A combined group treatment for nightmares and insomnia in combat veterans: a pilot study.
Insomnia and nightmares are hallmarks of posttraumatic stress disorder (PTSD). Sleep disturbances in PTSD negatively impact clinical course and functioning. In this open clinical trial, the preliminary effects of a combined treatment for insomnia and nightmares in combat veterans with PTSD were assessed. Ten combat veterans participated in a 10-session group treatment combining cognitive-behavioral therapy for insomnia with exposure, rescripting, and relaxation therapy. Participants maintained daily sleep and dream diaries and completed self-report measures of sleep quality and PTSD symptoms pre- and posttreatment. Participants reported improvements in sleep and nightmares following treatment. Future research using controlled designs to evaluate this treatment is warranted.
Swanson
Leslie M
LM
Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA. LMSwan@med.umich.edu
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Todd K
TK
Horin
Elizabeth
E
Arnedt
J Todd
JT
D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003130:Combat Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D003131:Combined Modality Therapy; D015897:Comorbidity; D004325:Dreams; D006801:Humans; D007171:Implosive Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011615:Psychotherapy, Group / Q000379:methods*; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012064:Relaxation Therapy; D012648:Self Care / Q000523:psychology; D020377:Self Efficacy; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D014728:Veterans / Q000523:psychology*
D011619:Psychotropic Drugs