A Psychophysiological Study of Nightmares

Fisher, Charles K.; Byrne, Joseph M.; Edwards, Adele; Kahn, Edwin

doi:10.1177/000306517001800401

Cited by 172 publications

(84 citation statements)

References 7 publications

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“…[23][24][25] Secondly, stress from bullying may not only lead to physiologic hyperarousal but also to the continuation of processing of threat information, which may interfere with sleep patterns. 22 Nightmares may occur when anxiety exceeds a threshold level 57 ; and several studies have suggested that trait anxiety may be related to the frequency of parasomnias. [58][59][60][61] However, even after controlling for pre-existing anxiety problems, our results showed that being bullied may increase the risk for parasomnias.…”

Section: Discussionmentioning

confidence: 99%

Bullying and Parasomnias: A Longitudinal Cohort Study

Wolke

Lereya

2014

Pediatrics

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BACKGROUND AND OBJECTIVES: Environmental factors such as serious trauma or abuse and related stress can lead to nightmares or night terrors. Being bullied can be very distressing for children, and victims display long-term social, psychological, and health consequences. Unknown is whether being bullied by peers may increase the risk for experiencing parasomnias such as nightmares, night terrors, or sleepwalking. METHODS: A total of 6796 children of the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort were interviewed at elementary school age (8 and 10 years) about bullying experiences with a previously validated bullying interview and at secondary school age (12.9 years) about parasomnias such as nightmares, night terrors and sleepwalking by trained postgraduate psychologists. RESULTS: Even after adjusting for pre-existing factors related to bullying and parasomnias, being bullied predicted having nightmares (8 years odds ratio [OR], 1.23; 95% confidence interval [CI], 1.05–1.44; 10 years OR, 1.62; 95% CI, 1.35–1.94) or night terrors (8 years OR, 1.39; 95% CI, 1.10–1.75; 10 years OR, 1.53; 95% CI, 1.18–1.98) at age 12 to 13 years. Especially being a chronic victim was associated with both nightmares (OR, 1.82; 95% CI, 1.46–2.27) and night terrors (OR, 2.01; 95% CI, 1.48–2.74). Being a bully/victim also increased the risk for any parasomnia at ages 8 or 10 years (8 years OR, 1.42; 95% CI, 1.08–1.88; 10 years OR, 1.75; 95% CI, 1.30–2.36). In contrast, bullies had no increased risk for any parasomnias. CONCLUSIONS: Being bullied increases the risk for having parasomnias. Hence, parents, teachers, school counselors, and clinicians may consider asking about bullying experiences if a child is having parasomnias.

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Section: Discussionmentioning

confidence: 99%

Bullying and Parasomnias: A Longitudinal Cohort Study

Wolke

Lereya

2014

Pediatrics

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“…Polysomnographic recordings seem to decrease nightmare frequency [37] and cannot measure the subjective sleep quality. Retrospective methods for nightmare frequency with a relatively long-term duration (e.g.…”

Section: Methodsmentioning

confidence: 99%

Lucid Dreaming Treatment for Nightmares: A Pilot Study

Spoormaker

Bout

2006

Psychother Psychosom

134

106

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Background: The goal of this pilot study was to evaluate the effects of the cognitive-restructuring technique ‘lucid dreaming treatment’ (LDT) on chronic nightmares. Becoming lucid (realizing that one is dreaming) during a nightmare allows one to alter the nightmare storyline during the nightmare itself. Methods: After having filled out a sleep and a posttraumatic stress disorder questionnaire, 23 nightmare sufferers were randomly divided into 3 groups; 8 participants received one 2-hour individual LDT session, 8 participants received one 2-hour group LDT session, and 7 participants were placed on the waiting list. LDT consisted of exposure, mastery, and lucidity exercises. Participants filled out the same questionnaires 12 weeks after the intervention (follow-up). Results: At follow-up the nightmare frequency of both treatment groups had decreased. There were no significant changes in sleep quality and posttraumatic stress disorder symptom severity. Lucidity was not necessary for a reduction in nightmare frequency. Conclusions: LDT seems effective in reducing nightmare frequency, although the primary therapeutic component (i.e. exposure, mastery, or lucidity) remains unclear.

