Sleep enhances exposure therapy
Sleep benefits memory consolidation. Here, we tested the beneficial effect of sleep on memory consolidation following exposure psychotherapy of phobic anxiety. A total of 40 individuals afflicted with spider phobia according to DSM-IV underwent a one-session virtual reality exposure treatment and ei...
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| Veröffentlicht in: | Psychological medicine 2014-05, Vol.44 (7), p.1511-1519 |
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| container_title | Psychological medicine |
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| creator | Kleim, B. Wilhelm, F. H. Temp, L. Margraf, J. Wiederhold, B. K. Rasch, B. |
| description | Sleep benefits memory consolidation. Here, we tested the beneficial effect of sleep on memory consolidation following exposure psychotherapy of phobic anxiety.
A total of 40 individuals afflicted with spider phobia according to DSM-IV underwent a one-session virtual reality exposure treatment and either slept for 90 min or stayed awake afterwards.
Sleep following exposure therapy compared with wakefulness led to better reductions in self-reported fear (p = 0.045, d = 0.47) and catastrophic spider-related cognitions (p = 0.026, d = 0.53) during approaching a live spider, both tested after 1 week. Both reductions were associated with greater percentages of stage 2 sleep.
Our results indicate that sleep following successful psychotherapy, such as exposure therapy, improves therapeutic effectiveness, possibly by strengthening new non-fearful memory traces established during therapy. These findings offer an important non-invasive alternative to recent attempts to facilitate therapeutic memory extinction and consolidation processes with pharmacological or behavioral interventions. |
| doi_str_mv | 10.1017/S0033291713001748 |
| format | Article |
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A total of 40 individuals afflicted with spider phobia according to DSM-IV underwent a one-session virtual reality exposure treatment and either slept for 90 min or stayed awake afterwards.
Sleep following exposure therapy compared with wakefulness led to better reductions in self-reported fear (p = 0.045, d = 0.47) and catastrophic spider-related cognitions (p = 0.026, d = 0.53) during approaching a live spider, both tested after 1 week. Both reductions were associated with greater percentages of stage 2 sleep.
Our results indicate that sleep following successful psychotherapy, such as exposure therapy, improves therapeutic effectiveness, possibly by strengthening new non-fearful memory traces established during therapy. These findings offer an important non-invasive alternative to recent attempts to facilitate therapeutic memory extinction and consolidation processes with pharmacological or behavioral interventions.</description><identifier>ISSN: 0033-2917</identifier><identifier>EISSN: 1469-8978</identifier><identifier>DOI: 10.1017/S0033291713001748</identifier><identifier>PMID: 23842278</identifier><identifier>CODEN: PSMDCO</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adult ; Adult and adolescent clinical studies ; Anxiety ; Anxiety disorders. Neuroses ; Araneae ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Electroencephalography ; Exposure therapy ; Fear & phobias ; Female ; Humans ; Implosive Therapy - methods ; Male ; Medical sciences ; Memory ; Original Articles ; Phobia ; Phobic Disorders - therapy ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapy ; Sleep ; Sleep - physiology ; Spiders ; Treatment Outcome ; Treatments ; Virtual reality ; Young Adult</subject><ispartof>Psychological medicine, 2014-05, Vol.44 (7), p.1511-1519</ispartof><rights>Copyright © Cambridge University Press 2013</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c560t-9a796981448f5111667be3c4b53401b9360db88500412843bb3a19d59b465eab3</citedby><cites>FETCH-LOGICAL-c560t-9a796981448f5111667be3c4b53401b9360db88500412843bb3a19d59b465eab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0033291713001748/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,12825,27901,27902,30976,30977,55603</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28398882$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23842278$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kleim, B.</creatorcontrib><creatorcontrib>Wilhelm, F. H.</creatorcontrib><creatorcontrib>Temp, L.</creatorcontrib><creatorcontrib>Margraf, J.</creatorcontrib><creatorcontrib>Wiederhold, B. K.</creatorcontrib><creatorcontrib>Rasch, B.</creatorcontrib><title>Sleep enhances exposure therapy</title><title>Psychological medicine</title><addtitle>Psychol. Med</addtitle><description>Sleep benefits memory consolidation. Here, we tested the beneficial effect of sleep on memory consolidation following exposure psychotherapy of phobic anxiety.
A total of 40 individuals afflicted with spider phobia according to DSM-IV underwent a one-session virtual reality exposure treatment and either slept for 90 min or stayed awake afterwards.
Sleep following exposure therapy compared with wakefulness led to better reductions in self-reported fear (p = 0.045, d = 0.47) and catastrophic spider-related cognitions (p = 0.026, d = 0.53) during approaching a live spider, both tested after 1 week. Both reductions were associated with greater percentages of stage 2 sleep.
