scholarly journals Comparative Meta-Analysis of Prazosin and Imagery Rehearsal Therapy for Nightmare Frequency, Sleep Quality, and Posttraumatic Stress

2015 ◽  
Vol 11 (01) ◽  
pp. 11-22 ◽  
Author(s):  
Gilbert Seda ◽  
Maria M. Sanchez-Ortuno ◽  
Carolyn H. Welsh ◽  
Ann C. Halbower ◽  
Jack D. Edinger
Keyword(s):  
Sleep Quality ◽  
Posttraumatic Stress ◽  
Meta Analysis ◽  
Imagery Rehearsal Therapy ◽  
Imagery Rehearsal

scholarly journals 1222 Does Creativity & “Dose” Enhance Outcomes in Imagery Rehearsal Therapy? A Case of Successful IRT

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A467-A467
Author(s):  
Alicia J Roth ◽  
Michelle Drerup
Keyword(s):  
Sleep Quality ◽  
Verbal Memory ◽  
Self Efficacy ◽  
Guided Imagery ◽  
Average Intensity ◽  
Mild Depression ◽  
Written Narratives ◽  
Imagery Rehearsal Therapy ◽  
Nightmare Disorder ◽  
Imagery Rehearsal

Abstract Introduction Imagery Rehearsal Therapy (IRT) is an efficacious treatment for Nightmare Disorder. In IRT, patients practice pleasant guided imagery techniques, then use these skills to re-script recurring nightmares, which lowers the frequency and intensity of overall nightmare activity. However, the most efficacious methods and dosage of guided imagery and nightmare re-scripting is undetermined. Report of Case The patient was a 70-year-old male with Nightmare Disorder. Patient denied any precipitating event or trauma associated with nightmare onset. He has a longstanding history of depression and OSA (uses CPAP). He was taking Seroquel, which reduced severity of nightmares but not frequency. Trials of other medications for nightmares had failed (including prazosin, Depakote, and trazodone). Patient presented as highly distressed, exhibited distrust towards medical providers, and was skeptical about the effectiveness of IRT. Despite his skepticism, patient self-initiated very detailed and media-enhanced methods for pleasant guided imagery and nightmare re-scripting, including written narratives, voice recordings, and created a movie of his re-scripted nightmare with pictures set to music. He listened to the recordings 2-3x/day. Themes of nightmares included lack of mastery over problems; patient’s re-scripted dreams put him back in control of frightening scenarios. Nightmare logs at baseline showed sleep quality=1.9/5; average=2.0 nightmares/night; average intensity= 6.2/10. At week 15 of treatment, sleep quality=3/5; nightmares/night average=0.25; average intensity=6/10. Sleep disturbance also improved (ISI=18-moderately severe clinical insomnia to 11-subthreshold insomnia); mood was stable (PHQ=5-mild depression). Conclusion Previous studies have suggested that IRT increases patients’ sense of mastery or perceived self-efficacy over nightmares (Rousseau et al., 2018). Additionally, higher verbal memory in persons with trauma-related nightmares has been shown to improve nightmare frequency and severity in IRT (Scott et al., 2017). In this case study, self-efficacy may have been activated by the highly detailed and media-enhanced imagery the patient created. Further empirical research on the mechanisms for enhancing IRT is warranted.

Treating your worst nightmare: a case-series of imagery rehearsal therapy for nightmares in individuals experiencing psychotic symptoms

2015 ◽  
Vol 8 ◽  
Author(s):  
Bryony Sheaves ◽  
Juliana Onwumere ◽  
Nadine Keen ◽  
Elizabeth Kuipers
Keyword(s):  
Working Memory ◽  
Sleep Quality ◽  
Emotional Response ◽  
Case Series ◽  
Small Sample ◽  
Psychotic Symptoms ◽  
Imagery Rehearsal Therapy ◽  
Affective Symptoms ◽  
Additional Control ◽  
Imagery Rehearsal

