Case Series Utilizing Exposure, Relaxation, and Rescripting Therapy: Impact on Nightmares, Sleep Quality, and Psychological Distress

  title={Case Series Utilizing Exposure, Relaxation, and Rescripting Therapy: Impact on Nightmares, Sleep Quality, and Psychological Distress},
  author={Joanne L. Davis and David C. Wright},
  journal={Behavioral Sleep Medicine},
  pages={151 - 157}
Experiencing a traumatic event may initiate or exacerbate the occurrence of nightmares. Nightmares may impact sleep quality and quantity, posttraumatic stress symptoms, and depression. Recently, imagery rehearsal has gained attention in the treatment of trauma-related nightmares and is reported to be promising in the reduction of nightmares. On the basis of the vast literature describing the therapeutic benefits of exposure techniques for anxiety-related problems, the treatment was modified to… Expand
Exposure, Relaxation, and Rescripting Treatment for Trauma-Related Nightmares
  • Joanne L. Davis, David C. Wright
  • Psychology, Medicine
  • Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation
  • 2006
A modified version of IRT that incorporates all these techniques, with an enhanced exposure component and the addition of trauma themes and alteration of sleep habits is described. Expand
Exposure, Relaxation, and Rescripting Therapy for Trauma-Related Nightmares With Psychiatric Inpatients: A Case Series
Some preliminary support is offered for the provision of ERRT for the treatment of trauma-related nightmares for psychiatric inpatients in a private acute care inpatient psychiatric hospital setting. Expand
Imagery Rehearsal Therapy for PTSD-Related Nightmares
Veterans with combat-related post-traumatic stress disorder (PTSD) experience high rates of chronic nightmares that contribute to emotional distress and sleep disturbance. This chapter presentsExpand
Pilot Study: Brief Posttrauma Nightmare Treatment for Persons With Bipolar Disorder
Previous research on an efficacious cognitive-behavioral treatment for posttrauma nightmares and sleep disturbances (exposure, relaxation, and rescripting therapy; ERRT) has not tested the treatmentExpand
Imagery rescripting and exposure group treatment of posttraumatic nightmares in Veterans with PTSD.
Findings indicated that the intervention significantly reduced frequency of nightmares and PTSD severity, as well as increased hours of sleep, suggest that a nightmares treatment can be adapted to successfully reduce distress associated with combat Veterans' chronic nightmares. Expand
Cognitive-behavioral treatment for chronic nightmares in trauma-exposed persons: assessing physiological reactions to nightmare-related fear.
Results of mixed effects analysis of variance models suggested treatment reduced physiological and subjective reactions to nightmare imagery, gains that were generally maintained at the 6-month follow-up. Expand
Multi-component Treatment for Posttraumatic Nightmares in Vietnam Veterans: Two Case Studies
Preliminary findings provide encouraging data that warrant further study and describe the initial investigation of a variant of a treatment that has been successful in treating chronic PTNMs in the civilian population and has been modified to meet the needs of the Veteran population. Expand
Preliminary validation of a brief measure of the frequency and severity of nightmares: The Trauma-Related Nightmare Survey
Results support previous findings that the Trauma-Related Nightmare Survey demonstrates good test–retest reliability and moderate to strong convergent validity with other commonly utilized measures of sleep and mood symptoms. Expand
Treating nightmares and insomnia in posttraumatic stress disorder: A review of current evidence
The ability to treat PTSD-related sleep disturbances may be improved by moving away from considering sleep symptoms in isolation and instead conducting integrative studies that examine sequential or combined behavioral and/or pharmacological treatments targeting both the daytime and nighttime aspects of PTSD. Expand
Critical Review of the Evidence Base of Imagery Rehearsal for Posttraumatic Nightmares : Pointing the Way for Future Research
Sleep disturbances are among the most commonly endorsed symptoms of post-traumatic stress disorder (PTSD). Treatment modalities that are effective for the waking symptoms of PTSD may have limitedExpand


Imagery rehearsal therapy for chronic nightmares in sexual assault survivors with posttraumatic stress disorder: a randomized controlled trial.
Imagery rehearsal therapy is a brief, well-tolerated treatment that appears to decrease chronic nightmares, improve sleep quality, and decrease PTSD symptom severity. Expand
Imagery Rehearsal in the Treatment of Posttraumatic Nightmares in Australian Veterans with Chronic Combat-Related PTSD: 12-Month Follow-Up Data
Preliminary evidence is provided that the positive treatment effects of IRT on posttraumatic nightmares, PTSD, and broader symptomatology in males with chronic combat-related PTSD are maintained in the longer term. Expand
Nocturnal Re-Experiencing More Than Forty Years After War Trauma
Analysis of Posttraumatic Nightmares and Posttraumatic Anxiety Dreams in Dutch combat veterans and World War II victims demonstrated that they were often experienced as exact replications of the original traumatic events. Expand
The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research
The clinimetric and clinical properties of the PSQI suggest its utility both in psychiatric clinical practice and research activities. Expand
Cognitive Processing Therapy for Rape Victims: A Treatment Manual
PART ONE: RAPE AND ITS AFTERMATH Introduction Information Processing Theory and Relevant Treatments Diagnosis and Assessment PART TWO: COGNITIVE PROCESSING THERAPY: SESSION BY SESSION IntroductionExpand
An inventory for measuring depression.
The difficulties inherent in obtaining consistent and adequate diagnoses for the purposes of research and therapy have been pointed out and a wide variety of psychiatric rating scales have been developed. Expand
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