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Nightmares and sleep disturbance are fundamental concerns for victims of trauma. This study examined the efficacy of a manualized cognitive-behavioral treatment (CBT) for chronic nightmares in trauma-exposed individuals via a randomized clinical trial. Participants were randomly assigned to a treatment group or wait-list control group, with 27 participants completing the treatment. At the 6-month follow-up assessment, 84% of treated participants reported an absence of nightmares in the previous week. Significant decreases were also reported in symptoms of depression and posttraumatic stress, fear of sleep, and number of sleep problems, while sleep quality and quantity improved. The present study adds to the growing literature indicating this brief CBT as a first-line treatment for trauma-exposed individuals with chronic nightmares.

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Information processing theorists propose that traumatic events can lead to disruptions in the processing of information and to changes in beliefs. This study examined the relationships among trauma, posttraumatic stress disorder (PTSD), and religious beliefs. Participants included 120 individuals from community and clinical samples who participated in the DSM-IV Field Trial Study on PTSD. Results indicated that the PTSD group was more likely to report changes in religious beliefs following the first/only traumatic event, generally becoming less religious. PTSD status was not related to change in religious beliefs following the most recent event. Intrinsic religiosity was related to multiple victimization, but not PTSD. Results are discussed in terms of understanding the function of religiosity in participants' lives and future directions for research.

~~The relationships among interpersonal functioning, symptomatology, and childhood abuse were examined in 315 university women. Women reporting childhood abuse had lower quality of past interpersonal relationships, greater fear of intimacy, and greater trauma symptomatology than nonabused women had. Regression analyses indicated that experiencing both sexual and physical abuse, more extensive psychological abuse, and current sexual concerns, defensive avoidance, dissociation, and intrusive experiences were signifcant predictors of fear of intimacy. Dysfunctional sexual behaviors, impaired self-reference, and depression were signifcant predictors of the quality of current interpersonal relationships, whereas sexual abuse or multiple abuse experiences in childhood and angerhitability were predictors of the quality of prior interpersonal relationships. Implications for future research and treatment are discussed.