Paper Title
A Controlled Study of Imagery Rehearsal for Chronic Nightmares in Sexual Assault Survivors With PTSD: A Preliminary Report
Keywords
- Imagery Rehearsal Therapy
- Chronic Nightmares
- Sexual Assault Survivors
- PTSD Treatment
- Randomized Controlled Study
- Nightmare Frequency
- Sleep Quality Improvement
- PTSD Severity Reduction
- Treatment Effects
- Psychological Intervention
- Trauma Recovery
- Follow-Up Assessment
- Therapy Dropout Rate
- Evidence-Based Treatment
- Social Psychology
- Stress Disorder
- Effective Treatment
- Sleep Quality
- PTSD
- Sexual Assault
- BDSM
- Kink
- Masturbation
- Sadism
- Masochism
- Chloroformed Gagged
- Gagged
- OTN
- OTM
- Tieable Mask
- Wrap Gagged
- Stuff Gagged
- Masturbation Fantasy
- Sexual Coercion
- Consent Violation
- Sexual Aggression
- Power Dynamics
- Sexual Violence
- Sexual Abuse
- Consent Education
- Rape Culture
- Psychological Impact
- Mummification
- Role Play
- Intimate Partner Violence
- Non-Consensual Sex
- Sexual Consent
- Sexual Fantasy
- Trauma-Informed Care
- Victim Blaming
- Abuse Prevention
- Pornography
- Victim Support
- Sexual Trauma
- Psychological Effects
- Aggressive Pornography
- Non-Consensual Acts
- Sexual Exploitation
- Sexual Coercion in Pornography
- Ethical Pornography
- Violence Prevention
- Recovery from Trauma
Journal
Research Impact Tools
Publication Info
Volume: 13 | Issue: 4 | Pages: 589–609
Published On
February, 2000
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Abstract
Imagery-rehearsal therapy for chronic nightmares was assessed in a randomized, controlled study of sexual assault survivors with posttraumatic stress disorder (PTSD). Nightmares, sleep quality, and PTSD were assessed at baseline for 169 women, who were randomized into two groups: treatment (n = 87) and wait-list control (n = 82). Treatment consisted of two 3-hr sessions and one 1-hr session conducted over 5 weeks. Of 169 participants, 91 women (Treatment, n = 43, Control, n = 48) completed a 3-month follow-up and 78 did not. At follow-up, nightmare frequency and PTSD severity decreased and sleep quality improved in the treatment group with small to minimal changes in the control group. Treatment effects were moderate to high (Cohen's d ranged from 0.57 to 1.26). Notwithstanding the large dropout rate, imagery-rehearsal therapy is an effective treatment for chronic nightmares in sexual assault survivors with PTSD and is associated with improvement in sleep quality and decreases in PTSD severity.
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