AbstractPrevious research has indicated that nightmares might be a common problem for people with psychotic symptoms. Furthermore, more distressing nightmares have been associated with higher levels of delusional severity, depression, anxiety, stress and working memory. However no known research has investigated the use of nightmare treatments in those with symptoms of psychosis. This study aimed to assess the acceptability and feasibility of using imagery rehearsal (IR) therapy as a treatment of nightmares for those presenting with co-morbid psychotic symptoms. Six participants presenting with frequent distressing nightmares and psychotic symptoms were recruited. Five participants attended 4–6 sessions of IR. Measures of nightmares, sleep quality, psychotic and affective symptoms were completed at baseline and immediately following the intervention. It was feasible to adapt IR for those experiencing psychotic symptoms. Descriptive improvements were noted on measures of nightmare-related distress, vividness and intensity. Positive post-session feedback endorsed the acceptability of IR. Nightmare frequency did not reduce following IR; however, participants described a change in emotional response. IR was an acceptable and feasible intervention for this small sample. A larger study powered to detect group changes, with an additional control is warranted to test the efficacy of the intervention for those with psychosis.

scholarly journals Imagery Rehearsal Therapy for Chronic Nightmares in Sexual Assault Survivors With Posttraumatic Stress Disorder

JAMA ◽  
2001 ◽  
Vol 286 (5) ◽  
pp. 537 ◽  
Author(s):  
Barry Krakow ◽  
Michael Hollifield ◽  
Lisa Johnston ◽  
Mary Koss ◽  
Ron Schrader ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Sexual Assault ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Sexual Assault Survivors ◽  
Imagery Rehearsal Therapy ◽  
Imagery Rehearsal ◽  
Assault Survivors

scholarly journals Internet-Based Intervention for Posttraumatic Stress Disorder: Using Remote Imagery Rehearsal Therapy to Treat Nightmares

2019 ◽  
Vol 88 (5) ◽  
pp. 315-316 ◽  
Author(s):  
Benjamin Putois ◽  
Laure Peter-Derex ◽  
Wendy Leslie ◽  
Claire Braboszcz ◽  
Wissam El-Hage ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Imagery Rehearsal Therapy ◽  
Internet Based Intervention ◽  
Imagery Rehearsal

Chronische Alpträume: Wirksamkeit eines deutschsprachigen Manuals zur angeleiteten Selbsthilfe mit Imagery Rehearsal Therapy

2012 ◽  
Vol 41 (4) ◽  
pp. 249-257 ◽  
Author(s):  
Tana Kröner ◽  
Kathrin Hansen ◽  
Regina Steil
Keyword(s):  
Face To Face ◽  
Imagery Rehearsal Therapy ◽  
Imagery Rehearsal

Theoretischer Hintergrund: Chronische Alpträume stellen eine weit verbreitete Schlafstörung dar, welche einen hohen Leidensdruck hervorruft. Als besonders wirksam in der Behandlung gilt die Imagery Rehearsal Therapy (IRT). Selbsthilfeprogramme stellen hierbei eine effektive, ökonomische Behandlungsoption dar. Fragestellung: Die vorliegende Pilotstudie untersucht die Wirksamkeit einer neuen, IRT-basierten, angeleiteten Selbsthilfe. Methode: 10 Patienten mit chronischen Alpträumen wurden im Rahmen von 4 face-to-face-Sitzungen vor Intervention (T1) sowie 4 Wochen (T2) und 3 Monate (T3) danach hinsichtlich Alptraumhäufigkeit sowie verschiedener psychosozialer Parameter untersucht. Ergebnisse: Die Alptraumhäufigkeit reduzierte sich innerhalb von 4 Wochen signifikant (T1-T2; Effektstärke: 1,0). Dieser Effekt blieb über 3 Monate stabil (T1-T3; Effektstärke: 1,26). Zudem reduzierten sich signifikant Depressions-, Angst- und Anspannungsparameter sowie das Stresserleben. Schlussfolgerung: Das deutschsprachige Selbsthilfemanual könnte eine wirksame Behandlungsmöglichkeit zur Reduktion von Alpträumen darstellen.

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