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Treatment of combat‐related nightmares using imagery rehearsal: A pilot study

David Forbes, Andrea J Phelps, Tony McHugh

Journal of Traumatic Stress April 1, 2001 DOI: 10.1023/a:1011133422340 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Pilot study Randomized Peer reviewed
Sample size 12
Population Vietnam veterans with PTSD and combat-related nightmares
Duration 6 sessions
Topics Dreaming
Key points Imagery rehearsal therapy significantly reduced combat-related nightmares and improved PTSD and comorbid symptoms in Vietnam veterans with PTSD.

Abstract

AbstractPosttraumatic nightmares are a hallmark of PTSD and distinct from general nightmares as they are often repetitive and faithful representations of the traumatic event. This paper presents data from a pilot study that examined the use of Imagery Rehearsal in treating combat‐related nightmares of 12 Vietnam veterans with PTSD. Three treatment groups, comprising 4 veterans in each, completed standardised treatment across 6 sessions. Treatment effects were investigated using nightmare diaries and established instruments, including the IES‐R, BDI, BAI, and SCL‐90‐R. The data demonstrate significant reductions in nightmares targeted, and improvements in PTSD and comorbid symptomatology. The paper recommends that, on the basis of the promising preliminary data, a randomised control trial be established to assess imagery ability and attidude toward nightmares.

Comparable studies

Other non-randomized and open-label trials on dreaming, most cited first.

Study Year Design Participants
A combined group treatment for nightmares and insomnia in combat veterans: A pilot study Combat veterans with PTSD 2009 Open clinical trial n = 10
Cognitions in Sleep: Lucid Dreaming as an Intervention for Nightmares in Patients With Posttraumatic Stress Disorder. Patients suffering from posttraumatic stress disorder (PTSD) 2020 Pre-post intervention study
Managing Insomnia Using Lucid Dreaming Training: A Pilot Study. Adults with Insomnia Disorder 2021 Open-label trial n = 48
Dream content and political ideology. U.S. adults who identified as members of the political right or political left (28 per... 2002 Pilot study n = 56
Imagery rehearsal therapy for the treatment of nightmares in individuals with borderline personality disorder – A pilot study Individuals with borderline personality disorder 2024 Between-subjects design, pilot study n = 44

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