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Sponsors and Collaborators: |
Symfora groep Utrecht University |
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Information provided by: | Symfora groep |
ClinicalTrials.gov Identifier: | NCT00291031 |
The purpose of this study is to determine whether Imagery Rehearsal Therapy(IRT) is effective in the reduction of the number of nightmares and the nightmare distress in a population of patients with psychiatric disorders.
Condition | Intervention | Phase |
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Nightmares Anxiety Disorders Mood Disorders Personality Disorders |
Behavioral: Imagery Rehearsal Therapy (IRT) |
Phase I Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Single Blind (Outcomes Assessor), Dose Comparison, Single Group Assignment, Efficacy Study |
Official Title: | A Randomised Controlled Trial of Imagery Rehearsal Therapy (IRT) of Nightmares in a Psychiatric Population |
Estimated Enrollment: | 100 |
Study Start Date: | February 2006 |
Estimated Study Completion Date: | December 2010 |
Estimated Primary Completion Date: | May 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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IRT: Experimental
Patients randomly assigned to the IRT condition receive Imagery Rehearsal Therapy after 4 weeks since the entrance into the trial next to their treatment as usual.
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Behavioral: Imagery Rehearsal Therapy (IRT)
Imagery Rehearsal Therapy is given by psychologists, psychotherapists or psychiatrists. The IRT therapists are all trained by Annette van Schagen, principal investigator. IRT consists of six 1-hour sessions. The six sessions are given in a period of three months. Each session is described in the IRT Manual. The IRT Manual is devised by the principal investigator Annette van Schagen in colaboration with Victor Spoormaker PhD. There is a patient version of the IRT manual available for the patients, which includes descriptions of the IRT sessions and homework assignments.
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TAU: No Intervention
Patients that are randomly assigned to the waiting list control condition get treatment as usual (TAU) and complete the daily nightmare logs for a period of three months. These patients get the IRT intervention after waiting for 6 months.
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Within the normal population 4-8% of the people suffer regularly from nightmares. Clinical observations show that nightmares are a common problem for patients who suffer from all kinds of psychiatric disorders, and not just for the patients diagnosed with PTSD. Often nightmares can lead to sleep disorders, which have a negative impact on emotional well-being and cognitive functioning during the day. As well as this a strong relationship between severity of nightmares and severity of psychopathology has been found. This gives a strong argument for treatment of nightmares as a symptom, separate from the psychiatric disorder. A few controlled studies of the treatment of nightmares have been published, in which behavioral therapy, relaxation techniques, exposure and systematic desensitization have been studied, all of which have shown positive results. But these techniques do not seem to reduce the number of nightmares in patients who suffer from PTSD. These last few years more controlled studies of a cognitive behavioral technique called 'Imagery Rehearsal Therapy' (IRT) have been published. With IRT patients have to change the script of their nightmares into a different outcome, and rehearse this new script using cognitive imagery a few times a day.
Comparisons: treatment of nightmares with IRT compared to a waitlist control group who do not get IRT until 6 months later.
Ages Eligible for Study: | 18 Years to 65 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Patients referred to Symfora groep by their family doctor/GP for treatment of a psychiatric disorder. Patients that suffer from anxiety disorders, eating disorders, mood disorders and/or personality disorders.
Inclusion Criteria:
Exclusion Criteria:
Contact: Annette van Schagen, MA | +31 36 5210200/+31 6 13258843 | A.van.Schagen@symfora.nl |
Contact: Eveliene Schut | +31 33 4609568 | E.Schut@symfora.nl |
Netherlands | |
Symfora groep, Location Zon & Schild | Active, not recruiting |
Amersfoort, Netherlands, 3818 EW | |
Symfora groep, Location De Rembrandthof | Recruiting |
Hilversum, Netherlands, 1200 AE | |
Contact: Annette van Schagen, MA +31 6 13258843 A.van.Schagen@symfora.nl | |
Principal Investigator: Annette van Schagen, MA | |
Symfora groep, Location De Meregaard | Recruiting |
Almere, Netherlands, 1326 AD | |
Contact: Annette van Schagen, MA +31 36 5210200 A.van.Schagen@symfora.nl | |
Principal Investigator: Annette van Schagen, MA |
Principal Investigator: | Annette van Schagen, MA | Symfora groep |
Study Chair: | Jan van den Bout, PhD | Utrecht University |
Study Chair: | Victor Spoormaker, PhD | Max-Planck-Institute of Psychiatry |
Responsible Party: | Symfora groep ( Annette van Schagen MA ) |
Study ID Numbers: | WO-SG-114NM |
Study First Received: | February 10, 2006 |
Last Updated: | March 18, 2009 |
ClinicalTrials.gov Identifier: | NCT00291031 History of Changes |
Health Authority: | Netherlands: Dutch Health Care Inspectorate |
nightmare sleep disorder sleep imagery rehearsal |
anxiety disorders mood disorders personality disorders |
Anxiety Disorders Mental Disorders Mood Disorders Sleep Disorders Personality Disorders |
Pathologic Processes Disease Anxiety Disorders |
Mental Disorders Mood Disorders Personality Disorders |