Nightmare, Nightmare Disorder With Associated Other Sleep Disorder, REM Sleep Behavior Disorder
Conditions
Keywords
Imagery Rehearsal Therapy, Cognitive Behavioral Therapy for Nightmares
Brief summary
The purpose of this clinical trial is learn whether a behavioral (non-medication) treatment can reduce nightmares in adults with Rapid Eye Movement (REM) Sleep Behavior Disorder (RBD). People with RBD will be enrolled in the study along with their family members (a partner or other family member residing in the same home). All participants will receive the treatment via videoconference and will complete 2 assessments. Participants with RBD will attend 7 sessions, and their family members will attend 2 of those sessions with them.
Interventions
BEHAVIORALCognitive Behavioral Therapy for Nightmares
The intervention will consist of 7 therapy sessions (once per week for 7 weeks) which will be delivered via videoconference. Family members will attend 2 of the 7 treatment sessions. During the sessions, participants will learn techniques for managing and changing nightmares.
Sponsors
University of Utah
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Multiple baseline single case experimental design
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Diagnosis of isolated RBD or RBD secondary to neurodegenerative disease * Age 18 or older * Speak, read, and write English * Live in the United States * Nightmare frequency ≥3 times per week * Disturbing Dream and Nightmare Severity Index score indicative of nightmare disorder * Sleep, neurological, and psychiatric medications stable for at least 1 month and willing to keep medications stable through the course of the study * Live with a family member who is willing to participate in the study
Exclusion criteria
* Possible dementia * Narcolepsy * Posttraumatic stress disorder * Previous behavioral treatment for nightmares * Currently engaged in sleep- or trauma-focused psychotherapy * Taking a medication that could cause RBD, if the medication was started prior to onset of RBD symptoms Inclusion Criteria (Family Members): * Live with a family member who meets all of the above criteria * Age 18 or older * Speak, read, and write English * Live in the United States
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disturbing Dream and Nightmare Severity Index (DDNSI) | Baseline and posttreatment | The DDNSI is a questionnaire which measures the severity of nightmares. |
| Nightmare frequency (sleep diary) | Baseline and posttreatment | The number of nightmares experienced each day will be collected on daily sleep diaries completed during each assessment period. |
Countries
United States
Contacts
CONTACTJennifer Mundt, PhD
Outcome results
None listed