Anxiety Disorders Clinical Trial
Official title:
A Randomised Controlled Trial of Imagery Rehearsal Therapy (IRT) of Nightmares in a Psychiatric Population
The purpose of this study is to determine whether Imagery Rehearsal Therapy(IRT) is effective in the reduction of the number of nightmares and the nightmare distress in a population of patients with psychiatric disorders.
Within the normal population 4-8% of the people suffer regularly from nightmares. Clinical
observations show that nightmares are a common problem for patients who suffer from all
kinds of psychiatric disorders, and not just for the patients diagnosed with PTSD. Often
nightmares can lead to sleep disorders, which have a negative impact on emotional well-being
and cognitive functioning during the day. As well as this a strong relationship between
severity of nightmares and severity of psychopathology has been found. This gives a strong
argument for treatment of nightmares as a symptom, separate from the psychiatric disorder.
A few controlled studies of the treatment of nightmares have been published, in which
behavioral therapy, relaxation techniques, exposure and systematic desensitization have been
studied, all of which have shown positive results. But these techniques do not seem to
reduce the number of nightmares in patients who suffer from PTSD. These last few years more
controlled studies of a cognitive behavioral technique called 'Imagery Rehearsal Therapy'
(IRT) have been published. With IRT patients have to change the script of their nightmares
into a different outcome, and rehearse this new script using cognitive imagery a few times a
day.
Comparisons: treatment of nightmares with IRT compared to a waitlist control group who do
not get IRT until 6 months later.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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