%0 Journal Article
%T A pilot randomized controlled trial of cognitive behavioral treatment for trauma-related nightmares in active duty military personnel
%J Journal of clinical sleep medicine
%D 2020
%A Pruiksma, Kristi E.
%A Taylor, Daniel J.
%A Mintz, Jim
%A Nicholson, Karin L.
%A Rodgers, Matthew
%A Young-McCaughan, Stacey
%A Hall-Clark, Brittany N.
%A Fina, Brooke A.
%A Dondanville, Katherine A.
%A Cobos, Briana
%A Wardle-Pinkston, Sophie
%A Litz, Brett T.
%A Roache, John D.
%A Peterson, Alan L.
%V 16
%N 1
%P 29-40
%X STUDY OBJECTIVES: The aim of this study was to obtain preliminary data on the efficacy, credibility, and acceptability of Exposure, relaxation, and rescripting therapy for military service members and veterans (ERRT-M) in active duty military personnel with trauma-related nightmares. <br><br>METHODS: Forty participants were randomized to either 5 sessions of ERRT-M or 5 weeks of minimal contact control (MCC) followed by ERRT-M. Assessments were completed at baseline, posttreatment/postcontrol, and 1-month follow-up. <br><br>RESULTS: Differences between ERRT-M and control were generally medium in size for nightmare frequency (Cohen d = -0.53), nights with nightmares (d = -0.38), nightmare severity (d = -0.60), fear of sleep (d = -0.44), and symptoms of insomnia (d = -0.52), and depression (d = -0.51). In the 38 participants who received ERRT-M, there were statistically significant, medium-sized decreases in nightmare frequency (d = -0.52), nights with nightmares (d = -0.50), nightmare severity (d = -0.55), fear of sleep (d = -0.48), and symptoms of insomnia (d = -0.59), posttraumatic stress disorder (PTSD) (d = -0.58) and depression (d = -0.59) from baseline to 1-month follow-up. Participants generally endorsed medium to high ratings of treatment credibility and expectancy. The treatment dropout rate (17.5%) was comparable to rates observed for similar treatments in civilians. <br><br>CONCLUSIONS: ERRT-M produced medium effect-size reductions in nightmares and several secondary outcomes including PTSD, depression, and insomnia. Participants considered ERRT-M to be credible. An adequately powered randomized clinical trial is needed to confirm findings and to compare ERRT-M to an active treatment control. CLINICAL TRIAL REGISTRATION: Registry: ClinicalTrials.gov; Title: A Pilot Randomized Controlled Trial of Treatment for Trauma-Related Nightmares In Active Duty Military Personnel; Identifier: NCT02506595; URL: https://clinicaltrials.gov/ct2/show/NCT02506595.<br><br>© 2020 American Academy of Sleep Medicine.<p /> <p>Language: en</p>
%G en
%I American Academy of Sleep Medicine
%@ 1550-9389
%U http://dx.doi.org/10.5664/jcsm.8116