Document Detail


Effectiveness of imagery rehearsal therapy for the treatment of combat-related nightmares in veterans.
MedLine Citation:
PMID:  20412888     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Imagery Rehearsal Therapy (IRT) has been shown to be efficacious in reducing nightmares, but the treatment has not been well-studied in veterans. The effectiveness of IRT was assessed from a chart review of veterans seeking outpatient treatment for chronic, trauma-related nightmares. Of those offered IRT, veterans who completed a full course of treatment for PTSD in the past year were more likely to initiate treatment. However, completion of IRT was not related to previous treatment, demographic variables, or nightmare severity reported at the first treatment session. Treatment completers reported significant reductions in nightmare frequency and intensity, severity of insomnia, and subjective daytime PTSD symptoms. Insomnia and PTSD symptoms, on average, were below clinical cutoffs following treatment, and 23% of patients showed a complete treatment response (< or =1 nightmare/week). Findings suggest IRT may be an effective short-term treatment for nighttime and daytime PTSD symptoms among veterans who complete a full course of treatment.
Authors:
Carla M Nappi; Sean P A Drummond; Steven R Thorp; John R McQuaid
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Publication Detail:
Type:  Journal Article     Date:  2009-12-16
Journal Detail:
Title:  Behavior therapy     Volume:  41     ISSN:  1878-1888     ISO Abbreviation:  Behav Ther     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-04-23     Completed Date:  2010-07-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1251640     Medline TA:  Behav Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  237-44     Citation Subset:  IM    
Copyright Information:
2009. Published by Elsevier Ltd.
Affiliation:
Veteran Affairs San Diego Healthcare Systems, 3350 La Jolla Village Dr., MC 151B, Building 13, 3rd floor, San Diego, CA 92161, USA. drummond@ucsd.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Combat Disorders / therapy*
Dreams*
Female
Humans
Imagery (Psychotherapy) / methods*
Male
Middle Aged
Retrospective Studies
Severity of Illness Index
Sleep Initiation and Maintenance Disorders / therapy
Stress Disorders, Post-Traumatic / therapy
Time Factors
Treatment Outcome
Veterans*
War
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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