ABSTRACT
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.
Disclosure statement
No potential conflict of interest was reported by the author(s).
Data avaliablity statement
Data may be available through execution of a data use agreement between the recipient at the VA Greater Los Angeles Healthcare System.
Supplementary material
Supplemental data for this article can be accessed online at https://doi.org/10.1080/15402002.2023.2260517