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Randomized Controlled Trial of Imagery Rehearsal for Posttraumatic Nightmares in Combat Veterans
by
Harb, Gerlinde C.
, Cook, Joan M.
, Forbes, David
, Localio, Russell
, Harpaz-Rotem, Ilan
, Gur, Ruben C.
, Ross, Richard J.
, Phelps, Andrea J.
, Gehrman, Philip R.
in
Adult
/ Afghan Campaign 2001
/ Clinical trials
/ Cognitive behavioral therapy
/ Cognitive Behavioral Therapy - methods
/ Dementia
/ Dreams - psychology
/ Enrollments
/ Female
/ Females
/ Head injuries
/ Humans
/ Imagery, Psychotherapy - methods
/ Insomnia
/ Iraq War, 2003-2011
/ Male
/ Mental disorders
/ Mental health
/ Military deployment
/ Post traumatic stress disorder
/ Psychosis
/ Questionnaires
/ Scientific Investigations
/ Sleep disorders
/ Stress Disorders, Post-Traumatic - psychology
/ Stress Disorders, Post-Traumatic - therapy
/ Trauma
/ Traumatic brain injury
/ Treatment Outcome
/ United States
/ Veterans
/ Veterans - psychology
/ Veterans - statistics & numerical data
2019
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Randomized Controlled Trial of Imagery Rehearsal for Posttraumatic Nightmares in Combat Veterans
by
Harb, Gerlinde C.
, Cook, Joan M.
, Forbes, David
, Localio, Russell
, Harpaz-Rotem, Ilan
, Gur, Ruben C.
, Ross, Richard J.
, Phelps, Andrea J.
, Gehrman, Philip R.
in
Adult
/ Afghan Campaign 2001
/ Clinical trials
/ Cognitive behavioral therapy
/ Cognitive Behavioral Therapy - methods
/ Dementia
/ Dreams - psychology
/ Enrollments
/ Female
/ Females
/ Head injuries
/ Humans
/ Imagery, Psychotherapy - methods
/ Insomnia
/ Iraq War, 2003-2011
/ Male
/ Mental disorders
/ Mental health
/ Military deployment
/ Post traumatic stress disorder
/ Psychosis
/ Questionnaires
/ Scientific Investigations
/ Sleep disorders
/ Stress Disorders, Post-Traumatic - psychology
/ Stress Disorders, Post-Traumatic - therapy
/ Trauma
/ Traumatic brain injury
/ Treatment Outcome
/ United States
/ Veterans
/ Veterans - psychology
/ Veterans - statistics & numerical data
2019
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Do you wish to request the book?
Randomized Controlled Trial of Imagery Rehearsal for Posttraumatic Nightmares in Combat Veterans
by
Harb, Gerlinde C.
, Cook, Joan M.
, Forbes, David
, Localio, Russell
, Harpaz-Rotem, Ilan
, Gur, Ruben C.
, Ross, Richard J.
, Phelps, Andrea J.
, Gehrman, Philip R.
in
Adult
/ Afghan Campaign 2001
/ Clinical trials
/ Cognitive behavioral therapy
/ Cognitive Behavioral Therapy - methods
/ Dementia
/ Dreams - psychology
/ Enrollments
/ Female
/ Females
/ Head injuries
/ Humans
/ Imagery, Psychotherapy - methods
/ Insomnia
/ Iraq War, 2003-2011
/ Male
/ Mental disorders
/ Mental health
/ Military deployment
/ Post traumatic stress disorder
/ Psychosis
/ Questionnaires
/ Scientific Investigations
/ Sleep disorders
/ Stress Disorders, Post-Traumatic - psychology
/ Stress Disorders, Post-Traumatic - therapy
/ Trauma
/ Traumatic brain injury
/ Treatment Outcome
/ United States
/ Veterans
/ Veterans - psychology
/ Veterans - statistics & numerical data
2019
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Randomized Controlled Trial of Imagery Rehearsal for Posttraumatic Nightmares in Combat Veterans
Journal Article
Randomized Controlled Trial of Imagery Rehearsal for Posttraumatic Nightmares in Combat Veterans
2019
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Overview
Study Objectives:
To examine the efficacy of imagery rehearsal (IR) combined with cognitive behavioral therapy for insomnia (CBT-I) compared to CBT-I alone for treating recurrent nightmares in military veterans with posttraumatic stress disorder (PTSD).
Methods:
In this randomized controlled study, 108 male and female United States veterans of the Iraq and Afghanistan conflicts with current, severe PTSD and recurrent, deployment-related nightmares were randomized to six sessions of IR + CBT-I (n = 55) or CBT-I (n = 53). Primary outcomes were measured with the Nightmare Frequency Questionnaire (NFQ) and Nightmare Distress Questionnaire (NDQ).
Results:
Improvement with treatment was significant (29% with reduction in nightmare frequency and 22% with remission). Overall, IR + CBT-I was not superior to CBT-I (NFQ: −0.12; 95% confidence interval = −0.87 to 0.63; likelihood ratio chi square = 4.7(3),
P
= .2); NDQ: 1.5, 95% confidence interval = −1.4 to 4.4; likelihood ratio chi square = 7.3,
P
= .06).
Conclusions:
Combining IR with CBT-I conferred no advantage overall. Further research is essential to examine the possibly greater benefit of adding IR to CBT-I for some subgroups of veterans with PTSD.
Clinical Trial Registration:
Registry: ClinicalTrials.gov; Title: Cognitive Behavioral Therapy (CBT) for Nightmares in Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans; Identifier: NCT00691626; URL:
https://clinicaltrials.gov/ct2/show/NCT00691626
Citation:
Harb GC, Cook JM, Phelps AJ, Gehrman PR, Forbes D, Localio R, Harpaz-Rotem I, Gur RC, Ross RJ. Randomized controlled trial of imagery rehearsal for posttraumatic nightmares in combat veterans.
J Clin Sleep Med
2019;15(5):757–767.
Publisher
Springer International Publishing,Springer Nature B.V,American Academy of Sleep Medicine
Subject
/ Cognitive behavioral therapy
/ Cognitive Behavioral Therapy - methods
/ Dementia
/ Female
/ Females
/ Humans
/ Imagery, Psychotherapy - methods
/ Insomnia
/ Male
/ Post traumatic stress disorder
/ Stress Disorders, Post-Traumatic - psychology
/ Stress Disorders, Post-Traumatic - therapy
/ Trauma
/ Veterans
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