Abstract：
Imagery rescripting (ImRs) interventions have been found effective in improving sleep outcomes, although research has mostly focused on civilian, rather than military, samples. The aim of this review was to estimate the overall effectiveness of ImRs interventions for military veterans on primary outcomes of nightmare frequency and sleep quality. A systematic search was conducted in CINAHL, MEDLINE, PsycArticles, PsycINFO, Psychology and Behavioural Sciences Collection and the PTSDpubs database and was completed on 1 November 2021. Randomised controlled trials, nonrandomised trials and pre-post studies of ImRs interventions in veterans with sleep disturbances or nightmares were included. The methodological quality of the studies was assessed using the Effective Public Health Practice Project (EPHPP) tool, and meta-analysis was performed using Stata. Nineteen articles from 15 empirical studies were included in the review, and data from the 15 studies (involving 658 participants) were included in the meta-analysis. Meta-analysis findings indicated that ImRs interventions are associated with significant positive changes from pretreatment to posttreatment for nightmare and sleep quality. Significantly greater improvements were found in ImRs interventions compared to control groups for sleep quality (Hedges\' g = -0.65, 95% CI [-1.20, -0.10]) but not for nightmare frequency (Hedges\' g = -0.10, 95% CI [-0.34, 0.14]). Overall, the meta-analysis included a relatively small number of studies with poor methodological quality and considerable heterogeneity; therefore, findings should be cautiously interpreted. Further research should focus on veteran participants with larger samples and from a broader range of sources to determine effectiveness more confidently.
摘要：
已发现图像重新设定（ImRs）干预措施可有效改善睡眠结果，尽管研究主要集中在平民身上，而不是军事，samples.本综述的目的是评估ImRs干预对退伍军人的主要预后的整体效果，即噩梦频率和睡眠质量。在CINAHL中进行了系统的搜索，MEDLINE,Psycarticles,PsycINFO,心理学和行为科学收藏和PTSDpubs数据库，于2021年11月1日完成。随机对照试验,纳入了针对有睡眠障碍或噩梦的退伍军人的ImRs干预的非随机试验和事后研究.使用有效公共卫生实践项目（EPHPP）工具评估研究的方法学质量，使用Stata进行荟萃分析。来自15项实证研究的19篇文章被纳入综述，来自15项研究(涉及658名参与者)的数据被纳入荟萃分析.荟萃分析表明，ImRs干预与从治疗前到治疗后的噩梦和睡眠质量的显着积极变化相关。与对照组相比，ImRs干预措施的睡眠质量改善显著(Hedges\'g=-0.65,95%CI[-1.20,-0.10])，但噩梦频率没有改善(Hedges\'g=-0.10,95%CI[-0.34,0.14])。总的来说,荟萃分析包括相对较少的研究，这些研究的方法学质量差，异质性相当大；因此，研究结果应谨慎解释。进一步的研究应集中于具有更大样本和更广泛来源的资深参与者，以更自信地确定有效性。
