Inclusion criteria |
Military Veteran |
Age ≥ 18 years |
ISI ≥ 15 (moderately severe insomnia) and DSM-5 criteria for insomnia disorder |
Exclusion criteria |
Current/past bipolar disorder or seizure disorder, and current psychotic disorder in order to avoid potential exacerbation of manic/hypomanic, seizure, and psychotic symptoms, respectively, as adverse reactions to aspects of BBTI/CBTI (e.g., sleep restriction) |
Current alcohol use disorder or substance use disorder as BBTI/CBTI cannot reverse the adverse effects of substances on sleep |
Other current, severe or unstable, psychiatric and medical disorders that necessitate clinical management that can confound results (e.g., cancer [receiving chemotherapy], suicidality, recent hospitalization [medical/surgical] for which recovery overlaps with study onset and duration, open skull/brain injury, moderate to severe traumatic brain injury) |
Previously diagnosed sleep apnea that is not adequately treated or probable sleep apnea (STOP-BANG ≥ 5) |
Moderate to severe cognitive impairment (SLUMS ≤ 20) and/or diagnosis in the medical record indicative of moderate-to-severe cognitive impairment |
If using a sleep medication, the medication and dose has changed in the past month and/or is expected to change during the treatment phase of the study |
If using other psychotropic medication, medication and dose has changed in the past 2 months and/or are expected to change during the treatment phase of the study |
The following are exclusionary as they represent (potentially) temporary states/situations that may significantly impair normal sleep: |
Women who are pregnant and/or breast feeding |
Unstable environment that is not in one’s control (e.g., homeless, temporary group home, care-taking duties at night) |
Shift work: severe delayed sleep phase disorder (e.g., habitual bedtime after 4 a.m. or habitual rise time after 11 a.m.) |
Restless leg syndrome with symptoms > 2 times per week and causing significant distress |