Clinical Research Directory

Inclusion Criteria: * Be a Veteran enrolled to receive VA medical care at the Minneapolis VA Health Care System * Have stable housing for the duration of the study period * Have experienced any traumatic event meeting Criterion A for PTSD at least three months before the baseline assessment * Meet criteria for a current PTSD diagnosis or subthreshold PTSD diagnosis * Self-report experiencing trauma-related nightmares at least once per week for the past month, that are mostly-remembered and that cause awakening * Self-report global sleep disturbance indicated by a score of 5 or greater on the Pittsburgh Sleep Quality Index (PSQI) * Be stable on any psychoactive medications for a minimum of two weeks before the baseline assessment Exclusion Criteria: * Inability to provide fully-informed written consent to participate and/or a bed partner does not agree to mattress recording during the in-home portion of the study * Medical conditions that limit ability to apply the treatment e.g., needing a health aide or caregiver to record sleep diaries, unable to get out of bed without assistance * Current pregnancy and/or birth of a child within the previous 6 months * Current alcohol or illicit substance use disorders or early remission (at least 3 months abstinent) * Active suicidal or homicidal ideation * A history of any bipolar disorder spectrum disorder or psychotic disorder * Hospitalization for a mental health disorder in the past 2 months * Enrolled in current PTSD-focused treatment (e.g., Cognitive Processing Therapy or Prolonged Exposure), current nightmare treatment or a history of treatment failure with a cognitive-behavioral nightmare intervention * Veterans may also be excluded from participation if they have been identified by the local VA disruptive behavior committee to have displayed disruptive, threatening and/or violent behavior