title: A combined group treatment for nightmares and insomnia in combat veterans: a pilot study.
abstract: 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.
authors.affiliation: Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA. LMSwan@med.umich.edu
authors.forename: Leslie M
authors.initials: LM
authors.lastname: Swanson
authors.forename: Todd K
authors.initials: TK
authors.lastname: Favorite
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Horin
authors.forename: J Todd
authors.initials: JT
authors.lastname: Arnedt
mesh_terms: 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*
chemical_list: D011619:Psychotropic Drugs