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An Expert Consensus Statement for Implementing Cognitive Behavioral Therapy for Nightmares in Adults.
Kristi E Pruiksma1, Katherine E Miller2,3, Joanne L Davis4
1Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Behavioral Sleep Medicine
|January 16, 2025
Summary
Cognitive Behavioral Therapy for Nightmares (CBT-N) guidelines are established by experts to standardize treatment. This aims to clarify implementation and terminology for better nightmare disorder care.
Area of Science:
- Psychiatry
- Sleep Medicine
- Psychotherapy
Background:
- Cognitive Behavioral Therapy for Nightmares (CBT-N) is supported for adult nightmare treatment.
- Lack of standardized nomenclature and implementation nuances in CBT-N has caused confusion.
- An expert consensus panel was convened to address these issues.
Purpose of the Study:
- To review existing CBT-N treatment manual components.
- To develop guidelines for standardized implementation and terminology of CBT-N.
- To report expert panel recommendations for CBT-N.
Main Methods:
- Conducted a literature review of nightmare treatment manuals tested in adult randomized clinical trials.
- Expert panel evaluated treatment components and controversies.
- Established recommended treatment guidelines based on literature and clinical experience.
Main Results:
- Recommendations cover appropriate patient symptom presentations for CBT-N.
- Guidelines address implementation of components like relaxation, exposure, and rescripting.
- Evaluated components to inform a consensus CBT-N treatment manual.
Conclusions:
- A comprehensive manual based on expert recommendations will aid dissemination and clarity in nightmare treatment.
- Recommendations reflect the current state of the field.
- Future revisions will incorporate emerging research evidence.
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