Chronische Alpträume: Wirksamkeit eines deutschsprachigen Manuals zur angeleiteten Selbsthilfe mit Imagery Rehearsal Therapy

2012 ◽  
Vol 41 (4) ◽  
pp. 249-257 ◽  
Author(s):  
Tana Kröner ◽  
Kathrin Hansen ◽  
Regina Steil
Keyword(s):  
Face To Face ◽  
Imagery Rehearsal Therapy ◽  
Imagery Rehearsal

Theoretischer Hintergrund: Chronische Alpträume stellen eine weit verbreitete Schlafstörung dar, welche einen hohen Leidensdruck hervorruft. Als besonders wirksam in der Behandlung gilt die Imagery Rehearsal Therapy (IRT). Selbsthilfeprogramme stellen hierbei eine effektive, ökonomische Behandlungsoption dar. Fragestellung: Die vorliegende Pilotstudie untersucht die Wirksamkeit einer neuen, IRT-basierten, angeleiteten Selbsthilfe. Methode: 10 Patienten mit chronischen Alpträumen wurden im Rahmen von 4 face-to-face-Sitzungen vor Intervention (T1) sowie 4 Wochen (T2) und 3 Monate (T3) danach hinsichtlich Alptraumhäufigkeit sowie verschiedener psychosozialer Parameter untersucht. Ergebnisse: Die Alptraumhäufigkeit reduzierte sich innerhalb von 4 Wochen signifikant (T1-T2; Effektstärke: 1,0). Dieser Effekt blieb über 3 Monate stabil (T1-T3; Effektstärke: 1,26). Zudem reduzierten sich signifikant Depressions-, Angst- und Anspannungsparameter sowie das Stresserleben. Schlussfolgerung: Das deutschsprachige Selbsthilfemanual könnte eine wirksame Behandlungsmöglichkeit zur Reduktion von Alpträumen darstellen.

Rem-Tracker

Schlaf ◽  
2018 ◽  
Vol 07 (02) ◽  
pp. 76-80
Author(s):  
Friedrich Gauger ◽  
Gerhart Schroff ◽  
Wilhelm Stork
Keyword(s):  
Imagery Rehearsal Therapy ◽  
Imagery Rehearsal

Die Behandlung von Albträumen erfolgt bislang meist psychotherapeutisch. Ein in der Praxis bewährtes Verfahren ist die Imagery Rehearsal Therapy (IRT). Untersuchungen zeigen, dass die Effektivität der IRT erhöht werden kann, wenn der Patient die Fähigkeit zum Klarträumen erlangt. Die gängige Technologie zur Klartrauminduktion kann bislang nur in entsprechend qualifizierten Schlaflaboren eingesetzt werden.Der REM-TRACKER bietet erstmals die Möglichkeit der Klartrauminduktion mittels einer einfach handhabbaren Technologie, die auch im häuslichen Umfeld eingesetzt werden kann.

The impact of imagery rehearsal therapy on dream enactment in a patient with REM-sleep behavior disorder: A case study.

Dreaming ◽  
2021 ◽  
Vol 31 (3) ◽  
pp. 195-206
Author(s):  
Christina Pierpaoli-Parker ◽  
Courtney J. Bolstad ◽  
Erica Szkody ◽  
Amy W. Amara ◽  
Michael R. Nadorff ◽  
...  
Keyword(s):  
Rem Sleep ◽  
Rem Sleep Behavior Disorder ◽  
Behavior Disorder ◽  
Sleep Behavior ◽  
Imagery Rehearsal Therapy ◽  
The Impact ◽  
Imagery Rehearsal

scholarly journals Comparative Meta-Analysis of Prazosin and Imagery Rehearsal Therapy for Nightmare Frequency, Sleep Quality, and Posttraumatic Stress

2015 ◽  
Vol 11 (01) ◽  
pp. 11-22 ◽  
Author(s):  
Gilbert Seda ◽  
Maria M. Sanchez-Ortuno ◽  
Carolyn H. Welsh ◽  
Ann C. Halbower ◽  
Jack D. Edinger
Keyword(s):  
Sleep Quality ◽  
Posttraumatic Stress ◽  
Meta Analysis ◽  
Imagery Rehearsal Therapy ◽  
Imagery Rehearsal

