Prevalence and Correlates of Frequent Nightmares: A Community-Based 2-Phase Study

Li, Shirley Xin; Zhang, Bin; Li, Albert Martin; Wing, Yun Kwok

doi:10.1093/sleep/33.6.774

Cited by 157 publications

(128 citation statements)

References 56 publications

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“…In agreement with previous studies, we found that the dream anxiety level of females was higher than that of males (24,25,26). Several factors might explain why females have more dream anxiety compared with males, including higher rate of dream recall frequency in females, greater vulnerability to depression, more frequent childhood trauma history, and lower androgen levels, all of which have been reported to attenuate sympathetically mediated components of the integrated central stress response (25,27,28,29,30).…”

Section: Discussionsupporting

confidence: 92%

A Survey Focusing on Lucid Dreaming, Metacognition, and Dream Anxiety in Medical Students

Yokuşoğlu

Atasoy

Tekeli

et al. 2017

Arch Neuropsychiatr

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Section: Discussionsupporting

confidence: 92%

A Survey Focusing on Lucid Dreaming, Metacognition, and Dream Anxiety in Medical Students

Yokuşoğlu

Atasoy

Tekeli

et al. 2017

Arch Neuropsychiatr

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“…As nightmares are discussed as a potential risk factor for suicide [22][23][24] and their negative effect on daytime functioning 8 , it would be desirable to study in more detail the reasons why nightmare sufferers do not seek professional help. One might speculate that adults who suffered from nightmares since childhood -a high percentage of adult nightmare sufferers state that nightmares started in childhood 25 perceive them as "normal" despite the burden of the disorder.…”

Section: Discussionmentioning

confidence: 99%

“…In representative samples about 5% of the participants stated that they suffer from nightmares [2][3][4][5] . Even though frequent nightmares are associated with poor sleep quality 6 and impaired day-time functioning 7,8 , the clinical impression is that most nightmare sufferers do not seek professional help for their problems 9 . Even in sleep clinics, nightmares were rarely diagnosed and treated: Krakow 10 reported that 16.3% of sleep-disordered patients (N = 718) also have a salient nightmare condition that would normally not have been diagnosed if he hadn't specifically asked for it.…”

Section: Introductionmentioning

confidence: 99%

Seeking professional help for nightmares: a representative study

Schredl

2013

Eur. J. Psychiat.

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GERMANYABSTRACT -Background and Objectives: Nightmares are defined as disturbing mental experiences that generally occur during REM sleep and often result in awakening. Even though about 5% of the general population suffers from nightmares, little is known about seeking professional help in this patient group.Methods: A quota sample of 2019 participants representative for the German population was studied.Results: The findings indicate that every eighth person with frequent nightmares (cutoff: every other week or more often) sought at one time of his/her life for professional help for coping with nightmares. Socio-demographic variables did not correlate with helpseeking behavior.Conclusions: Nightmares are an undertreated condition and future studies should aim at a more throughout understanding why nightmare sufferers rarely seek help for their condition.

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“…2 The prevalence of clinically significant nightmares, which occur at least once per week, is estimated between 0.9% and 6.8%. [3][4][5][6][7][8][9] In the largest study to date (69,813 adults), the prevalence of nightmares was 3.5% in men and 4.8% in women. 10 Participants from the World War II generation had a significantly higher prevalence of 7.2% in men and 7% in women.…”

mentioning

confidence: 99%

Nightmares in United States Military Personnel With Sleep Disturbances

Creamer

Brock

Matsangas

et al. 2018

Journal of Clinical Sleep Medicine

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Study Objectives: Sleep disturbances are common in United States military personnel. Despite their exposure to combat and trauma, little is known about nightmares in this population. The purpose of this study was to describe the prevalence and associated clinical and polysomnographic characteristics of nightmares in United States military personnel with sleep disturbances. Methods: Retrospective review of 500 active duty United States military personnel who underwent a sleep medicine evaluation and polysomnography at our sleep center. The Pittsburgh Sleep Quality Index and the Pittsburgh Sleep Quality Index-Addendum were used to characterize clinically significant nightmares. Subjective and objective sleep attributes were compared between groups. Results: At least weekly nightmares were present in 31.2%; yet, only 3.9% reported nightmares as a reason for evaluation. Trauma-related nightmares occurred in 60% of those patients with nightmares. Patients with nightmares had increased sleep onset latency (SOL) and rapid eye movement (REM) sleep latency (mean SOL/REM sleep latency 16.6/145 minutes, P = .02 and P = .01 respectively) compared to those without (mean SOL/REM sleep latency 12.5/126 minutes I NTRO DUCTI O NNightmares are defined by repeated occurrences of extended, extremely dysphoric, and well-remembered dreams that cause clinically significant distress or impairment in social, occupational, or other areas of functioning. 1 Occasional nightmares are part of a normal adaptive response to life stressors and are not pathologic, with 85% of adults reporting at least one nightmare per year. 2 The prevalence of clinically significant nightmares, which occur at least once per week, is estimated between 0.9% and 6.8%. [3][4][5][6][7][8][9] In the largest study to date (69,813 adults), the prevalence of nightmares was 3.5% in men and 4.8% in women. 10 Participants from the World War II generation had a significantly higher prevalence of 7.2% in men and 7% in women. Nightmares are more common among patients with sleep disturbances, sleep disorders, depression, anxiety, and posttraumatic stress disorder However, most research evaluating sleep disorders in active duty military personnel has focused on insomnia, obstructive sleep apnea (OSA), and PTSD, noting that a recent study focusing on OSA and PTSD did not evaluate nightmares. [18][19][20] Following traumatic experiences, sleep disturbances are frequently reported, including trauma-related nightmares (TRN). 21 The nightmares of trauma survivors tend to be more severe and distressing than idiopathic nightmares. 1,3 Though not exclusive to PTSD, TRN have been referred to as the "hallmark" of this disorder, with rates as high as 90%. 22,23 Addressing nightmares as a distinct sleep disorder following a BRIEF SUMMARY Current Knowledge/Study Rationale: The spectrum of sleep disorders in military personnel is varied and complicated by the presence of comorbidities and psychological disorders. Currently, little is known regarding nightmares, especially trauma-related nig...

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Prevalence and Correlates of Frequent Nightmares: A Community-Based 2-Phase Study

Cited by 157 publications

References 56 publications

A Survey Focusing on Lucid Dreaming, Metacognition, and Dream Anxiety in Medical Students

A Survey Focusing on Lucid Dreaming, Metacognition, and Dream Anxiety in Medical Students

Seeking professional help for nightmares: a representative study

Nightmares in United States Military Personnel With Sleep Disturbances

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