Dismantling Exposure, Relaxation, and Rescripting Therapy
NCT ID: NCT02236377
Last Updated: 2024-07-03
Study Results
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Basic Information
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RECRUITING
NA
50 participants
INTERVENTIONAL
2014-08-31
2025-08-31
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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ERRT - Enhanced Exposure
Exposure, Relaxation, and Rescripting Therapy, 5 sessions, with enhanced exposure techniques
Exposure, Relaxation, and Rescripting Therapy
Brief cognitive behavioral treatment targeting trauma-related nightmares and sleep problems
ERRT - Sleep and Relaxation
Exposure, Relaxation, and Rescripting Therapy protocol, 5 sessions, focused on sleep and relaxation
Exposure, Relaxation, and Rescripting Therapy
Brief cognitive behavioral treatment targeting trauma-related nightmares and sleep problems
ERRT-Rescription
Exposure, Relaxation, and Rescripting Therapy, 5 sessions, with rescription but no exposure
Exposure, Relaxation, and Rescripting Therapy
Brief cognitive behavioral treatment targeting trauma-related nightmares and sleep problems
ERRT-Sleep
Exposure, Relaxation, and Rescripting Therapy, 5 sessions, with enhanced sleep techniques
Exposure, Relaxation, and Rescripting Therapy
Brief cognitive behavioral treatment targeting trauma-related nightmares and sleep problems
ERRT - Consensus Manual
Consensus Protocol, 6 sessions, includes components of ERRT and other nightmare protocols.
Exposure, Relaxation, and Rescripting Therapy
Brief cognitive behavioral treatment targeting trauma-related nightmares and sleep problems
Interventions
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Exposure, Relaxation, and Rescripting Therapy
Brief cognitive behavioral treatment targeting trauma-related nightmares and sleep problems
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* experienced a traumatic event, as defined by the Diagnostic and Statistical Manual (DSM-5),
* have approximately one nightmare each week for the past month
* be able to read and speak English.
Exclusion Criteria
* acute or apparent psychosis
* unmedicated bipolar disorder
* intellectual disability
* active suicidality,
* recent parasuicidal behaviors
* untreated substance use disorder in past 6 months
18 Years
ALL
No
Sponsors
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University of Tulsa
OTHER
Responsible Party
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Joanne Davis
Associate Professor
Principal Investigators
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Joanne L Davis, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Tulsa
Locations
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Joanne L. Davis
Tulsa, Oklahoma, United States
Countries
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Central Contacts
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Facility Contacts
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References
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Davis JL, Rhudy JL, Pruiksma KE, Byrd P, Williams AE, McCabe KM, Bartley EJ. Physiological predictors of response to exposure, relaxation, and rescripting therapy for chronic nightmares in a randomized clinical trial. J Clin Sleep Med. 2011 Dec 15;7(6):622-31. doi: 10.5664/jcsm.1466.
Other Identifiers
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TU1458R1
Identifier Type: -
Identifier Source: org_study_id
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