At a glance
ClinicalIndex Comparison Record- ✓Male gender
- ✓Vietnam Combat Veteran
- ✓Diagnosis of combat-related PTSD
- ✓Experiences recurrent nightmares
- ✕Bipolar disorder, delirium, dementia, amnestic and other cognitive disorders
- ✕Schizophrenia and other psychotic disorders
- ✕Substance abuse or dependence within the last six months
- ✕Untreated medical disorders known to impact sleep
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
7857 Cognitive - Behavioral Treatments for PTSD Sleep Disturbance
In Brief
A clinical study evaluating Imagery Rehearsal and Sleep and Nightmare Management for Post-traumatic Stress Disorder. Completed, enrolled 134 participants across 1 site.
Detailed Summary
The purpose of this study is to compare the effectiveness of two cognitive behavioral group psychotherapy interventions in controlling the subjective sleep disturbance in veterans with Post-traumatic Stress Disorder.
Study Details
Timeline
Interventions
IR is a manual-based CBT predicated on the idea that waking mental activity influences nighttime dreams. Veterans examine the content of a recurrent nightmare, use imagery to alter disturbing aspects of the nightmare to promote mastery and control, and rehearse the new dream nightly, before bedtime.
This comparison condition involved psychoeducation about PTSD, sleep and nightmares, progressive muscle relaxation and standard CBT for insomnia. This latter part included education about sleep hygiene (e.g., avoidance of caffeine and alcohol close to bedtime, benefit of regular bed time routines), stimulus control and sleep restriction (i.e., reestablishing a conditioned association between the bed/bedroom and sleep by reducing time spent tossing and turning in bed). Therapists worked with patients to identify problem areas in their sleep habits and to problem-solve about possible treatment targets