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Nightmare Frequency, Nightmare Distress and the Efficiency of Trauma-Focused Cognitive Behavioral Therapy for Post-Traumatic Stress Disorder

Katia Levrier, André Marchand, Geneviève Belleville, Dominic Beaulieu-Prévost, Stéphane Guay

Archives of Trauma Research May 12, 2016 DOI: 10.5812/atr.33051 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 71
Population Individuals with PTSD and different types of traumatic events
Intervention Cognitive behavior therapy
Duration 20 weekly individual sessions, with follow-up at 6 months
Topics Dreaming PTSD
Key findings The presence of nightmares did not impact overall CBT efficiency for PTSD symptom reduction.

Abstract

Background: Up to 71% of trauma victims diagnosed with PTSD have frequent nightmares (NM), compared to only 2% to 5% of the general population.

Objectives: The present study examined whether nightmares before the beginning of cognitive behavior therapy (CBT) for post-traumatic stress disorder (PTSD) could influence overall PTSD symptom reduction for 71 individuals with PTSD and different types of traumatic events. Patients and Methods Participants received a validated CBT of 20 weekly individual sessions. They were evaluated at five measurement times: at pre-treatment, after the third and ninth session, at post-treatment, and at 6 months follow-up.

Results: The presence of nightmares did not impact overall CBT efficiency. Specific CBT components were efficient in reducing the frequency and distress of nightmares.

Conclusions: Most participants no longer had PTSD but some still had nightmares.

Comparable studies

Other observational and cohort studies on PTSD, most cited first.

Study Year Design Participants
MDMA-Assisted Psychotherapy Using Low Doses in a Small Sample of Women with Chronic Posttraumatic Stress Disorder Women with chronic PTSD secondary to sexual assault 2008 Observational cohort n = 6
An Ambulatory Polysomnography Study of the Post-traumatic Nightmares of Post-traumatic Stress Disorder Treatment-seeking veterans, current serving military members, and emergency service... 2017 Observational study using ambulatory polysomnography n = 35
Increased Mastery Elements Associated With Imagery Rehearsal Treatment for Nightmares in Sexual Assault Survivors With PTSD. Female sexual assault survivors with chronic nightmares 2004 Observational cohort n = 44
Posttraumatic stress symptoms following near-death experiences. Persons who report near-death experiences and those who came close to death without NDEs 2001 Observational study
Impact of oral ketamine augmentation on hospital admissions in treatment-resistant depression and PTSD: a retrospective study. Outpatients with treatment-resistant depression and PTSD 2018 Retrospective review n = 37

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