Dismantling Exposure, Relaxation, and Rescripting Therapy

Conditions

• Frequent Trauma-related Nightmares

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Exposure, Relaxation, and Rescripting Therapy — BEHAVIORAL
  Brief cognitive behavioral treatment targeting trauma-related nightmares and sleep problems

Study Details

The purpose of this case series dismantling study is to extend previous findings regarding the efficacy of a brief treatment for chronic post-trauma nightmares by examining the dose effect and mechanism of change. Exposure, relaxation, and rescripting therapy (ERRT) is a promising psychological intervention developed to target trauma-related nightmares and sleep disturbances. ERRT has exhibited strong support in reducing the frequency and intensity of nightmares, as well as improving overall sleep quality in both civilian and veteran samples. In addition, significant decreases in PTSD and depression symptoms have been reported following treatment (Davis et al., 2011; Davis \& Wright, 2007; Long et al., 2011; Swanson, Favorite, Horin, \& Arnedt, 2009). ERRT is currently an evidence-level B suggested treatment (Cranston, Davis, Rhudy, \& Favorite, 2011). Despite this evidence, the mechanism of change for ERRT remains unclear. We propose to conduct a set of case series in order to examine the possible mechanisms: psycho-education, dose response for exposure, and no exposure components of the treatment. Each part of the treatment is theorized to contribute to the improved treatment outcome and it is hypothesized that participants will benefit no matter what group they are in. All participants will receive 5 to 6 treatment sessions, conducted once per week for about 90 minutes, of a modified version of ERRT.

Key Dates

Start date

Aug 31, 2014

Status verified

Jul 2024

Primary completion

Jul 31, 2025

Completion

Aug 31, 2025

Study Design

Enrollment

50 participants (estimated)

Allocation

NON_RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Arms

• Active Comparator: ERRT - Enhanced Exposure
  Exposure, Relaxation, and Rescripting Therapy, 5 sessions, with enhanced exposure techniques
• Active Comparator: ERRT - Sleep and Relaxation
  Exposure, Relaxation, and Rescripting Therapy protocol, 5 sessions, focused on sleep and relaxation
• Active Comparator: ERRT-Rescription
  Exposure, Relaxation, and Rescripting Therapy, 5 sessions, with rescription but no exposure
• Active Comparator: ERRT-Sleep
  Exposure, Relaxation, and Rescripting Therapy, 5 sessions, with enhanced sleep techniques
• Active Comparator: ERRT - Consensus Manual
  Consensus Protocol, 6 sessions, includes components of ERRT and other nightmare protocols.

Primary Outcome Measure

Nightmare Frequency Past Week [ Time Frame: up to 6 months followup ]

Central Contacts

• Joanne L Davis, PhD
  9186312875
  [email protected]
• Lucia D Villarreal, MS
  9186313976
  [email protected]

Locations (1)

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