Weekday and weekend sleep deprivation are associated with recurrent nightmare in adolescents: a cross-sectional study

Lin, Yi‐Qi; Zhuang, Wenjin; Zheng, Fuhao; Zeng, Zhaonan; Wu, Yongxi; Wu, Siying; Wei, Shichao

doi:10.1016/j.sleep.2020.09.016

Cited by 10 publications

(6 citation statements)

References 33 publications

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“…We did, however, find weak negative correlations between sleep duration and bad dream and nightmare recall, which suggests that shorter sleep time in our sample was associated with higher rates of dysphoric dreaming specifically. This finding is consistent with a recent study in Chinese adolescents showing an association between short sleep time and recurrent nightmares [ 73 ]. However, other studies either report a positive relationship between nightmare frequency and longer sleep duration [ 47 , 74 ] or no association between nightmares and sleep duration [ 75 ].…”

Section: Discussionsupporting

confidence: 94%

Stuck in a lockdown: Dreams, bad dreams, nightmares, and their relationship to stress, depression and anxiety during the COVID-19 pandemic

et al. 2021

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Background An upsurge in dream and nightmare frequency has been noted since the beginning of the COVID-19 pandemic and research shows increases in levels of stress, depression and anxiety during this time. Growing evidence suggests that dream content has a bi-directional relationship with psychopathology, and that dreams react to new, personally significant and emotional experiences. The first lockdown experience was an acute event, characterized by a combination of several unprecedent factors (new pandemic, threat of disease, global uncertainty, the experience of social isolation and exposure to stressful information) that resulted in a large-scale disruption of life routines. This study aimed at investigating changes in dream, bad dream and nightmare recall; most prevalent dream themes; and the relationship between dreams, bad dreams, nightmares and symptoms of stress, depression and anxiety during the first COVID-19 lockdown (April-May 2020) through a national online survey. Methods 968 participants completed an online survey. Dream themes were measured using the Typical Dreams Questionnaire; stress levels were measured by the Cohen’s Perceived Stress Scale; symptoms of anxiety were assessed by Generalized Anxiety Disorder (GAD-7) scale; and symptoms of depression were assessed using the Quick Inventory of Depressive Symptomatology. Results 34% (328) of participants reported increased dream recall during the lockdown. The most common dream themes were centered around the topics of 1) inefficacy (e.g., trying again and again, arriving late), 2) human threat (e.g., being chased, attacked); 3) death; and 4) pandemic imagery (e.g., being separated from loved ones, being sick). Dream, bad dream and nightmare frequency was highest in individuals with moderate to severe stress levels. Frequency of bad dreams, nightmares, and dreams about the pandemic, inefficacy, and death were associated with higher levels of stress, as well as with greater symptoms of depression and anxiety. Conclusions Results support theories of dream formation, environmental susceptibility and stress reactivity. Dream content during the lockdown broadly reflected existential concerns and was associated with increased symptoms of mental health indices.

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Section: Discussionsupporting

confidence: 94%

Stuck in a lockdown: Dreams, bad dreams, nightmares, and their relationship to stress, depression and anxiety during the COVID-19 pandemic

et al. 2021

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show abstract

“…We did, however, find weak negative correlations between sleep duration and bad dream and nightmare recall, which suggests that shorter sleep time in our sample was associated with higher rates of dysphoric dreaming specifically. This finding is consistent with a recent study in Chinese adolescents showing an association between short sleep time and recurrent nightmares (Lin et al, 2020). However, other studies either report a positive relationship between nightmare frequency and longer sleep duration (Rek, Sheaves, & Freeman, 2017;Sandman et al, 2013) or no association between nightmares and sleep duration (Nielsen, 2010).…”

Section: Dream Bad Dream and Nightmare Recallsupporting

confidence: 92%

Stuck in a lockdown: dreams, bad dreams, nightmares, and their relationship to stress, depression and anxiety during the COVID-19 pandemic

