Status:

COMPLETED

Treatment of Nightmares Via the Internet

Lead Sponsor:

Karolinska Institutet

Collaborating Sponsors:

Region Stockholm

Conditions:

Nightmares

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

This study is a randomized controlled trial (RCT) to evaluate the effect of an internet-based, guided self-help treatment of reoccurring and distressing nightmares. Imagery Rehearsal Therapy (IRT) wil...

Detailed Description

Nightmares are distressing or frightening dreams, affecting 2.4 to 5% of the population. Suffering consists of disturbed sleep, fear and distress during night and/or day, expectancy anxiety and impair...

Eligibility Criteria

Inclusion

  • have at least one nightmare (including awakening) or unpleasant dream (do not wake up) per week for at least a month.
  • experience significant discomfort or distress due to nightmares/unpleasant dream.
  • the content of the nightmares are not only related to a previous trauma.
  • at least 18 years
  • speaks, writes and read Swedish
  • can not foresee any practical barriers to participation.

Exclusion

  • only suffers from night terrors and no nightmares according to criteria (a) to (c)
  • has a high alcohol or drug use assessed by the AUDIT / DUDIT and assessment interview.
  • somatic or psychiatric problems that are directly contraindicated or seriously hamper the implementation of the treatment (eg, psychotic disorders).
  • have severe depression, defined as MADRS-S over 30 or suicidal risk judged by more than 4 points on the MADRS-S question 9 or according to the structured telephone assessment.
  • has a total score over 76 on the IES-R (one standard deviation above the mean for individuals with a diagnosis of PTSD).
  • is diagnosed with PTSD and can not provide proof that they have a current health care contact regarding PTSD.
  • suffer from intrusive images or flashbacks during their waking hours (regardless of a PTSD diagnosis).
  • currently undergoing some form of treatment that focuses on reducing symptoms of nightmares.

Key Trial Info

Start Date :

January 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2014

Estimated Enrollment :

175 Patients enrolled

Trial Details

Trial ID

NCT01502930

Start Date

January 1 2012

End Date

April 1 2014

Last Update

May 16 2014

Active Locations (1)

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Internetpsykiatrienehten (Internet Psychiatry Unit), Psykiatri Sydväst, SLSO

Stockholm, Sweden