Case Study of Cognitive Behavioral Therapy for Nightmares in Children With and Without Trauma History

IF 0.8 4区心理学 Q4 PSYCHIATRY

Clinical Case Studies Pub Date : 2022-04-04 DOI:10.1177/15346501221081122

Lisa DeMarni Cromer, Brooke A F Pangelinan, Tara R. Buck

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引用次数: 2

Abstract

These case examples depict the adaptation of Exposure, Relaxation, and Rescripting Therapy (ERRT) for use with children. ERRT was developed for trauma-related nightmares in adults. The current study modified ERRT to be developmentally appropriate for children, incorporating child appropriate language, interactive activities, and parent coaching. The modified treatment, called cognitive-behavioral therapy for nightmares in children (CBT-NC), added additional stress-management components to further adapt the treatment for children with anxiety-related nightmares and no trauma history. These case studies describe the course of treatment for two girls whose nightmares had different etiologies—one experiencing trauma-related nightmares and the other experiencing idiopathic anxiety-related nightmares. This was the first application of CBT-NC for idiopathic nightmares. Both children responded positively to treatment, and treatment gains were maintained at 3- and 6-month follow-up. Improvements were seen not only for nightmare frequency and distress, but overall sleep also improved. Findings demonstrate that this adapted nightmare treatment for children is feasible and promising for nightmares in children, regardless of nightmare etiology.

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有或无创伤史儿童噩梦的认知行为治疗个案研究

这些案例描述了暴露、放松和重写疗法（ERRT）对儿童使用的适应性。ERRT是为成年人的创伤相关噩梦而开发的。目前的研究将ERRT修改为适合儿童的发展，包括适合儿童的语言、互动活动和家长辅导。这种改良的治疗方法被称为儿童噩梦认知行为疗法（CBT-NC），增加了额外的压力管理成分，以进一步适应有焦虑相关噩梦且无创伤史的儿童的治疗。这些案例研究描述了两名女孩的治疗过程，她们的噩梦有不同的病因——一名女孩经历了与创伤相关的噩梦，另一名女孩则经历了特发性焦虑相关的噩梦。这是CBT-NC首次应用于特发性噩梦。两个孩子对治疗都有积极的反应，并且在3个月和6个月的随访中保持了治疗效果。不仅噩梦频率和痛苦有所改善，而且整体睡眠也有所改善。研究结果表明，无论噩梦病因如何，这种针对儿童的适应性噩梦治疗都是可行的，并且有希望治疗儿童的噩梦。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Case Studies Multiple-

CiteScore

1.80

自引率

20.00%

发文量

期刊介绍： Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.