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“…Vivid, with emotions escalating at times to the brink of terror, they are manifestations of the dramatic autonomic and cognitive fluctuations that can arise during rapid eye movement (REM) sleep and, under certain circumstances, during Stage 2 sleep. Nightmares can be simple and benign or so emotionally severe that they beg for comparison with psychotic episodes (C. Fisher, Byrne, Edwards, & Kahn, 1970;Hartmann, 1984;Sullivan, 1962). Occasional nightmares are almost ubiquitous in the general population.…”

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confidence: 99%

Disturbed dreaming, posttraumatic stress disorder, and affect distress: A review and neurocognitive model.

Levin

Nielsen

2007

Psychological Bulletin

519

557

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Nightmares are common, occurring weekly in 4%-10% of the population, and are associated with female gender, younger age, increased stress, psychopathology, and dispositional traits. Nightmare pathogenesis remains unexplained, as do differences between nontraumatic and posttraumatic nightmares (for those with or without posttraumatic stress disorder) and relations with waking functioning. No models adequately explain nightmares nor have they been reconciled with recent developments in cognitive neuroscience, fear acquisition, and emotional memory. The authors review the recent literature and propose a conceptual framework for understanding a spectrum of dysphoric dreaming. Central to this is the notion that variations in nightmare prevalence, frequency, severity, and psychopathological comorbidity reflect the influence of both affect load, a consequence of daily variations in emotional pressure, and affect distress, a disposition to experience events with distressing, highly reactive emotions. In a cross-state, multilevel model of dream function and nightmare production, the authors integrate findings on emotional memory structures and the brain correlates of emotion.Keywords: nightmares, distress, neurophysiology of fear memory, posttraumatic stress disorder, psychopathology Nightmares are the most common form of disturbed dreaming. Vivid, with emotions escalating at times to the brink of terror, they are manifestations of the dramatic autonomic and cognitive fluctuations that can arise during rapid eye movement (REM) sleep and, under certain circumstances, during Stage 2 sleep. Nightmares can be simple and benign or so emotionally severe that they beg for comparison with psychotic episodes (C. Fisher, Byrne, Edwards, & Kahn, 1970;Hartmann, 1984;Sullivan, 1962). Occasional nightmares are almost ubiquitous in the general population. However, frequent distressing nightmares are more common than generally thought, affecting 4%-10% of individuals by conservative estimates. Nightmares are also extremely common following trauma exposure. Posttraumatic nightmares may depict traumarelated content and, in cases of chronic posttraumatic stress disorder (PTSD), may at times replicate the trauma with great distress (for review, see Mellman & Pigeon, 2005).There has been a proliferation of experimental work on posttraumatic and nontraumatic nightmares in the past 15 years, the vast majority of which has examined the psychopathological correlates of individuals with frequent nightmares. Furthermore, recent advances in neuroscience have greatly expanded our understanding of dreaming and related brain functions (Maquet, 2000;Maquet et al., 2000) as well as the pathogenic mechanisms implicated in fear conditioning and the development of PTSD (LeDoux, 2000;Ohman & Mineka, 2001). However, despite the clear implications of these developments for understanding nightmares, there are still no comprehensive models of nightmare etiology and no conceptual frameworks for understanding the link between posttraumatic and nontraumatic nightm...

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A Psychophysiological Study of Nightmares

Cited by 172 publications

References 7 publications

Bullying and Parasomnias: A Longitudinal Cohort Study

Bullying and Parasomnias: A Longitudinal Cohort Study

Lucid Dreaming Treatment for Nightmares: A Pilot Study

Disturbed dreaming, posttraumatic stress disorder, and affect distress: A review and neurocognitive model.

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