Randomized Controlled Trial of Imagery Rehearsal for Posttraumatic Nightmares in Combat Veterans.
cognitive behavioral therapy
insomnia
nightmares
posttraumatic stress disorder
Journal
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ISSN: 1550-9397
Titre abrégé: J Clin Sleep Med
Pays: United States
ID NLM: 101231977
Informations de publication
Date de publication:
15 05 2019
15 05 2019
Historique:
received:
19
11
2018
accepted:
05
02
2019
pubmed:
6
5
2019
medline:
8
10
2020
entrez:
5
5
2019
Statut:
epublish
Résumé
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). 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). 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), 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. 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.
Identifiants
pubmed: 31053215
doi: 10.5664/jcsm.7770
pii: jc-18-00714
pmc: PMC6510682
doi:
Banques de données
ClinicalTrials.gov
['NCT00691626']
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
757-767Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States
Informations de copyright
© 2019 American Academy of Sleep Medicine.
Références
J Trauma Stress. 2000 Oct;13(4):589-609
pubmed: 11109233
Depress Anxiety. 2001;13(3):132-56
pubmed: 11387733
JAMA. 2001 Aug 1;286(5):537-45
pubmed: 11476655
Sleep. 2002 Mar 15;25(2):205-12
pubmed: 11902430
J Clin Psychiatry. 2002 Aug;63(8):673-84
pubmed: 12197447
Arch Gen Psychiatry. 2003 May;60(5):481-9
pubmed: 12742869
J Abnorm Psychol. 1992 Aug;101(3):592-7
pubmed: 1500619
J Anxiety Disord. 2005;19(2):233-44
pubmed: 15533706
Am J Psychiatry. 2005 Feb;162(2):214-27
pubmed: 15677582
Sleep. 2005 Sep;28(9):1135-41
pubmed: 16268383
Psychol Bull. 2007 May;133(3):482-528
pubmed: 17469988
Br J Psychiatry. 2008 Sep;193(3):254-5
pubmed: 18757989
J Trauma Stress. 2009 Jun;22(3):197-204
pubmed: 19466746
J Rehabil Res Dev. 2009;46(6):CP1-68
pubmed: 20108447
J Trauma Stress. 2010 Oct;23(5):553-63
pubmed: 20839311
J Psychosom Res. 2011 Apr;70(4):318-27
pubmed: 21414451
J Psychosom Res. 2012 Feb;72(2):89-96
pubmed: 22281448
Clin Psychol Rev. 2012 Aug;32(6):566-74
pubmed: 22819998
Sleep Med Rev. 2013 Apr;17(2):143-52
pubmed: 23046846
Clin Psychol Rev. 2013 Feb;33(1):146-55
pubmed: 23186732
J Consult Clin Psychol. 2013 Jun;81(3):394-404
pubmed: 23339535
J Trauma Stress. 2013 Oct;26(5):570-9
pubmed: 24114887
Behav Res Ther. 2013 Dec;51(12):817-22
pubmed: 24184428
Sleep. 2014 Feb 01;37(2):327-41
pubmed: 24497661
J Clin Sleep Med. 2014 Jun 15;10(6):631-6
pubmed: 24932142
J Clin Sleep Med. 2015 Jan 15;11(1):11-22
pubmed: 25325592
Sleep Med Rev. 2015 Dec;24:37-45
pubmed: 25644985
Curr Psychiatry Rep. 2015 Jun;17(6):41
pubmed: 25894359
Clin Psychol Rev. 2015 Aug;40:184-94
pubmed: 26164548
Am J Psychiatry. 1989 Jun;146(6):697-707
pubmed: 2658624
Psychol Trauma. 2016 May;8(3):356-64
pubmed: 26854354
Psychiatry Res. 1989 May;28(2):193-213
pubmed: 2748771
Psychol Trauma. 2018 Jan;10(1):67-75
pubmed: 27977223
Behav Res Ther. 2017 Apr;91:24-32
pubmed: 28110112
J Clin Sleep Med. 2018 Jun 15;14(6):1041-1055
pubmed: 29852917
J Trauma Stress. 1995 Jan;8(1):75-90
pubmed: 7712061
Ann Intern Med. 1994 Aug 1;121(3):200-6
pubmed: 8017747
Med Care. 1996 Mar;34(3):220-33
pubmed: 8628042