Kathryn S Saldana, Gwendolyn C Carlson, Kaddy Revolorio, Monica R Kelly, Karen R Josephson, Michael N Mitchell, Najwa Culver, Morgan Kay, Sarah Kate McGowan, Yeonsu Song, Charles Deleeuw, Jennifer L Martin
{"title":"Values Expressed by Women Veterans Receiving Treatment for Chronic Insomnia Disorder.","authors":"Kathryn S Saldana, Gwendolyn C Carlson, Kaddy Revolorio, Monica R Kelly, Karen R Josephson, Michael N Mitchell, Najwa Culver, Morgan Kay, Sarah Kate McGowan, Yeonsu Song, Charles Deleeuw, Jennifer L Martin","doi":"10.1080/15402002.2023.2260517","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Insomnia may contribute to fewer value-consistent choices and less engagement in meaningful life activities. We sought to identify values commonly expressed by women veterans engaged in a trial testing psychological treatment of insomnia disorder.</p><p><strong>Methods: </strong>Seventy-four women veterans (mean age = 48.3 [±13] years), meeting DSM-5 diagnostic criteria for insomnia disorder received an acceptance-based behavioral treatment for insomnia. In the first session, participants responded to questions regarding personal values and the impact of insomnia on those values. Responses were categorized into values domains informed by the Bull's Eye Values survey (level 1 categories) and the Valued Living Questionnaire (level 2 categories).</p><p><strong>Results: </strong>Raters reached 100% agreement after independent coding and adjudication. Level 1 value categories in frequency order were: relationships (<i>n</i> = 68), personal care/health (<i>n</i> = 51), work/education (<i>n</i> = 46), pets (<i>n</i> = 12), and leisure (<i>n</i> = 5). The most frequently reported level 2 value categories were: family (other than marriage/parenting; <i>n</i> = 50), parenting (<i>n</i> = 31), work (<i>n</i> = 31), physical health (<i>n</i> = 30), and spirituality (<i>n</i> = 19). The level 1 value categories impacted by insomnia in frequency order were: personal care/health (<i>n</i> = 65), relationships (<i>n</i> = 58), work/education (<i>n</i> = 46), pets (<i>n</i> = 12), and leisure (<i>n</i> = 5).</p><p><strong>Conclusions: </strong>Women veterans undergoing insomnia treatment highly value relationships and personal care/health, which should be considered patient-centered outcomes of insomnia treatments.</p><p><strong>Clinical trials registration: </strong>NCT02076165.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"340-352"},"PeriodicalIF":2.2000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961253/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Behavioral Sleep Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/15402002.2023.2260517","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/9/25 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: Insomnia may contribute to fewer value-consistent choices and less engagement in meaningful life activities. We sought to identify values commonly expressed by women veterans engaged in a trial testing psychological treatment of insomnia disorder.
Methods: Seventy-four women veterans (mean age = 48.3 [±13] years), meeting DSM-5 diagnostic criteria for insomnia disorder received an acceptance-based behavioral treatment for insomnia. In the first session, participants responded to questions regarding personal values and the impact of insomnia on those values. Responses were categorized into values domains informed by the Bull's Eye Values survey (level 1 categories) and the Valued Living Questionnaire (level 2 categories).
Results: Raters reached 100% agreement after independent coding and adjudication. Level 1 value categories in frequency order were: relationships (n = 68), personal care/health (n = 51), work/education (n = 46), pets (n = 12), and leisure (n = 5). The most frequently reported level 2 value categories were: family (other than marriage/parenting; n = 50), parenting (n = 31), work (n = 31), physical health (n = 30), and spirituality (n = 19). The level 1 value categories impacted by insomnia in frequency order were: personal care/health (n = 65), relationships (n = 58), work/education (n = 46), pets (n = 12), and leisure (n = 5).
Conclusions: Women veterans undergoing insomnia treatment highly value relationships and personal care/health, which should be considered patient-centered outcomes of insomnia treatments.
期刊介绍：
Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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