Our results indicate that sleep following successful psychotherapy, such as exposure therapy, improves therapeutic effectiveness, possibly by strengthening new non-fearful memory traces established during therapy. These findings offer an important non-invasive alternative to recent attempts to facilitate therapeutic memory extinction and consolidation processes with pharmacological or behavioral interventions.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Anxiety</subject><subject>Anxiety disorders. Neuroses</subject><subject>Araneae</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Electroencephalography</subject><subject>Exposure therapy</subject><subject>Fear & phobias</subject><subject>Female</subject><subject>Humans</subject><subject>Implosive Therapy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Memory</subject><subject>Original Articles</subject><subject>Phobia</subject><subject>Phobic Disorders - therapy</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy</subject><subject>Sleep</subject><subject>Sleep - physiology</subject><subject>Spiders</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><subject>Virtual reality</subject><subject>Young Adult</subject><issn>0033-2917</issn><issn>1469-8978</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqN0UtLAzEQB_Agiq2PD-BFCyJ4Wc1kssnkKMUXCB6q5yXZptqy7a5JF_Tbm8X6QBF6CmF-M5PwZ-wA-Blw0OcjzhGFAQ3I013SBuuDVCYjo2mT9bty1tV7bCfGWTIIUmyznkCSQmjqs6NR5X0z8Itnuyh9HPjXpo5t8IPlsw-2edtjWxNbRb-_OnfZ49Xlw_Amu7u_vh1e3GVlrvgyM1YbZQikpEkOAEpp57GULkfJwRlUfOyIcs4lCJLoHFow49w4qXJvHe6y04-5TahfWh-XxXwaS19VduHrNhaQSxTEk16DIhgwStEaFJSWXKNO9PgXndVtWKQ_d4ojCWlUUvChylDHGPykaMJ0bsNbAbzoMin-ZJJ6DleTWzf346-OzxASOFkBG0tbTUKKYhq_HaEhIpEcrpbbuQvT8ZP_8cZ_178Dh-ydSg</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Kleim, B.</creator><creator>Wilhelm, F. 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H. ; Temp, L. ; Margraf, J. ; Wiederhold, B. K. ; Rasch, B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c560t-9a796981448f5111667be3c4b53401b9360db88500412843bb3a19d59b465eab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Anxiety</topic><topic>Anxiety disorders. Neuroses</topic><topic>Araneae</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Electroencephalography</topic><topic>Exposure therapy</topic><topic>Fear & phobias</topic><topic>Female</topic><topic>Humans</topic><topic>Implosive Therapy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Memory</topic><topic>Original Articles</topic><topic>Phobia</topic><topic>Phobic Disorders - therapy</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapy</topic><topic>Sleep</topic><topic>Sleep - physiology</topic><topic>Spiders</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><topic>Virtual reality</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kleim, B.</creatorcontrib><creatorcontrib>Wilhelm, F. H.</creatorcontrib><creatorcontrib>Temp, L.</creatorcontrib><creatorcontrib>Margraf, J.</creatorcontrib><creatorcontrib>Wiederhold, B. 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H.</au><au>Temp, L.</au><au>Margraf, J.</au><au>Wiederhold, B. K.</au><au>Rasch, B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep enhances exposure therapy</atitle><jtitle>Psychological medicine</jtitle><addtitle>Psychol. Med</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>44</volume><issue>7</issue><spage>1511</spage><epage>1519</epage><pages>1511-1519</pages><issn>0033-2917</issn><eissn>1469-8978</eissn><coden>PSMDCO</coden><abstract>Sleep benefits memory consolidation. Here, we tested the beneficial effect of sleep on memory consolidation following exposure psychotherapy of phobic anxiety.
A total of 40 individuals afflicted with spider phobia according to DSM-IV underwent a one-session virtual reality exposure treatment and either slept for 90 min or stayed awake afterwards.
Sleep following exposure therapy compared with wakefulness led to better reductions in self-reported fear (p = 0.045, d = 0.47) and catastrophic spider-related cognitions (p = 0.026, d = 0.53) during approaching a live spider, both tested after 1 week. Both reductions were associated with greater percentages of stage 2 sleep.
Our results indicate that sleep following successful psychotherapy, such as exposure therapy, improves therapeutic effectiveness, possibly by strengthening new non-fearful memory traces established during therapy. These findings offer an important non-invasive alternative to recent attempts to facilitate therapeutic memory extinction and consolidation processes with pharmacological or behavioral interventions.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>23842278</pmid><doi>10.1017/S0033291713001748</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Psychological medicine, 2014-05, Vol.44 (7), p.1511-1519 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Cambridge University Press Journals Complete |
| subjects | Adult Adult and adolescent clinical studies Anxiety Anxiety disorders. Neuroses Araneae Behavior therapy. Cognitive therapy Biological and medical sciences Electroencephalography Exposure therapy Fear & phobias Female Humans Implosive Therapy - methods Male Medical sciences Memory Original Articles Phobia Phobic Disorders - therapy Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy Sleep Sleep - physiology Spiders Treatment Outcome Treatments Virtual reality Young Adult |
| title | Sleep enhances exposure therapy |
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