TY - JOUR
T1 - A controlled study of imagery rehearsal for chronic nightmares in sexual assault survivors with PTSD
T2 - A preliminary report
AU - Krakow, B.
AU - Hollifield, M.
AU - Schrader, R.
AU - Koss, M.
AU - Tandberg, D.
AU - Lauriello, J.
AU - McBride, L.
AU - Warner, T. D.
AU - Cheng, D.
AU - Edmond, T.
AU - Kellner, R.
N1 - Funding Information:
We wish to thank Lisa Johnston and Dominic Melendrez for assisting in database management, Lisa Cutchen, Shawn Foltz, and Holly Prince for their assistance in the project, and Debie Kennedy and Trinh Nguyen for manuscript preparation. Research was supported by a grant from the National Institute of Mental Health (MH 53239) and the Research Allocation Committee of the University of New Mexico Health Sciences Center.
PY - 2000
Y1 - 2000
N2 - Imagery-rehearsal therapy for chronic nightmares was assessed in a randomized, controlled study of sexual assault survivors with posttraumatic stress disorder (PTSD). Nightmares, sleep quality, and PTSD were assessed at baseline for 169 women, who were randomized into two groups: treatment (n = 87) and wait-list control (n = 82). Treatment consisted of two 3-hr sessions and one 1-hr session conducted over 5 weeks. Of 169 participants, 91 women (Treatment, n = 43, Control, n = 48) completed a 3-month follow-up and 78 did not. At follow-up, nightmare frequency and PTSD severity decreased and sleep quality improved in the treatment group with small to minimal changes in the control group, Treatment effects were moderate to high (Cohen's d ranged from 0.57 to 1.26). Notwithstanding the large dropout rate, imagery-rehearsal therapy is an effective treatment for chronic nightmares in sexual assault survivors with PTSD and is associated with improvement in sleep quality and decreases in PTSD severity.
AB - Imagery-rehearsal therapy for chronic nightmares was assessed in a randomized, controlled study of sexual assault survivors with posttraumatic stress disorder (PTSD). Nightmares, sleep quality, and PTSD were assessed at baseline for 169 women, who were randomized into two groups: treatment (n = 87) and wait-list control (n = 82). Treatment consisted of two 3-hr sessions and one 1-hr session conducted over 5 weeks. Of 169 participants, 91 women (Treatment, n = 43, Control, n = 48) completed a 3-month follow-up and 78 did not. At follow-up, nightmare frequency and PTSD severity decreased and sleep quality improved in the treatment group with small to minimal changes in the control group, Treatment effects were moderate to high (Cohen's d ranged from 0.57 to 1.26). Notwithstanding the large dropout rate, imagery-rehearsal therapy is an effective treatment for chronic nightmares in sexual assault survivors with PTSD and is associated with improvement in sleep quality and decreases in PTSD severity.
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U2 - 10.1023/A:1007854015481
DO - 10.1023/A:1007854015481
M3 - Article
C2 - 11109233
AN - SCOPUS:0033730708
SN - 0894-9867
VL - 13
SP - 589
EP - 609
JO - Journal of Traumatic Stress
JF - Journal of Traumatic Stress
IS - 4
ER -