Citation

Pigeon WR, May PE, Perlis ML, Ward EA, Lu N, Talbot NL. J. Trauma. Stress 2009; 22(6): 634-638.

Affiliation

Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642-8409, USA. Wilfred Pigeon@URMC.rochester.edu

Copyright

(Copyright © 2009, International Society for Traumatic Stress Studies, Publisher John Wiley and Sons)

DOI

10.1002/jts.20456

PMID

19885874

PMCID

PMC2798908

Abstract

Insomnia frequently occurs with trauma exposure and depression, but can ameliorate with improvements in depression. Insomnia was assessed by the insomnia subscale of the Hamilton Rating Scale for Depression in 106 women with childhood sexual abuse (CSA) and major depression receiving interpersonal psychotherapy (IPT) in an uncontrolled pilot (n = 36) and an immediately subsequent randomized controlled trial (n = 70) comparing IPT to treatment as usual. Depression improved in each study and in both treatment conditions; insomnia had smaller, nonsignificant improvements. Overall, 95 women (90%) endorsed insomnia on the Structured Clinical Interview for DSM-IV at baseline and, of those, 90% endorsed insomnia following treatment. Despite improvements in depression, insomnia persists for most women with CSA.

Language: en