Tags

Type your tag names separated by a space and hit enter

Combat-related PTSD nightmares and imagery rehearsal: nightmare characteristics and relation to treatment outcome.
J Trauma Stress. 2012 Oct; 25(5):511-8.JT

Abstract

The characteristics of nightmares of 48 male U.S. Vietnam war veterans with combat-related posttraumatic stress disorder (PTSD), as well as revised dream scripts developed in the course of Imagery Rehearsal therapy, were examined in relation to pretreatment symptomatology and treatment outcome. Features, content, and themes of nightmares and rescripted dreams were coded by 2 independent raters. Nightmares were replete with scenes of death and violence and were predominantly replays of actual combat events in which the veteran was under attack and feared for his life. Although addressing or resolving the nightmare theme with rescripting was associated with a reduction in sleep disturbance, references to violence in the rescripted dream were related to poorer treatment outcome in nightmare frequency; B = 5.69 (SE = 1.14). The experience of olfactory sensations in nightmares, a possible index of nightmare intensity, was also related to poorer treatment response; B = 2.95 (SE = 1.06). Imagery rehearsal for individuals with severe, chronic PTSD and fairly replicative nightmares may be most effective when the rescripted dream incorporates a resolution of the nightmare theme and excludes violent details.

Authors+Show Affiliations

Philadelphia VA Medical Center, Behavioral Health Service/Research, Philadelphia, Pennsylvania, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

23047646

Citation

Harb, Gerlinde C., et al. "Combat-related PTSD Nightmares and Imagery Rehearsal: Nightmare Characteristics and Relation to Treatment Outcome." Journal of Traumatic Stress, vol. 25, no. 5, 2012, pp. 511-8.
Harb GC, Thompson R, Ross RJ, et al. Combat-related PTSD nightmares and imagery rehearsal: nightmare characteristics and relation to treatment outcome. J Trauma Stress. 2012;25(5):511-8.
Harb, G. C., Thompson, R., Ross, R. J., & Cook, J. M. (2012). Combat-related PTSD nightmares and imagery rehearsal: nightmare characteristics and relation to treatment outcome. Journal of Traumatic Stress, 25(5), 511-8. https://doi.org/10.1002/jts.21748
Harb GC, et al. Combat-related PTSD Nightmares and Imagery Rehearsal: Nightmare Characteristics and Relation to Treatment Outcome. J Trauma Stress. 2012;25(5):511-8. PubMed PMID: 23047646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combat-related PTSD nightmares and imagery rehearsal: nightmare characteristics and relation to treatment outcome. AU - Harb,Gerlinde C, AU - Thompson,Richard, AU - Ross,Richard J, AU - Cook,Joan M, Y1 - 2012/10/09/ PY - 2012/10/11/entrez PY - 2012/10/11/pubmed PY - 2013/4/11/medline SP - 511 EP - 8 JF - Journal of traumatic stress JO - J Trauma Stress VL - 25 IS - 5 N2 - The characteristics of nightmares of 48 male U.S. Vietnam war veterans with combat-related posttraumatic stress disorder (PTSD), as well as revised dream scripts developed in the course of Imagery Rehearsal therapy, were examined in relation to pretreatment symptomatology and treatment outcome. Features, content, and themes of nightmares and rescripted dreams were coded by 2 independent raters. Nightmares were replete with scenes of death and violence and were predominantly replays of actual combat events in which the veteran was under attack and feared for his life. Although addressing or resolving the nightmare theme with rescripting was associated with a reduction in sleep disturbance, references to violence in the rescripted dream were related to poorer treatment outcome in nightmare frequency; B = 5.69 (SE = 1.14). The experience of olfactory sensations in nightmares, a possible index of nightmare intensity, was also related to poorer treatment response; B = 2.95 (SE = 1.06). Imagery rehearsal for individuals with severe, chronic PTSD and fairly replicative nightmares may be most effective when the rescripted dream incorporates a resolution of the nightmare theme and excludes violent details. SN - 1573-6598 UR - https://www.unboundmedicine.com/medline/citation/23047646/Combat_related_PTSD_nightmares_and_imagery_rehearsal:_nightmare_characteristics_and_relation_to_treatment_outcome_ L2 - https://doi.org/10.1002/jts.21748 DB - PRIME DP - Unbound Medicine ER -