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However, it is important to determine whether these treatments influence objective markers of nightmare\u2010related fear, because fear and concomitant physiological responses could promote nightmare chronicity and sleep disturbance. This randomized, controlled study (<jats:italic>N<\/jats:italic>=40) assessed physiological (skin conductance, heart rate, facial electromyogram) and subjective (displeasure, fear, anger, sadness, arousal) reactions to personally relevant nightmare imagery intended to evoke nightmare\u2010related fear. Physiological assessments were conducted at pretreatment as well as 1\u2010week, 3\u2010months, and 6\u2010months posttreatment. Results of mixed effects analysis of variance models suggested treatment reduced physiological and subjective reactions to nightmare imagery, gains that were generally maintained at the 6\u2010month follow\u2010up. Potential implications are discussed. \u00a9 2010 Wiley Periodicals, Inc. J Clin Psychol 66: 1\u201318, 2010.<\/jats:p>","DOI":"10.1002\/jclp.20656","type":"journal-article","created":{"date-parts":[[2010,2,1]],"date-time":"2010-02-01T16:37:13Z","timestamp":1265042233000},"page":"365-382","source":"Crossref","is-referenced-by-count":33,"title":["Cognitive\u2010behavioral treatment for chronic nightmares in trauma\u2010exposed persons: assessing physiological reactions to nightmare\u2010related fear"],"prefix":"10.1002","volume":"66","author":[{"given":"Jamie L.","family":"Rhudy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne L.","family":"Davis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy E.","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klanci M.","family":"McCabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily J.","family":"Bartley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia M.","family":"Byrd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristi E.","family":"Pruiksma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,2]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"crossref","unstructured":"Beck A.T. 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