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Imagery Rehearsal Therapy (IRT) Combined with Cognitive Behavioral Therapy (CBT)

Katia Levrier, André Marchand, Valérie Billette, Stéphane Guay, Geneviève Belleville

2018 DOI: 10.5772/intechopen.70899 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Experimental case study Case report
Sample size 2
Population Individuals with PTSD
Intervention Imagery rehearsal therapy
Key findings Adding IRT to CBT for PTSD led to slight decreases in sleep difficulties and PTSD symptom intensity in two participants, with one showing significant reduction in nightmare distress.

Abstract

In cases of post-traumatic stress disorder (PTSD), nightmares can often persist, even after a cognitive behavioral therapy (CBT) for this disorder. Imagery rehearsal therapy (IRT) is a CBT that targets the treatment of nightmares directly.

Objectives: the present study describes the feasibility and the efficacy of combining IRT with first-line, trauma-focused CBT for PTSD.

Method: two individuals with PTSD took part in this experimental case study protocol. The efficacy of the combined treatment was evaluated using semi-structured interviews, self-report questionnaires, and daily self-monitoring diaries.

Results: after three IRT sessions for Participant 1 and five IRT sessions for Participant 2, combined with CBT for PTSD, both participants experienced a slight decrease in sleep difficulties and in the intensity of their PTSD symptoms post-treatment. More particularly, one participant demonstrated a significant decrease in the level of distress associated with his post-traumatic nightmares (PTNM).

Conclusions: these results demonstrate that it is possible and promising to combine IRT with CBT for PTSD.