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Pilot study: Brief posttrauma nightmare treatment for persons with bipolar disorder.
Dreaming ( IF 0.8 ) Pub Date : 2018-06-01 , DOI: 10.1037/drm0000082
Katherine E. Miller , Joanne L. Davis , Jamie L. Rhudy

Previous research on an efficacious cognitive-behavioral treatment for posttrauma nightmares and sleep disturbances (exposure, relaxation, and rescripting therapy; ERRT) has not tested the treatment in individuals with bipolar disorder. However, research suggests that individuals diagnosed with bipolar disorder are at increased risk for trauma exposure and development of posttrauma symptoms. The present pilot study sought to examine the acceptability and preliminary efficacy of a modified version of ERRT (ERRT-B) on reducing the frequency and severity of nightmares and improving sleep quality for 7 trauma-exposed individuals diagnosed with bipolar disorder who also reported frequent posttrauma nightmares (experienced on average for 16 years). Participants attended 5 weeks of ERRT-B and completed baseline, posttreatment, and 3-month follow-up assessments to measure changes in nightmare frequency, nightmare severity, and associated symptoms. Large effect sizes were observed for nightmare frequency, nightmare severity, and posttraumatic stress disorder symptoms, with 6 participants reporting zero nightmares at the 3-month follow-up assessment. Improvements in depression, global sleep quality, and insomnia severity were mixed. Results obtained from this study offer preliminary evidence in support of ERRT-B in reducing nightmare frequency and severity, and posttraumatic stress disorder symptoms. These results suggest clinical utility for the treatment of trauma-related nightmares in individuals with bipolar disorder and encourage more research.

中文翻译:

试点研究:对双相情感障碍患者进行简短的创伤后噩梦治疗。

先前针对创伤后噩梦和睡眠障碍的有效认知行为治疗(暴露、放松和复述治疗;ERRT)的研究尚未在双相情感障碍患者中测试该治疗。然而,研究表明,被诊断出患有双相情感障碍的个体面临创伤暴露和创伤后症状发展的风险增加。目前的试点研究旨在检查 ERRT (ERRT-B) 的改进版本在减少噩梦的频率和严重程度以及改善 7 名被诊断患有双相情感障碍并报告频繁创伤后患者的睡眠质量方面的可接受性和初步疗效噩梦(平均经历 16 年)。参与者参加了 5 周的 ERRT-B 并完成了基线、治疗后、和 3 个月的随访评估,以测量噩梦频率、噩梦严重程度和相关症状的变化。在噩梦频率、噩梦严重程度和创伤后应激障碍症状方面观察到较大的影响,6 名参与者在 3 个月的随访评估中报告零噩梦。抑郁症、整体睡眠质量和失眠严重程度的改善喜忧参半。从这项研究中获得的结果提供了初步证据,支持 ERRT-B 减少噩梦的频率和严重程度,以及创伤后应激障碍症状。这些结果表明治疗双相情感障碍患者与创伤相关的噩梦的临床效用,并鼓励更多的研究。在噩梦频率、噩梦严重程度和创伤后应激障碍症状方面观察到较大的影响,6 名参与者在 3 个月的随访评估中报告零噩梦。抑郁症、整体睡眠质量和失眠严重程度的改善喜忧参半。从这项研究中获得的结果提供了初步证据,支持 ERRT-B 减少噩梦的频率和严重程度,以及创伤后应激障碍症状。这些结果表明治疗双相情感障碍患者与创伤相关的噩梦的临床效用,并鼓励更多的研究。在噩梦频率、噩梦严重程度和创伤后应激障碍症状方面观察到较大的影响,6 名参与者在 3 个月的随访评估中报告零噩梦。抑郁症、整体睡眠质量和失眠严重程度的改善喜忧参半。从这项研究中获得的结果提供了初步证据,支持 ERRT-B 减少噩梦的频率和严重程度,以及创伤后应激障碍症状。这些结果表明治疗双相情感障碍患者与创伤相关的噩梦的临床效用,并鼓励更多的研究。和失眠的严重程度是混合的。从这项研究中获得的结果提供了初步证据,支持 ERRT-B 减少噩梦的频率和严重程度,以及创伤后应激障碍症状。这些结果表明治疗双相情感障碍患者与创伤相关的噩梦的临床效用,并鼓励更多的研究。和失眠的严重程度是混合的。从这项研究中获得的结果提供了初步证据,支持 ERRT-B 减少噩梦的频率和严重程度,以及创伤后应激障碍症状。这些结果表明治疗双相情感障碍患者与创伤相关的噩梦的临床效用,并鼓励更多的研究。
更新日期:2018-06-01
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