Andréanne Rousseau

2 papers in the library · publishing 2018

Papers

Self-efficacy as a Mechanism of Action of Imagery Rehearsal Therapy's Effectiveness: An Exploratory Mediation Analysis.

The Journal of Nervous and Mental Disease October 1, 2018 Andréanne Rousseau, Mylène Dubé-Frenette, Geneviève Belleville

Imagery rehearsal therapy (IRT) increases self-efficacy about dreams and nightmares in victims of sexual assault with recurring nightmares, but this increase does not explain the therapy's effectiveness on insomnia and sleep quality. Thirty-five participants were randomly assigned to IRT or a control condition. IRT predicted greater self-efficacy about dreams, which in turn predicted improvement in insomnia, and greater self-efficacy about nightmares predicted better sleep quality. However, self-efficacy was not a significant mediator of IRT's effects on these outcomes, suggesting it may not be a primary mechanism of action.

DOI: 10.1097/nmd.0000000000000862 Full text

Efficacy of Imagery Rehearsal Therapy and Cognitive Behavioral Therapy in Sexual Assault Victims With Posttraumatic Stress Disorder: A Randomized Controlled Trial.

Journal of Traumatic Stress August 1, 2018 Geneviève Belleville, Mylène Dubé-Frenette, Andréanne Rousseau

Adding nightmare therapy (imagery rehearsal therapy) to cognitive behavioral therapy for PTSD may improve nighttime symptoms more quickly than CBT alone. In a randomized trial with 42 adult sexual assault victims with PTSD, both groups showed significant reductions in PTSD symptoms and improvements in functioning after CBT. However, the group that received nightmare therapy before CBT showed medium to large additional improvements in nighttime symptoms compared to a waiting period. The combined treatment was not clearly superior to CBT alone overall, but targeting nightmares early may benefit patients with limited time or those whose primary complaint is nightmares.

DOI: 10.1002/jts.22306 Full text