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Purpose of Review <p>We review the recent published literature on nightmare-focused interventions, including imagery rehearsal therapy, for trauma-exposed adult populations.</p> Recent Findings <p>Imagery rehearsal therapy (IRT) and prazosin remain the most supported treatments, though results vary across studies. New consensus guidelines have led to Cognitive Behavioral Therapy for Nightmares (CBT-N), which integrates rescripting, exposure, and sleep strategies. Digital self-management, brief coaching-support, and tools like lucid dreaming or targeted memory reactivation show promise. Integrated and sequenced approaches with PTSD or insomnia treatments may improve outcomes, though evidence remains mixed.</p> Summary <p>While trauma-focused treatments reduce PTSD symptoms, nightmares may persist without targeted care. Standardized CBT-based approaches, consistent outcome measurement, and studies on mechanisms and sequencing are needed to optimize and expand access to nightmare treatment.</p>

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Status of Imagery Rehearsal Therapy and Other Interventions for Nightmare Treatment in PTSD

  • 期刊论文

  • 发表日期：

    2025年9月11日

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  • Christine J. So,
  • Courtney J. Bolstad,
  • Katherine E. Miller

摘要

Purpose of Review

We review the recent published literature on nightmare-focused interventions, including imagery rehearsal therapy, for trauma-exposed adult populations.

Recent Findings

Imagery rehearsal therapy (IRT) and prazosin remain the most supported treatments, though results vary across studies. New consensus guidelines have led to Cognitive Behavioral Therapy for Nightmares (CBT-N), which integrates rescripting, exposure, and sleep strategies. Digital self-management, brief coaching-support, and tools like lucid dreaming or targeted memory reactivation show promise. Integrated and sequenced approaches with PTSD or insomnia treatments may improve outcomes, though evidence remains mixed.

Summary

While trauma-focused treatments reduce PTSD symptoms, nightmares may persist without targeted care. Standardized CBT-based approaches, consistent outcome measurement, and studies on mechanisms and sequencing are needed to optimize and expand access to nightmare treatment.