Back to search results

Treatments for Insomnia and PTSD in Women Veterans

This study is for women Veterans who experience both insomnia (trouble sleeping) and PTSD (Post-Traumatic Stress Disorder). It compares two approaches: Trauma-Informed CBT-I (Cognitive Behavioral Therapy for Insomnia), which is a type of talk therapy adapted for trauma, and PTSD Psychoeducation, which provides information about PTSD symptoms. The goal is to see how these interventions affect your readiness to engage in PTSD treatment. Researchers will measure changes in your readiness for psychotherapy after the sessions and again three months later. You may be able to join if you are a community-dwelling woman Veteran aged 18 or older, receive care from VAGLAHS, and have symptoms of both PTSD and insomnia. The study aims to enroll 100 participants.

Study design
This is an interventional study comparing two different behavioral therapies. It plans to enroll 100 women Veterans.
What's involved
You would attend five individual sessions for either Trauma-Informed CBT-I or PTSD Psychoeducation. Your readiness for psychotherapy will be assessed after the sessions and again at a 3-month follow-up.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for approximately 3 months after their last intervention session.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT05683132

Treatments in Women Veterans With Insomnia and PTSD

Active, Not Recruiting
NAAges 18+InterventionalTreatment
VA Office of Research and Development
~90 participants
Updated 2026-08-27 on ClinicalTrials.gov
What's tested:Trauma-Informed CBT-IPTSD Psychoeducation

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
University of Rhode Island Change Assessment Scale (URICA)
Measured over Post-Treatment (approximately 1 week after last intervention session)
+4 more outcomes measured

Conditions

Insomnia
PTSD
Women Veterans

Explore related trials

InsomniaPost-Traumatic Stress Disorder

Where it's being run

1 sites across 1 states
California1

Study leadership

  • Gwendolyn C Carlson, PhD · PRINCIPAL_INVESTIGATOR · VA Greater Los Angeles Healthcare System, West Los Angeles, CA

Who to contact

This trial hasn't published a contact. View it on ClinicalTrials.gov

Do you actually qualify for this trial?

Add a private profile and we'll compare every criterion below against your situation — and tell you which ones are met, uncertain, or excluding.

Check eligibility for this trial ~2 min · HIPAA-protected · delete anytime
Eligibility criteria

Inclusion

Community-dwelling women Veterans
Received care from VA Greater Los Angeles Healthcare System (VAGLAHS)
Have symptoms of post-traumatic stress disorder (PTSD)
Have symptoms of insomnia

Exclusion

Reported health or emotional problems, or use of drugs or alcohol that would make it difficult for them to participate in this study
Too ill to engage in the study procedures
Unable to self-consent to participate
Previously engaged in \>1 session of Cognitive Behavioral Therapy for Insomnia (CBT-I) treatment
Previously engaged in \>1 session of PTSD psychoeducational group offered in VA Greater Los Angeles Healthcare System (VAGLAHS) Women's Health Clinic
Previously completed \>3 sessions of PTSD treatment (e.g., Cognitive Processing Therapy, Prolonged Exposure, and/or Eye Movement Desensitization and Reprocessing)
Pregnant or pregnant within 6 months of study
Untreated moderate to severe obstructive sleep apnea diagnosis as evidenced by Apnea Hypopnea Index (AHI) in chart and/or screens that indicate high risk
Unstable housing
Inability to read, write, and communicate in English
Unstable medical or psychiatric disorders (which is a contraindication for behavioral treatment of insomnia)
Remission of PTSD or insomnia symptoms

What this trial measures

  • University of Rhode Island Change Assessment Scale (URICA)Post-Treatment (approximately 1 week after last intervention session)

    The problem-specific URICA (psychotherapy version) is a 32-item questionnaire that assesses respondent's readiness to change at entrance to treatment. The URICA includes 4 subscales measuring the stages of change: Precontemplation (P), Contemplation (C), Action (A), and Maintenance (M). To obtain a readiness to change score, first sum items from each subscale and divide by 7 to get the mean for each subscale. One item from each subscale is omitted for the subscale mean calculations for the 32-item version of the URICA (items 4, 9, 20, and 31). Then sum the means from the Contemplation, Action, and Maintenance subscales and subtract the Precontemplation mean (C + A + M - PC = Readiness). Scores range from -2 to 14. Higher scores will indicate greater readiness.

  • Readiness for Psychotherapy Index (RPI)Post-Treatment (approximately 1 week after last intervention session)

    The RPI is a 20-item questionnaire that assesses respondent's readiness to engage in psychotherapy. The RPI consists of 4 subscales including: disinterest, perseverance, openness, and distress. To obtain a readiness score, sum items from each subscale. Then sum the scores from the perseverance, openness, and distress subscales and subtract the disinterest subscale score (Perseverance + Openness + Distress - Disinterest = Readiness). Scores range from -10 to 70. Higher scores will indicate greater readiness.

  • University of Rhode Island Change Assessment Scale (URICA)3-month Follow-up (approximately 90 days after last intervention session)

    The problem-specific URICA (psychotherapy version) is a 32-item questionnaire that assesses respondent's readiness to change at entrance to treatment. The URICA includes 4 subscales measuring the stages of change: Precontemplation (P), Contemplation (C), Action (A), and Maintenance (M). To obtain a readiness to change score, first sum items from each subscale and divide by 7 to get the mean for each subscale. One item from each subscale is omitted for the subscale mean calculations for the 32-item version of the URICA (items 4, 9, 20, and 31). Then sum the means from the Contemplation, Action, and Maintenance subscales and subtract the Precontemplation mean (C + A + M - PC = Readiness). Scores range from -2 to 14. Higher scores will indicate greater readiness.

  • Readiness for Psychotherapy Index (RPI)3-month Follow-up (approximately 90 days after last intervention session)

    The RPI is a 20-item questionnaire that assesses respondent's readiness to engage in psychotherapy. The RPI consists of 4 subscales including: disinterest, perseverance, openness, and distress. To obtain a readiness score, sum items from each subscale. Then sum the scores from the perseverance, openness, and distress subscales and subtract the disinterest subscale score (Perseverance + Openness + Distress - Disinterest = Readiness). Scores range from -10 to 70. Higher scores will indicate greater readiness.

  • Frequency of PTSD Treatment Appointments6-month Follow-up (180 days after last intervention session)

    A structured medical record review will be performed 6 months post-treatment to obtain information on utilization of VA healthcare services during the time period between the last intervention session and 180 days after the last intervention session. Reviews will identify the presence and frequency of mental health appointments with evidence-based practice (EBP) health codes and/or Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) note templates, which are psychotherapies to treat PTSD. Attendance will be measured as a count, ranging from 0 to an unlimited value. Higher counts will indicate greater engagement in PTSD treatment.