Burgess M, Marks I M, Gill M
Bethlem Royal Hospital, London.
Br J Psychiatry. 1994 Sep;165(3):388-91. doi: 10.1192/bjp.165.3.388.
Case reports suggest that recurrent nightmares are alleviated by behavioural treatment. We have administered such treatment to a client by post.
The frequency of nightmares was recorded by the client before and during treatment, and at one and six months follow-up. Nightmare problem and target scales, and treatment expectation were recorded at the end of each period. Treatment was by rehearsal relief, self-administered using written instructions.
A reduction in nightmare frequency from 5.5 per week in the baseline period to an average of one per week resulted after treatment.
The client's chronic nightmares were lastingly relieved after self-administered exposure treatment. A controlled trial is underway.
病例报告表明，行为疗法可缓解反复出现的噩梦。我们已通过邮寄方式为一名客户实施了此类治疗。
客户在治疗前、治疗期间以及治疗后1个月和6个月的随访中记录噩梦发生频率。在每个阶段结束时记录噩梦问题及目标量表，以及治疗期望。治疗采用排练缓解法，客户根据书面说明自行实施。
治疗后，噩梦频率从基线期的每周5.5次降至平均每周1次。
客户的慢性噩梦在接受自行实施的暴露疗法后得到了持久缓解。一项对照试验正在进行中。
