of Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) on subjective measures of sleep disturbance from treatment randomization through long-term follow-up (LTFU). Participants were 171 female rape victims with PTSD who were randomly assigned to CPT, PE, or Minimal Attention (MA). After 6-weeks, the MA group was randomized to CPT or PE. Sleep symptoms were assessed at baseline, post-MA, post-treatment, 3-months, 9-months and LTFU using the Pittsburgh Sleep Quality Index (PSQI) and nightmare and insomnia items from the Clinician Administered PTSD Scale. Change in sleep during MA, from pre- to post-treatment for CPT and PE, and from post-treatment through LTFU was assessed using piecewise hierarchical linear modeling with the intent-to-treat sample. Controlling for medication, sleep improved during CPT and PE compared to MA, and treatment gains were maintained through LTFU. CPT and PE were equally efficacious and improvements persist over LTFU, yet, neither produced remission of sleep disturbance. Overall, sleep symptoms do not remit and may warrant sleep-specific treatments.