A combined group treatment for nightmares and insomnia in combat veterans: a pilot study.
نویسندگان
چکیده
Insomnia and nightmares are hallmarks of posttraumatic stress disorder (PTSD). Sleep disturbances in PTSD negatively impact clinical course and functioning. In this open clinical trial, the preliminary effects of a combined treatment for insomnia and nightmares in combat veterans with PTSD were assessed. Ten combat veterans participated in a 10-session group treatment combining cognitive-behavioral therapy for insomnia with exposure, rescripting, and relaxation therapy. Participants maintained daily sleep and dream diaries and completed self-report measures of sleep quality and PTSD symptoms pre- and posttreatment. Participants reported improvements in sleep and nightmares following treatment. Future research using controlled designs to evaluate this treatment is warranted.
منابع مشابه
Longitudinal relationships of insomnia, nightmares, and PTSD severity in recent combat veterans.
OBJECTIVE This observational, longitudinal study of veterans with recent combat exposure describes the prevalence, severity and associations of posttraumatic stress disorder (PTSD), insomnia, and nightmares over time. METHODS Eighty recent combat veterans recruited from Veterans Health Administration primary care settings met inclusion criteria including hazardous alcohol use and at least sub...
متن کاملImagery Rehearsal Therapy: An Emerging Treatment for Posttraumatic Nightmares in Veterans
Nightmares are a common complaint among service members exposed to traumatic events, but prevailing paradigms are disposed to a view that nightmares are a secondary phenomenon untreatable with direct therapeutic intervention. Imagery rehearsal therapy is a cognitive-imagery approach with proven efficacy in the treatment of nightmares in civilian trauma victims. Imagery rehearsal therapy not onl...
متن کاملEfficacy of a brief treatment for nightmares and sleep disturbances for veterans.
Nightmares and sleep disturbances are common complaints among military Veterans (Plumb & Zelman, 2009) and may be difficult to eradicate (Forbes, Phelps, & McHugh, 2001). A treatment protocol (Exposure, Relaxation, and Rescription Therapy [ERRT]) targeting nightmares and sleep disturbances, which has been used effectively in civilian populations, was adapted for the military (ERRT-M). A pilot s...
متن کاملA multi-component cognitive-behavioral intervention for sleep disturbance in veterans with PTSD: a pilot study.
STUDY OBJECTIVES A significant portion of US military personnel are returning from deployment with trauma-related sleep disturbance, and disrupted sleep has been proposed as a mechanism for the development of medical conditions in those with posttraumatic stress disorder (PTSD). Although individuals with PTSD may realize improved sleep with either PTSD treatment or CBT for insomnia, many contin...
متن کاملImagery rescripting and exposure group treatment of posttraumatic nightmares in Veterans with PTSD.
This study details results of an open trial of a group psychological treatment for Veterans with posttraumatic stress disorder (PTSD) and chronic posttraumatic nightmares called "Imagery Rescripting and Exposure Therapy" (IRET). IRET is a variant of a successful imagery rescripting treatment for civilian trauma-related nightmares that was modified to address the needs of the Veteran population....
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of traumatic stress
دوره 22 6 شماره
صفحات -
تاریخ انتشار 2009