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Purpose of Review <p>Insomnia, nightmares, and obstructive sleep apnea (OSA) are highly prevalent yet insufficiently treated in post-traumatic stress disorder (PTSD). Sleep disturbances interact with PTSD symptoms, negatively impacting daytime functioning, quality of life, and risk for poor clinical outcomes. Although trauma-focused treatments reduce PTSD symptoms, residual sleep symptoms remain. This review examines behavioral sleep medicine interventions in PTSD.</p> Recent Findings <p>Cognitive behavioral therapy for insomnia (CBT-I), imagery rehearsal therapy (IRT) for nightmares, and adherence to OSA treatments are effective in reducing nighttime and daytime symptoms of PTSD. Recent studies have begun examining the effectiveness of sequential and integrated treatments for insomnia and PTSD to reduce distress and improve daytime functioning.</p> Summary <p>Current evidence supports clinicians incorporating behavioral sleep interventions when treating PTSD. Standalone, sequential, or integrated sleep and PTSD treatments should be chosen based on an individual’s clinical presentation, provider availability, and shared decision-making.</p>

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Behavioral Sleep Interventions & Posttraumatic Stress Disorder in Adults

  • 期刊论文

  • 发表日期：

    2026年7月10日

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  • Daria Cusack,
  • Colin Mahler,
  • Isabel D. C. Muñoz,
  • Jennifer L. Martin,
  • Monica R. Kelly

摘要

Purpose of Review

Insomnia, nightmares, and obstructive sleep apnea (OSA) are highly prevalent yet insufficiently treated in post-traumatic stress disorder (PTSD). Sleep disturbances interact with PTSD symptoms, negatively impacting daytime functioning, quality of life, and risk for poor clinical outcomes. Although trauma-focused treatments reduce PTSD symptoms, residual sleep symptoms remain. This review examines behavioral sleep medicine interventions in PTSD.

Recent Findings

Cognitive behavioral therapy for insomnia (CBT-I), imagery rehearsal therapy (IRT) for nightmares, and adherence to OSA treatments are effective in reducing nighttime and daytime symptoms of PTSD. Recent studies have begun examining the effectiveness of sequential and integrated treatments for insomnia and PTSD to reduce distress and improve daytime functioning.

Summary

Current evidence supports clinicians incorporating behavioral sleep interventions when treating PTSD. Standalone, sequential, or integrated sleep and PTSD treatments should be chosen based on an individual’s clinical presentation, provider availability, and shared decision-making.