Case Study of Cognitive Behavioral Therapy for Nightmares in Children With and Without Trauma History

Cromer, Lisa DeMarni; Pangelinan, Brooke A. F.; Buck, Tara R.

doi:10.1177/15346501221081122

Cited by 3 publications

(2 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Both pilots used the same treatment manual for Cognitive Behavioral Therapy for Nightmares in Children (CBT‐NC) (Cromer, 2021). CBT‐NC is a five‐module treatment for sleep and nightmares and is described in detail elsewhere (Cromer et al, 2022). In brief, Module 1 educates about treatment and sleep.…”

Section: Methodsmentioning

confidence: 99%

Methodological changes to improve retention: Results from two pediatric cognitive behavioral therapy studies

Cromer,

Pangelinan,

El Sabbagh

et al. 2023

J Clin Psychol

Self Cite

View full text Add to dashboard Cite

ObjectiveRetention is challenging in clinical research with pediatric populations. The retention obstacles that are experienced in adult samples are compounded because child samples depend on caregiver support and engagement. The present paper describes retention improvements following protocol adaptations across a pair of cognitive behavioral pilot studies for nightmare sufferers aged 6–17.MethodsStudy 1 (N = 20) focused retention efforts on rapport and engagement, flexible scheduling, treatment location choice, and incentives. Study 2 (N = 31) sought to increase retention by improving continuity of care, increasing scheduling flexibility, reducing participant time and effort, and increasing choice and attractiveness of incentives.ResultsOnly 13 participants (65%) were retained in Study 1; n = 6 (54.5%) treatment and n = 7 (77.78%) waitlist. In contrast, 29 participants (93.5%) were retained in Study 2; n = 15 (93.8%) treatment and n = 14 (93.3%) waitlist.ConclusionWe conclude that asking for and responding to patient feedback to assess all perceived barriers and burdens for participants is essential to ensure that benefits exceed effort. Allowing choices in size and frequency of incentives, as well as improving continuity of care, and reducing session length even while increasing number of sessions, were noted improvements in Study 2.

show abstract

Section: Methodsmentioning

confidence: 99%

Methodological changes to improve retention: Results from two pediatric cognitive behavioral therapy studies

Cromer,

Pangelinan,

El Sabbagh

et al. 2023

J Clin Psychol

Self Cite

View full text Add to dashboard Cite

show abstract

“…Then, the accuracy, Eval ac, defined with the above j by Eval ac = a val j (10) is considered as a validation score for the network in this time of training. If there is no a train i that satisfies the condition in Eq.…”

Section: Ep End I=1mentioning

confidence: 99%

Associating Colors with Mental States for Computer-Aided Drawing Therapy

MAEDA,

KIMOTO

2023

IEICE Trans. Inf. & Syst.

View full text Add to dashboard Cite

The aim of a computer-aided drawing therapy system in this work is to associate drawings which a client makes with the client's mental state in quantitative terms. A case study is conducted on experimental data which contain both pastel drawings and mental state scores obtained from the same client in a psychotherapy program. To perform such association through colors, we translate a drawing to a color feature by measuring its representative colors as primary color rates. A primary color rate of a color is defined from a psychological primary color in a way such that it shows a rate of emotional properties of the psychological primary color which is supposed to affect the color. To obtain several informative colors as representative ones of a drawing, we define two kinds of color: approximate colors extracted by color reduction, and area-averaged colors calculated from the approximate colors. A color analysis method for extracting representative colors from each drawing in a drawing sequence under the same conditions is presented. To estimate how closely a color feature is associated with a concurrent mental state, we propose a method of utilizing machine-learning classification. A practical way of building a classification model through training and validation on a very small dataset is presented. The classification accuracy reached by the model is considered as the degree of association of the color feature with the mental state scores given in the dataset. Experiments were carried out on given clinical data. Several kinds of color feature were compared in terms of the association with the same mental state. As a result, we found out a good color feature with the highest degree of association. Also, primary color rates proved more effective in representing colors in psychological terms than RGB components. The experimentals provide evidence that colors can be associated quantitatively with states of human mind.

show abstract

Efficacy of a telehealth cognitive behavioral therapy for improving sleep and nightmares in children aged 6–17

Cromer,

Bell,

Prince

et al. 2024

Front. Sleep

View full text Add to dashboard Cite

IntroductionThis study examined the efficacy of a five-module cognitive behavioral therapy for nightmares in children (CBT-NC) and improving sleep.Materials and methodsForty-six youth aged 6–17 years with sleep problems and at least weekly chronic and distressing nightmares were randomized to treatment (n = 23) or waiting list (n = 23) using a block four randomized design. Among participants, 65% (n = 30) were White, 4% (n = 2) were Black/African American, 2% (n = 1) were Asian American, 13% (n = 6) were Native American or Pacific Islander, and 15% (n = 7) were multiracial. Fifty percent of participants (n = 23) were cisgender girls, 35% were cisgender boys (n = 16), 7% were transgender boys (n = 3), and 9% were gender non-binary (n = 4). The baseline nightmare persistence ranged from 6 months to 13.5 years. The treatment adapted exposure, relaxation, and rescription therapy for trauma-related nightmares in adults and added elements of cognitive behavioral therapy for insomnia in children. Psychoeducation included topics of sleep and nightmares, relaxation, anxiety management, and sleep hygiene; the youth were guided through nightmare exposure and rescription.ResultsThere was a statistically significant improvement in the number of nights with awakening (Cohen's d = 1.08), the number of weekly nightmares (Cohen's d = 0.82), and nightmare distress (Cohen's d = 1.05) for the treatment group compared to the wait-list group. Parent-reported youth sleep improved for the entire group from pretreatment to posttreatment (p < 0.001) but did not reach statistical significance for between-subjects analyses of the treatment group compared to the wait-list group (p = 0.05). Between-subjects analyses saw improvement for the treatment group compared to the wait-list group on internalizing and externalizing problems and suicidal thoughts and behaviors.DiscussionThis study supports the efficacy of CBT-NC for improving sleep maintenance, nightmare frequency and distress, and other mental health difficulties in youth. Preliminary evidence of possibly improving suicidal thinking and behavior is also presented.Clinical trial registrationhttps://clinicaltrials.gov/study/NCT05588739, identifier: NCT05588739.

show abstract

Case Study of Cognitive Behavioral Therapy for Nightmares in Children With and Without Trauma History

Cited by 3 publications

References 22 publications

Methodological changes to improve retention: Results from two pediatric cognitive behavioral therapy studies

Methodological changes to improve retention: Results from two pediatric cognitive behavioral therapy studies

Associating Colors with Mental States for Computer-Aided Drawing Therapy

Efficacy of a telehealth cognitive behavioral therapy for improving sleep and nightmares in children aged 6–17

Contact Info

Product

Resources

About