Date of Award


Degree Name

PhD Nursing

Dissertation Committee

Joseph F. Burkard, DNSc, CRNA, Chairperson; Jill Bormann, PhD, RN, FAAN; Linda D. Urden, DNSc, RN, CNS, NE-BC, FAAN


Mantram repetition program, mental health, nursing, Post-Traumatic Stress Disorder--PTSD, sleep, veterans


Posttraumatic Stress Disorder (PTSD) affects over seven million (3.5%) of the US adult population. In 2011, 476,515 veterans were currently seeking treatment for PTSD. Statistics show that 87% of veterans with PTSD report sleep disturbances and 52% experience frequent nightmares, making sleep the second most common reason why veterans seek mental health care upon return from deployment (Germain et al., 2006). Studies have sought to find a link between PTSD and sleep, and the importance of sleep in the recovery process, but there is a gap in the research on sleep disturbances and interventions for improvement in veterans with PTSD. The Mantram Repetition Program (MRP) teaches a portable method of meditation that has been shown to improve symptoms of PTSD in the Veteran population (Bormann et al., 2012). Qualitative studies have shown that veterans report improvements in sleep by using skills learned in the MRP. However, no quantitative study has been conducted to assess veteran sleep patterns before and after MRP. This study's aims were to: (1) Evaluate the efficacy of the MRP on sleep habits; (2) Identify the aspects of sleep that are positively influenced by the MRP; and (3) Assess the demographic variables and their relationships to MRP and sleep outcomes. Methods: The study was a retrospective review of supplemental sleep data collected during a within group pre-post test design. Four primary screening tools were used to evaluate PTSD symptom burden and sleep habits including the Clinical Administered PTSD Scale (CAPS) interview, Insomnia Severity Index (ISI), Glasgow Sleep Effort Scale (GSES), and Pre Sleep Arousal Scale (PSAS). Results: Results for this study showed significant improvement in sleep after completion of Mantram Repetition Program using valid and reliable tools to measure insomnia, sleep effort, and presleep arousal. Conclusion: With new cases of PTSD being diagnosed every day, more research is needed for best practices to improve outcomes for current and future veterans. With the present gaps in sleep knowledge and its effect on daytime symptoms, this research will help further identify interventions that are evidence-based with data-grounded results on intervention progression as well as symptom improvement. These studies address the global issues of PTSD, hoping to further expand treatment availability to those coming home from combat, and also looking to discover the best ways to prevent PTSD in the future. Results from this study will lend to the foundation of sleep intervention research on veterans with PTSD, in hopes to aid in symptom relief of veterans who have suffered with the adverse effects of the disorder. Research results will further explore the value of the MRP, aiding in its dissemination for others to learn and practice as a part of their daily routine.

Document Type

Dissertation: Open Access



Included in

Nursing Commons