Dreams and exposure therapy in PTSD

Rothbaum, Barbara Olasov; Mellman, Thomas Alan

doi:10.1023/a:1011104521887

Cited by 86Posttraumatic Stress Disorder ResearchSleep and related disordersPsychoanalysis and Psychopathology Research

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Dreams and exposure therapy in PTSD

Rothbaum, Barbara Olasov, Mellman, Thomas Alan·2001·Journal of Traumatic Stress

DOI 10.1023/a:1011104521887

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Abstract

Exposure therapy is a well‐established treatment for PTSD that requires the patient to focus on and describe the details of a traumatic experience. Nightmares that refer to or replicate traumatic experiences are prominent and distressing symptoms of PTSD and appear to exacerbate the disorder. With this apparent paradox in mind, exposure therapy and the literature on sleep and PTSD are reviewed in the context of the relationship between therapeutic exposure and exposure to traumarelated stimuli that occurs in dreams. It is concluded that nightmares that replay the trauma and disrupt sleep do not meet requirements for therapeutic exposure, whereas other dreaming may aid in the recovery from trauma.

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Authors: Rothbaum, B. O., & Mellman, T. A.
Affiliations: Emory University (US)
Corresponding author: Rothbaum, Barbara Olasov
ORCID: Rothbaum, Barbara Olasov
Mellman, Thomas Alan
Venue: Journal of Traumatic Stress
Publisher: Wiley
Published: 2001-07
Volume: 14
Issue: 3
Pages: 481-490
ISSN: 0894-9867 (ISSN-L)
1573-6598
DOI: 10.1023/a:1011104521887
OpenAlex: W2015827114
Cited by: 86
References: 34
Citations by year: 2026: 2 · 2025: 4 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 3 · 2016: 4 · 2015: 1 · 2014: 5 · 2013: 2 · 2012: 6
FWCI: 0.94
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1460 d)
Locations: Journal of Traumatic Stress (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords: post-traumatic stress disorder, nightmares, exposure therapy, dream content, sleep, sleep disruption, trauma recovery
MeSH terms: Dreams, Humans, Psychotherapy, Sleep Wake Disorders, Sleep, REM, Stress Disorders, Post-Traumatic

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