Intervention par internet pour le traitement des cauchemars post-traumatiques utilisant la thérapie par imagerie mentale

Internet-Based Intervention for Posttraumatic Stress Disorder: Using Remote Imagery Rehearsal Therapy to Treat Nightmares

Imagery Rehearsal Therapy (IRT), a cognitive therapy consisting in positively transforming nightmares into dreams with a more positive content, developed by Barry Krakow [1], is the most effective treatment for chronic nightmares [2]. Recently, Gieselmann et al. [3] validated the feasibility of using telemedicine-delivered IRT for idiopathic nightmares. Their sound methodology demonstrates how internet-based intervention, with minimal guidance from a coach, can be effective. However, their “results cannot be generalized to posttraumatic nightmares due to the strict selection criteria enforced by ethical obligations.” Nightmares affect the majority of patients suffering from Posttraumatic Stress Disorder (PTSD) and occur twice as frequently in PTSD than in any other psychiatric disorders [4]. While telepsychology is known to offer moderate to large improvements in the treatment of PTSD [5], no study on remote IRT for the treatment of traumatic nightmares has yet been published [Read more].

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