{"doi":"10.1093/milmed/usac264","title":"Cognitive Behavioral Therapy for Insomnia Among Active Duty Military Personnel Diagnosed With Obstructive Sleep Apnea","abstract":"<jats:title>ABSTRACT</jats:title>\n               <jats:sec>\n                  <jats:title>Introduction</jats:title>\n                  <jats:p>Insomnia and obstructive sleep apnea are common conditions among military service members, with high rates of comorbidity. Although cognitive behavioral therapy for insomnia (CBT-I) has been established as an effective treatment for insomnia, it is unclear whether or not CBT-I is effective among service members with comorbid insomnia and obstructive sleep apnea.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods</jats:title>\n                  <jats:p>This retrospective, observational study examined insomnia outcomes among a group of service member patients (N = 73) with comorbid insomnia and obstructive sleep apnea. All patients received individual CBT-I in a specialty sleep clinic at a military treatment facility. Seven outcomes associated with insomnia were evaluated before and after treatment.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Results</jats:title>\n                  <jats:p>On average, patients showed significant improvement in sleep onset latency, wake after sleep onset, sleep efficiency, number of awakenings, and symptoms reported on the Insomnia Severity Index. Twenty-six percent of patients showed clinically significant improvement in reported insomnia symptoms.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions</jats:title>\n                  <jats:p>These results suggest that CBT-I may be effective in treating military service members with comorbid insomnia and obstructive sleep apnea. Despite the limitations of data collected in a clinical setting, consistent findings across five of the seven outcome measures provide good evidence that this treatment can be implemented in military settings.</jats:p>\n               </jats:sec>","journal":"Military Medicine","year":2023,"id":643705,"datarank":0.26876392038420827,"base_score":1.791759469228055,"endowment":1.791759469228055,"self_citation_contribution":0.26876392038420827,"citation_network_contribution":0.0,"self_endowment_contribution":0.26876392038420827,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1674987,"name":"Marquisha R G Lee","orcid":null,"position":1,"is_corresponding":false},{"id":1674988,"name":"Jason D Stolee","orcid":null,"position":2,"is_corresponding":false},{"id":1674989,"name":"Joshua A Breitstein","orcid":null,"position":3,"is_corresponding":false},{"id":1674990,"name":"Herbert P Kwon","orcid":null,"position":4,"is_corresponding":false},{"id":669845,"name":"Vincent Mysliwiec","orcid":"0000-0002-5178-7486","position":5,"is_corresponding":false},{"id":1674986,"name":"Tim Hoyt","orcid":"0000-0001-6395-7887","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Cognitive Behavioral Therapy for Insomnia Among Active Duty Military Personnel Diagnosed With Obstructive Sleep Apnea","abstract":"<jats:title>ABSTRACT</jats:title>\n               <jats:sec>\n                  <jats:title>Introduction</jats:title>\n                  <jats:p>Insomnia and obstructive sleep apnea are common conditions among military service members, with high rates of comorbidity. Although cognitive behavioral therapy for insomnia (CBT-I) has been established as an effective treatment for insomnia, it is unclear whether or not CBT-I is effective among service members with comorbid insomnia and obstructive sleep apnea.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods</jats:title>\n                  <jats:p>This retrospective, observational study examined insomnia outcomes among a group of service member patients (N = 73) with comorbid insomnia and obstructive sleep apnea. All patients received individual CBT-I in a specialty sleep clinic at a military treatment facility. Seven outcomes associated with insomnia were evaluated before and after treatment.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Results</jats:title>\n                  <jats:p>On average, patients showed significant improvement in sleep onset latency, wake after sleep onset, sleep efficiency, number of awakenings, and symptoms reported on the Insomnia Severity Index. Twenty-six percent of patients showed clinically significant improvement in reported insomnia symptoms.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions</jats:title>\n                  <jats:p>These results suggest that CBT-I may be effective in treating military service members with comorbid insomnia and obstructive sleep apnea. Despite the limitations of data collected in a clinical setting, consistent findings across five of the seven outcome measures provide good evidence that this treatment can be implemented in military settings.</jats:p>\n               </jats:sec>","is_dataset_classified":null,"base_score":1.791759469228055,"endowment":1.791759469228055,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"36050797","pmcid":null,"openalex_id":"https://openalex.org/W4294147832","authors":[],"funders":[],"total_grants":0,"fwci":0.7111,"citation_percentile":0.70442195,"influential_citations":0,"citation_trend":[{"year":2023,"count":1},{"year":2024,"count":2},{"year":2025,"count":1},{"year":2026,"count":1}],"oa_status":"hybrid","license":"public-domain","oa_locations":[{"url":"https://academic.oup.com/milmed/advance-article-pdf/doi/10.1093/milmed/usac264/45650168/usac264.pdf","host_type":"journal"},{"url":"https://academic.oup.com/milmed/advance-article-pdf/doi/10.1093/milmed/usac264/45650168/usac264.pdf","host_type":"publisher"},{"url":"https://academic.oup.com/milmed/article-pdf/188/9-10/2856/51307686/usac264.pdf","host_type":"publisher"},{"url":"https://doi.org/10.1093/milmed/usac264","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/36050797","host_type":"repository"}],"fields_of_study":["Sleep and related disorders","Obstructive Sleep Apnea Research","Sleep and Wakefulness Research","Humans","Sleep Initiation and Maintenance Disorders","Military Personnel","Retrospective Studies","Sleep Apnea, Obstructive","Cognitive Behavioral Therapy","Treatment Outcome"],"mesh_terms":["Humans","Sleep Initiation and Maintenance Disorders","Military Personnel","Retrospective Studies","Cognitive Behavioral Therapy","Treatment Outcome","Sleep Apnea, Obstructive"],"keywords":["Active duty","Obstructive sleep apnea","Insomnia","Medicine","Military medicine","Military personnel","Cognition","Sleep (system call)","Sleep apnea","Cognitive behavioral therapy for insomnia","Cognitive behavioral therapy","Physical therapy","Intensive care medicine","Psychiatry","Internal medicine"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-08T18:28:31.100217Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}