Working with dreams and nightmares: A review of the research evidence.

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Pub Date : 2023-09-01 Epub Date: 2023-04-27 DOI:10.1037/pst0000484
Patricia T Spangler, Wonjin Sim
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Abstract

In this article, we describe methods for working with dreams and nightmares in individual psychotherapy, provide clinical examples, and review research evidence of immediate and distal outcomes of each method. An original meta-analysis of eight studies using the cognitive-experiential dream model with 514 clients showed moderate effect sizes for session depth and insight gains. In the nightmare treatment literature, a previous meta-analysis of 13 studies with 511 clients showed moderate to large effects in reducing nightmare frequency and small to moderate effects in decreasing sleep disturbance for imagery rehearsal therapy and exposure, relaxation, and rescripting therapy. Limitations of the current meta-analysis of cognitive-experiential dreamwork and of the reviewed research on nightmare methods are described. Training implications and therapeutic practice recommendations are provided. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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与梦和噩梦打交道:研究证据综述。
在本文中,我们介绍了在个体心理治疗中处理梦境和噩梦的方法,提供了临床实例,并回顾了每种方法的直接和间接结果的研究证据。最初的一项荟萃分析对 8 项研究进行了分析,这些研究采用认知-体验梦模型,对 514 名求助者进行了治疗,结果显示,治疗深度和洞察力提高的效果适中。在梦魇治疗文献中,先前的一项荟萃分析对 511 名客户进行了 13 项研究,结果显示意象排练疗法和暴露、放松和重写疗法在减少梦魇频率方面有中等到较大的效果,在减少睡眠障碍方面有小幅到中等的效果。本文介绍了目前对认知-体验式梦工学进行的荟萃分析以及对梦魇方法进行的综述研究的局限性。还提供了培训意义和治疗实践建议。(PsycInfo Database Record (c) 2023 APA,保留所有权利)。
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来源期刊
Psychotherapy
Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
4.60
自引率
12.00%
发文量
93
期刊介绍: Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.
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