Values Expressed by Women Veterans Receiving Treatment for Chronic Insomnia Disorder.

Autor:	Saldana KS; Department of Psychology, VA Greater Los Angeles Healthcare System, Sepulveda Ambulatory Care Center, Los Angeles, CA, USA.; Department of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA., Carlson GC; Department of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; VA Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA, USA., Revolorio K; Department of Psychology, VA Greater Los Angeles Healthcare System, Sepulveda Ambulatory Care Center, Los Angeles, CA, USA., Kelly MR; Department of Mental Health, VA Greater Los Angeles Geriatric Research, Education, and Clinical Center (GRECC), Los Angeles, CA, USA.; Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA., Josephson KR; Department of Mental Health, VA Greater Los Angeles Geriatric Research, Education, and Clinical Center (GRECC), Los Angeles, CA, USA., Mitchell MN; Department of Mental Health, VA Greater Los Angeles Geriatric Research, Education, and Clinical Center (GRECC), Los Angeles, CA, USA., Culver N; Department of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA., Kay M; Department of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA., McGowan SK; Department of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA, USA., Song Y; Department of Mental Health, VA Greater Los Angeles Geriatric Research, Education, and Clinical Center (GRECC), Los Angeles, CA, USA.; Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.; School of Nursing, University of California, Los Angeles, CA, USA., Deleeuw C; Department of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA., Martin JL; Department of Mental Health, VA Greater Los Angeles Geriatric Research, Education, and Clinical Center (GRECC), Los Angeles, CA, USA.; Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Jazyk:	angličtina
Zdroj:	Behavioral sleep medicine [Behav Sleep Med] 2024 May-Jun; Vol. 22 (3), pp. 340-352. Date of Electronic Publication: 2023 Sep 25.
DOI:	10.1080/15402002.2023.2260517
Abstrakt:	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. Clinical Trials Registration: NCT02076165.
Databáze:	MEDLINE
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