Behandling av mareritt:. En oversikt over randomiserte behandlingsstudier
Engelsk titel: Treatment of nightmares – a systematic review of randomized controlled trials
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Författare:
Pallesen, Ståle
;
Bjorvatn, Björn
;
Grönli, Janne
Email: staale.pallesen@uib.no
Språk: Nor
Antal referenser: 75
Dokumenttyp:
Systematisk översikt
UI-nummer: 17020286
Sammanfattning
Nightmares are highly prevalent and very unpleasant for the sufferer. Well-documented treatments are thus highly in demand. A systematic literature search regarding treatment studies of nightmares covering the period from January 1, 1978, to January 10, 2015, was conducted using the databases Pubmed, PsychINFO and Web of Knowledge. In all, 15 769 articles were identified, of which 28 fulfilled the following inclusion criteria: 1) a focus on psychological or pharmacological treatment of nightmares, 2) the study reports data from randomized controlled trials, 3) outcomes reflecting nightmare symptoms are reported, and 4) the study is published in English in a peer-reviewed journal. A total of 19 studies investigating the effects of psychotherapeutic interventions were included. The results suggest that imagery rehearsal, exposure and multicomponent therapies are recommended against idiopathic nightmares. In all, 9 pharmacological studies were included, overall attesting to the positive effects of the a1-adrenergic antagonist prazosin for PTSD-related nightmares. Limitations of the included studies are discussed and recommendations for future research are provided.