20 Participants Needed

Cognitive Behavioral Therapy for Nightmares

Recruiting at 1 trial location
JM
Overseen ByJennifer Mundt, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Northwestern University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if cognitive behavioral therapy (a type of talk therapy) can reduce nightmares for individuals with REM Sleep Behavior Disorder (RBD), a condition that causes them to physically act out their dreams. Participants will receive therapy sessions online and undergo two assessments to evaluate the treatment's effectiveness. Couples are encouraged to join, as the study includes both individuals with RBD and their romantic partners. Ideal candidates for this trial have RBD, experience nightmares at least three times a week, reside in the U.S., and live with a partner who can participate. As an unphased study, this trial offers a unique opportunity to explore a new treatment approach for RBD and contribute to valuable research.

Will I have to stop taking my current medications?

No, you won't have to stop taking your current medications, but they need to be stable for at least one month before the study and remain stable throughout the study.

What prior data suggests that this behavioral treatment is safe for adults with RBD?

Research has shown that Cognitive Behavioral Therapy (CBT) for nightmares is generally safe. Studies have found that CBT can reduce the frequency and severity of nightmares without major side effects. This makes it a well-tolerated option for those experiencing nightmares, including those associated with REM Sleep Behavior Disorder (RBD).

As a type of talk therapy rather than medication, CBT avoids the risk of drug-related side effects. Participants typically engage in sessions with a therapist, which can also be conducted online. This convenience and accessibility further enhance its safety. Overall, CBT for nightmares is considered a safe treatment for reducing nightmare symptoms.12345

Why are researchers excited about this trial?

Researchers are excited about Cognitive Behavioral Therapy for Nightmares because it offers a non-drug approach to treating nightmares, which is different from medications like prazosin that are commonly used. Unlike pharmaceuticals, CBT for Nightmares focuses on changing thought patterns and behaviors that contribute to nightmares, potentially offering a long-term solution without side effects. Additionally, the study is exploring different baseline periods, suggesting that researchers are keen to understand the optimal timing for starting therapy, which could lead to more personalized treatment plans.

What evidence suggests that Cognitive Behavioral Therapy for Nightmares might be an effective treatment for REM Sleep Behavior Disorder?

Research has shown that Cognitive Behavioral Therapy (CBT) for Nightmares can reduce the frequency and severity of nightmares. One review found that even a single CBT session positively impacted nightmare symptoms. Another study demonstrated that CBT improved overall sleep quality and lessened the distress caused by nightmares. Additionally, CBT delivered through telehealth has shown promise in improving sleep and reducing nightmares. These findings suggest that CBT for Nightmares might be a helpful treatment for people with REM Sleep Behavior Disorder (RBD) who experience frequent nightmares. Participants in this trial will receive CBT for Nightmares after either a 2-week or 4-week baseline assessment period.12346

Are You a Good Fit for This Trial?

This trial is for adults with REM Sleep Behavior Disorder who experience nightmares. Participants must have a romantic partner willing to attend two therapy sessions. Details on specific inclusion and exclusion criteria are not provided.

Inclusion Criteria

Speak, read, and write English
Live in the United States
Nightmare frequency ≥3 times per week
See 4 more

Exclusion Criteria

Possible dementia
I have been diagnosed with narcolepsy.
I am currently in therapy for sleep issues or trauma.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Participants undergo a baseline assessment period before treatment begins

2-4 weeks
2 assessments (virtual)

Treatment

Participants receive behavioral treatment for nightmares via videoconference

7 sessions
7 sessions (virtual), 2 sessions with partners

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Cognitive Behavioral Therapy for Nightmares
Trial Overview The study tests if Cognitive Behavioral Therapy for Nightmares, delivered through videoconference, can help reduce nightmares in those with REM Sleep Behavior Disorder. It includes 7 sessions for the patient and involves their partners in 2 sessions.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: 4-week baselineExperimental Treatment1 Intervention
Group II: 2-week baselineExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Northwestern University

Lead Sponsor

Trials
1,674
Recruited
989,000+

University of Utah

Lead Sponsor

Trials
1,169
Recruited
1,623,000+

Citations

A Systematic Review of Cognitive-Behavioral Treatment for ...Nightmares and bad dreams: their prevalence and relationship to well-being. ... The beneficial effects of one treatment session and recording of nightmares on ...
Full article: An Expert Consensus Statement for ...Nightmares and bad dreams: Their prevalence and relationship to well-being. Journal of Abnormal Psychology, 109(2), 273–281. https://doi.org ...
Understanding and Treating Nightmares... nightmares. Additionally, parents can offer emotional support by helping children process their bad dreams and discussing their fears and ...
Behavioral Treatment for Nightmares in REM Sleep ...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 ...
Efficacy of a telehealth cognitive behavioral therapy for ...Introduction: This study examined the efficacy of a five-module cognitive behavioral therapy for improving sleep and nightmares in children ...
Position Paper for the Treatment of Nightmare Disorder in AdultsThe following therapy is recommended for the treatment of PTSD-associated nightmares and nightmare disorder: image rehearsal therapy. The ...
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