An online cognitive-behavioural intervention for treatment of insomnia and nightmares in bushfire survivors | Natural Hazards Research Australia

An online cognitive-behavioural intervention for treatment of insomnia and nightmares in bushfire survivors

Photo: CFA
Research theme

Resilient communities

Project type

Postgraduate research

Project status

Completed

This research implemented a sleep-specific, online self-paced psychological treatment for sleep disturbances for those affected by bushfires, those who live remotely and do not have access to mental health providers, those who are affected by other natural hazards and present with symptoms of sleep disturbances and trauma symptoms, and those who feel stigma in seeking face to face treatment for their symptoms.

Project details

The first phase of the project generated knowledge about the prevalence of sleep disturbances and trauma symptoms in victims of bushfire survivors from the general public. It also explored the correlation between prevalence of sleep disturbances and time of trauma. Surveying the general public from Australia, Canada and the USA provided data about the prevalence of sleep disturbances in those affected by bushfires.

Gaining knowledge about prevalence rates will inform decision making and timely treatment for those most affected. Furthermore, learning about the correlation between the prevalence of sleep difficulties and the timeline of the trauma will inform health professionals and other policy makers about appropriate treatment and when they should be implemented. This will ensure better and more efficient recovery for those traumatised by bushfires. 

The success of the online self-paced intervention trial will ensure that other populations such as Indigenous people and other minorities who live remotely, emergency and front-line workers and military personnel following a deployment, will be beneficiaries of this online treatment. The implementation of sleep-specific psychological treatments in a timely manner will prevent the development of psychopathology. This online self-paced module can also be used as a valid, free resource intervention both nationally and internationally.  

Publications
Year Type Citation
07/2022 Journal article Cognitive behavioral therapy‑based treatments for insomnia and nightmares in adults with trauma symptoms: a systematic review
01/2022 Journal article Assessment of the effectiveness of online and face-to-face cognitive behavioural therapy for insomnia/nightmares in adults exposed to trauma using self-report and objective measures: preliminary findings
12/2023 Journal article Prevalence and predictors of sleep and trauma symptoms in wildfire survivors
09/2021 Journal article A systematic review of the impact of wildfires on sleep disturbances
10/2023 Journal article Differences in Anxiety, Insomnia, and Trauma Symptoms in Wildfire Survivors from Australia, Canada, and the United States of America
06/2024 Journal article Pre-existing depression, anxiety and trauma as risk factors for the development of post-traumatic stress disorder symptoms following wildfires
03/2025 Journal article Digital Cognitive Behavioral Therapy–Based Treatment for Insomnia, Nightmares, and Posttraumatic Stress Disorder Symptoms in Survivors of Wildfires: Pilot Randomized Feasibility Trial
03/2025 Journal article Digital Cognitive Behavioral Therapy–Based Treatment for Insomnia, Nightmares, and Posttraumatic Stress Disorder Symptoms in Survivors of Wildfires: Pilot Randomized Feasibility Trial
04/2025 Thesis Prevalence of Insomnia, Nightmares and PTSD Symptoms: Development and Testing of a Multi-Component Cognitive Behavioural Treatment in Australian, Canadian, and American Wildfire Survivors