Assessment and Treatment of Deployment Related Sleep Disturbance

Description

This training module examines the rates and types of sleep problems identified in the military population, highlighting current research findings on this topic. It then covers clinical strategies and interventions for assessing, treating, and managing non-deployment and deployment-related sleep problems, including insomnia. The emphasis is on common sleep disturbances that emerge in theater, the ensuing psychological, behavioral and health implications, and educational, cognitive, and behavioral components of treatment that can be used during or after deployment.

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Outline

1. Statistics from PDHRA on sleep concerns in AD, ANG, AFRC and Armed Forces
2. Sleep disturbance during deployment – terms and abbreviations
3. Studies on sleep during deployment
   1. Peterson et al., 2008
   2. Benedek et al., 2007 (on medication)
4. Sleep disturbance and PTSD
   1. Predictive power of sleep disturbance
   2. Study on veterans with PTSD by Inman et al., 1990
5. SOL and sleep maintenance
6. Nightmares
   1. Prevalence rates
   2. Content
7. Sleep architecture and stages
   1. 1 – 3 states
   2. REM
8. Insomnia
   1. Epidemiology
   2. Types
   3. Definition and severity
   4. DSM-IV and ICSD criteria
   5. Other diagnostic considerations
   6. Secondary insomnias
   7. Sleep state misperceptions
   8. Impact of insomnia on well being
      1. Psychological correlates
      2. Behavioral correlates
      3. Health correlates
   9. Conceptualization of insomnia
      1. Predisposing, precipitating, and perpetuating factors
      2. Interfering mechanisms with sleep onset including physiological and emotion arousal
      3. Information processing and time estimation
      4. Conditioning
      5. Integrative model of insomnia
9. Assessment of sleep disturbance and insomnia
   1. 1. Assessment and treatment during deployment
      2. General assessment – non-deployment
      3. Differential diagnosis
10. Treatment of sleep disturbance and insomnia – non-deployment
    1. Educational components
    2. Behavioral components
    3. Cognitive components, including Imagery Rehearsal Therapy
11. Sleep management during deployment
    1. Pre-phase
    2. Deployment-phase
    3. Pre-combat-phase
    4. Combat-phase
    5. Post-combat-phase
    6. Signs of performance degradation
    7. Preventing performance degradation and sleep debt
    8. Overcoming performance degradation

Learning Objectives

1. To increase knowledge about the prevalence and kinds of sleep problems experienced by military personnel.

2. To review clinical strategies and interventions to assist service members with sleep problems.

3. To provide research to support specific sleep interventions.

Notes

*Continuing education credits are available for this course. Fees may apply.

CDP Training Request Form.