Imagery Rehearsal Therapy: Principles and Practice

2010 ◽  
Vol 5 (2) ◽  
pp. 289-298 ◽  
Author(s):  
Barry Krakow ◽  
Antonio Zadra
Keyword(s):  
Imagery Rehearsal Therapy ◽  
Imagery Rehearsal

scholarly journals 1222 Does Creativity & “Dose” Enhance Outcomes in Imagery Rehearsal Therapy? A Case of Successful IRT

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A467-A467
Author(s):  
Alicia J Roth ◽  
Michelle Drerup
Keyword(s):  
Sleep Quality ◽  
Verbal Memory ◽  
Self Efficacy ◽  
Guided Imagery ◽  
Average Intensity ◽  
Mild Depression ◽  
Written Narratives ◽  
Imagery Rehearsal Therapy ◽  
Nightmare Disorder ◽  
Imagery Rehearsal

Abstract Introduction Imagery Rehearsal Therapy (IRT) is an efficacious treatment for Nightmare Disorder. In IRT, patients practice pleasant guided imagery techniques, then use these skills to re-script recurring nightmares, which lowers the frequency and intensity of overall nightmare activity. However, the most efficacious methods and dosage of guided imagery and nightmare re-scripting is undetermined. Report of Case The patient was a 70-year-old male with Nightmare Disorder. Patient denied any precipitating event or trauma associated with nightmare onset. He has a longstanding history of depression and OSA (uses CPAP). He was taking Seroquel, which reduced severity of nightmares but not frequency. Trials of other medications for nightmares had failed (including prazosin, Depakote, and trazodone). Patient presented as highly distressed, exhibited distrust towards medical providers, and was skeptical about the effectiveness of IRT. Despite his skepticism, patient self-initiated very detailed and media-enhanced methods for pleasant guided imagery and nightmare re-scripting, including written narratives, voice recordings, and created a movie of his re-scripted nightmare with pictures set to music. He listened to the recordings 2-3x/day. Themes of nightmares included lack of mastery over problems; patient’s re-scripted dreams put him back in control of frightening scenarios. Nightmare logs at baseline showed sleep quality=1.9/5; average=2.0 nightmares/night; average intensity= 6.2/10. At week 15 of treatment, sleep quality=3/5; nightmares/night average=0.25; average intensity=6/10. Sleep disturbance also improved (ISI=18-moderately severe clinical insomnia to 11-subthreshold insomnia); mood was stable (PHQ=5-mild depression). Conclusion Previous studies have suggested that IRT increases patients’ sense of mastery or perceived self-efficacy over nightmares (Rousseau et al., 2018). Additionally, higher verbal memory in persons with trauma-related nightmares has been shown to improve nightmare frequency and severity in IRT (Scott et al., 2017). In this case study, self-efficacy may have been activated by the highly detailed and media-enhanced imagery the patient created. Further empirical research on the mechanisms for enhancing IRT is warranted.

scholarly journals Imagery Rehearsal Based Art Therapy: Treatment of Post-traumatic Nightmares in Art Therapy

2021 ◽  
Vol 11 ◽  
Author(s):  
Suzanne Haeyen ◽  
Merel Staal
Keyword(s):  
Art Therapy ◽  
Field Research ◽  
Added Value ◽  
Traumatic Experiences ◽  
Traumatic Memories ◽  
Imagery Rehearsal Therapy ◽  
Post Traumatic ◽  
Creative Space ◽  
Line Ending ◽  
Imagery Rehearsal

Imagery Rehearsal Therapy (IRT) is effective for trauma-related nightmares and is also a challenge to patients in finding access to their traumatic memories, because these are saved in non-verbal, visual, or audiovisual language. Art therapy (AT) is an experiential treatment that addresses images rather than words. This study investigates the possibility of an IRT-AT combination. Systematic literature review and field research was conducted, and the integration of theoretical and practice-based knowledge resulted in a framework for Imagery Rehearsal-based Art Therapy (IR-AT). The added value of AT in IRT appears to be more readily gaining access to traumatic experiences, living through feelings, and breaking through avoidance. Exposure and re-scripting take place more indirectly, experientially and sometimes in a playlike manner using art assignments and materials. In the artwork, imagination, play and fantasy offer creative space to stop the vicious circle of nightmares by changing theme, story line, ending, or any part of the dream into a more positive and acceptable one. IR-AT emerges as a promising method for treatment, and could be especially useful for patients who benefit least from verbal exposure techniques. This description of IR-AT offers a base for further research.

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