RCT of CBT for Insomnia With PLWHA

The purpose of this study is to test whether a group cognitive-behavioral treatment program
for insomnia (CBT-I) will help adults diagnosed with HIV to improve the quantity (number of
hours) and the quality of their sleep. The PI will compare adults who participated in the
CBT-I program to adults who participated in a Sleep Hygiene group, a common treatment for
insomnia. The PI will look at the overall quality of life, and number of hours and quality
of sleep of adults who participated in the CBT-I program versus adults in the Sleep Hygiene
group. Also, the PI will draw blood to compare how the body responds to medical illnesses
between adults in the CBT-I program to adults in the Sleep Hygiene group.

Inclusion Criteria:

- English-speaking individuals

- over the age of 18 years old with a diagnosis of HIV or AIDS who is receiving medical
care at the Grady Health System's Infectious Disease Program (IDP)

- study subjects must meet the criteria for primary or secondary insomnia as defined by
the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision

- must experience difficulty initiating or maintaining non-restorative sleep for at
least l month (DSM- IV-TR)

- the sleep disturbance causes clinically significant impairment or distress in
important areas of functioning

- sleep efficiency of less than 85%, sleep disturbances that occur three or more days
per week, and sleep latency (i.e., time awake after sleep onset greater than 30
minutes)

Exclusion Criteria:

- current substance dependence (within the past six months)

- active psychosis

- Bipolar I and II disorders

- neurocognitive impairment and/or a current diagnosis of dementia

- lack of independent housing

- previous participation in a CBT-I program

- employment in a job requiring shift work that impairs the ability to establish a
regular sleep schedule