Solomonova¹,

Picard-Deland²,

Rapoport³

et al. 2021

Preprint

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Background: An upsurge in dream and nightmare frequency has been noted since the beginning of the COVID-19 pandemic and research shows increases in levels of stress, depression and anxiety during this time. Growing evidence suggests that dream content has a bi-directional relationship with psychopathology, and that dreams react to new, personally significant and emotional experiences. The first lockdown experience was an acute event, characterized by a combination of several unprecedented factors (new pandemic, threat of the disease, global uncertainty, , experience of social isolation, exposure to stressful information) that resulted in a large-scale disruption of life routines. This study aimed at investigating changes in dream, bad dream and nightmare recall; most prevalent dream themes, and the relationship between dreams, bad dreams, nightmares and symptoms of stress, depression and anxiety during the first COVID-19 lockdown (April-May 2020) through a national online survey.Methods: 968 participants completed an online survey. Dream themes were measured using the Typical Dreams Questionnaire; stress levels were measured by the Cohen’s Perceived Stress Scale; symptoms of anxiety were assessed by Generalized Anxiety Disorder (GAD-7) scale; and symptoms of depression were assessed using the Quick Inventory of Depressive Symptomatology. Results: 34% (328) of participants reported increased dream recall during the lockdown. The most common dream themes were centered around the topics of 1) inefficacy (e.g., trying again and again, arriving late), 2) human threat (e.g., being chased, attacked); 3) death; and 4) pandemic imagery (e.g., being separated from loved ones, being sick). Dream, bad dream and nightmare frequency was highest in individuals with moderate to severe stress levels. Frequency of bad dreams nightmares and dreams about the pandemic, inefficacy and death were associated with higher levels of stress, as well as with greater symptoms of depression and anxiety. Conclusions: Results support theories of dream formation, environmental susceptibility and stress reactivity. Dream content during the lockdown broadly reflected existential concerns and was associated with increased symptoms of mental health indices.

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“…In China, students exist in a prolonged competitive learning environment and experience unrelenting academic stress. (105). Our research results may explain why higher levels of PAS were related to poorer sleep quality.…”

Section: Mediating Role Of Sleep Qualitymentioning

confidence: 61%

Perceived Academic Stress and Depression: The Mediation Role of Mobile Phone Addiction and Sleep Quality

Zhang

Gao²,

Kang

et al. 2022

Front. Public Health

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BackgroundAlthough academic stress is a well-known risk factor for students' depression, little is known about the possible psychological mechanisms underlying this association. In this study, we investigated the prevalence of depression and sleep disturbance among Chinese students, examined the relationship between perceived academic stress and depression, considered if mobile phone addiction and sleep quality is a mediator of this relationship, and tested if mobile phone addiction and sleep quality together play a serial mediating role in the influence of perceived academic stress on depression.MethodA cross-sectional survey was conducted among students from September to December 2018 in Heilongjiang Province, China. The final analysis included 5,109 students. Mobile phone addiction, sleep quality, and depressive symptoms were assessed using the Mobile Phone Addiction Index, Pittsburgh Sleep Quality Index, and Center for Epidemiologic Studies-Depression scales, respectively. The serial mediation model was used to analyse the relationship between perceived academic stress, mobile phone addiction, sleep quality, and depression.ResultsAmong all participants, the prevalence of depressive symptoms and sleep disturbance was 28.69 and 27.95%, respectively. High school students showed the highest scores of perceived academic stress (2.68 ± 1.06), and the highest prevalence of depressive symptoms (33.14%) and sleep disturbance (36.47%). The serial mediation model indicated that perceived academic stress was a significant predictor of depression (B = 0.10, SE = 0.02, 95% CI = 0.06 – 0.13). Additionally, mobile phone addiction (B = 0.08, 95% boot CI = 0.06–0.11) and sleep quality (B = 0.27, 95% boot CI = 0.22–0.33) played a mediating role between perceived academic stress and depression. Mobile phone addiction and sleep quality together played a serial mediating role in the influence of perceived academic stress on depression (B = 0.11, 95% boot CI = 0.08–0.14). Furthermore, the indirect effect (i.e., the mediating effect of mobile phone addiction and sleep quality) was significant and accounted for 64.01% of the total effect.ConclusionsOur research results underscore the need for stakeholders—including family members, educators, and policy makers—to take preventative intervention measures to address depression among Chinese students, especially high school students.

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Weekday and weekend sleep deprivation are associated with recurrent nightmare in adolescents: a cross-sectional study

Cited by 10 publications

References 33 publications

Stuck in a lockdown: Dreams, bad dreams, nightmares, and their relationship to stress, depression and anxiety during the COVID-19 pandemic

Stuck in a lockdown: Dreams, bad dreams, nightmares, and their relationship to stress, depression and anxiety during the COVID-19 pandemic

Stuck in a lockdown: dreams, bad dreams, nightmares, and their relationship to stress, depression and anxiety during the COVID-19 pandemic

Perceived Academic Stress and Depression: The Mediation Role of Mobile Phone Addiction and Sleep Quality

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