Improvement in Post-traumatic Stress Symptoms Following an Internet-based Cognitive-Behavioral Intervention for Insomnia: An Open Trial among Rural Appalachian Women

Christal L. Badour; Ashley I. Martinez; Caitlyn O. Hood; Daniela C. Moga; Mairead E. Moloney

doi:10.1353/hpu.2023.a903063

Improvement in Post-traumatic Stress Symptoms Following an Internet-based Cognitive-Behavioral Intervention for Insomnia: An Open Trial among Rural Appalachian Women

Christal L. Badour, Ashley I. Martinez, Caitlyn O. Hood, Daniela C. Moga, Mairead E. Moloney

Research output: Contribution to journal › Article › peer-review

Abstract

Appalachian women face significant health disparities and have limited access to health care. Mental health conditions and treatment-seeking are stigmatized in Appalachian communities. Appalachian women may benefit from web-based interventions targeting less stigmatized health complaints (e.g., insomnia), while simultaneously yielding benefit in associated mental health conditions including symptoms of post-traumatic stress disorder (PTSD). In this study, 37 trauma-exposed adult women aged 45 and older from rural Appalachian Kentucky completed a six-session online self-administered cognitive behavioral therapy for insomnia (CBT-I) intervention and completed measures of PTSD symptoms, insomnia, and depression at pre-and post-treatment. Participants reported a significant reduction in PTSD symptoms from pre-to post-intervention, and this remained significant after adjusting for severity of insomnia and depression pre-treatment. Pending replication in a randomized controlled trial, web-based CBT-I may offer an adjunctive mental health treatment option that circumvents cultural stigmas and reduces PTSD symptoms for trauma-exposed Appalachian women.

Original language	English
Pages (from-to)	1060-1069
Number of pages	10
Journal	Journal of Health Care for the Poor and Underserved
Volume	34
Issue number	3
DOIs	https://doi.org/10.1353/hpu.2023.a903063
State	Published - Aug 2023

Bibliographical note

Publisher Copyright:
© Meharry Medical College.

Funding

This project was supported by the Building Interdisciplinary Research Careers in Women’s Health Program (NIDA Grant No. K12DA035150), pilot funding from the Igniting Research Collaborations Grant (University of Kentucky College of Pharmacy), and the University of Kentucky Center for Clinical and Translational Sciences (Grant No. UL1TROO1998). The views in this article represent those of the authors and do not necessarily represent those of the National Institutes of Health.

Funders	Funder number
Building Interdisciplinary Research Careers in Women’s Health Program-BIRCWH
National Institute on Drug Abuse	K12DA035150
University of Kentucky, Center for Clinical and Translational Science	UL1TROO1998
University of Kentucky College of Pharmacy

Keywords

Appalachia
PTSD
health disparities
insomnia
rural health
trauma

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1353/hpu.2023.a903063

Cite this

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title = "Improvement in Post-traumatic Stress Symptoms Following an Internet-based Cognitive-Behavioral Intervention for Insomnia: An Open Trial among Rural Appalachian Women",

abstract = "Appalachian women face significant health disparities and have limited access to health care. Mental health conditions and treatment-seeking are stigmatized in Appalachian communities. Appalachian women may benefit from web-based interventions targeting less stigmatized health complaints (e.g., insomnia), while simultaneously yielding benefit in associated mental health conditions including symptoms of post-traumatic stress disorder (PTSD). In this study, 37 trauma-exposed adult women aged 45 and older from rural Appalachian Kentucky completed a six-session online self-administered cognitive behavioral therapy for insomnia (CBT-I) intervention and completed measures of PTSD symptoms, insomnia, and depression at pre-and post-treatment. Participants reported a significant reduction in PTSD symptoms from pre-to post-intervention, and this remained significant after adjusting for severity of insomnia and depression pre-treatment. Pending replication in a randomized controlled trial, web-based CBT-I may offer an adjunctive mental health treatment option that circumvents cultural stigmas and reduces PTSD symptoms for trauma-exposed Appalachian women.",

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month = aug,

doi = "10.1353/hpu.2023.a903063",

language = "English",

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Improvement in Post-traumatic Stress Symptoms Following an Internet-based Cognitive-Behavioral Intervention for Insomnia: An Open Trial among Rural Appalachian Women. / Badour, Christal L.; Martinez, Ashley I.; Hood, Caitlyn O. et al.
In: Journal of Health Care for the Poor and Underserved, Vol. 34, No. 3, 08.2023, p. 1060-1069.

Research output: Contribution to journal › Article › peer-review

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Improvement in Post-traumatic Stress Symptoms Following an Internet-based Cognitive-Behavioral Intervention for Insomnia: An Open Trial among Rural Appalachian Women

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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