Abstract
Nightmares are a relatively prevalent parasomnia, associated with a range of psychiatric conditions and pathological symptoms (Nielsen and Levin 2007). They also occur at times of overall heightened arousal in otherwise healthy individuals. Nightmares are more frequent during childhood where they, not unlike other childhood parasomnias, probably represent a benign disorder caused by immaturity of neural circuits (Nevsimalova et al. 2013). Current knowledge about how nightmares are produced is still influenced by neo-psychoanalytic speculations, as well as by more recent personality, evolutionary and neurobiological models (Nielsen and Levin 2007). A majority of these models stipulate some type of emotionally adaptive function for dreaming, including image contextualization, affect desomatization, mood regulation or fear extinction (Nielsen and Levin 2007). It is generally accepted that dreams likely represent a state of consciousness, characterized by internally generated sensory, cognitive and emotional experiences occurring during sleep (Desseilles et al. 2011). Even normal dream reports tend to be abundant, with complex, emotional and perceptually vivid experiences after awakening from rapid eye movement (REM) sleep (Desseilles et al. 2011) or less often also during the non-REM (nREM) sleep. Emotional experiences in most dreams, not just nightmares, are frequent, intense and possibly biased towards negative emotions. Nightmares, on the other hand, can represent an intensified expression of an emotionally adaptive function, or, conversely, they can be taken as evidence of its breakdown (Nielsen and Levin 2007). One such example is highly emotionally loaded dreams and nightmares in post-traumatic stress disorder (PTSD) which can disrupt the maintenance of REM sleep (Nielsen and Levin 2007).
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References
Abers MS, Shandera WX, Kass JS. Neurological and psychiatric adverse effects of antiretroviral drugs. CNS Drugs. 2014;28(2):131–45. https://doi.org/10.1007/s40263-013-0132-4.
American Academy of Sleep Medicine. The international classification of sleep disorders: diagnostic and coding manual. 3rd ed. Westchester, IL: American Academy of Sleep Medicine; 2015.
American Psychiatric Association. Desk reference to the diagnostic criteria from DSM-5. Washington, DC: American Psychiatric Publishing; 2013.
American Psychiatric Association. DSM-5 Task Force. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, DC: American Psychiatric Association; 2013.
Aukst-Margetic B, Margetic B, Tosic G, Bilic-Prcic A. Levomepromazine helps to reduce sleep problems in patients with PTSD. Eur Psychiatry. 2004;19(4):235–6. https://doi.org/10.1016/j.eurpsy.2003.12.007.
Aurora RN, Zak RS, Auerbach SH, Casey KR, Chowdhuri S, Karippot A, Maganti RK, Ramar K, Kristo DA, Bista SR, Lamm CI, Morgenthaler TI, Standards of Practice C, American Academy of Sleep Medicine. Best practice guide for the treatment of nightmare disorder in adults. J Clin Sleep Med. 2010;6(4):389–401.
Bloomfield ER, Shatkin JP. Parasomnias and movement disorders in children and adolescents. Child Adolesc Psychiatr Clin N Am. 2009;18(4):947–65. https://doi.org/10.1016/j.chc.2009.04.010.
Bray N. Sleep: Inducing lucid dreams. Nat Rev Neurosci. 2014;15(7):428. https://doi.org/10.1038/nrn3769.
Corbo JM, Brown JN, Moss JM. Galantamine-associated nightmares and anxiety. Consult Pharm. 2013;28(4):243–6. https://doi.org/10.4140/TCP.n.2013.243.
Cranston CC, Davis JL, Rhudy JL, Favorite TK. Replication and expansion of “Best Practice Guide for the Treatment of Nightmare Disorder in Adults”. J Clin Sleep Med. 2011;7(5):549–53; . discussion 554–546. https://doi.org/10.5664/JCSM.1330.
Dang A, Kamat R, Padmanabh RV. Ciprofloxacin induced nightmares in an adult patient. Indian J Psychiatry. 2008;50(4):305–6. https://doi.org/10.4103/0019-5545.44757.
Dang A, Garg G, Rataboli PV. Mirtazapine induced nightmares in an adult male. Br J Clin Pharmacol. 2009;67(1):135–6. https://doi.org/10.1111/j.1365-2125.2008.03305.x.
De Angeli F, Lovati C, Giani L, D’Alessandro M, Raimondi E, Scaglione V, Castoldi D, Capiluppi E, Mariani C. Negative emotions in migraineurs dreams: the increased prevalence of oneiric fear and anguish, unrelated to mood disorders. Behav Neurol. 2014;2014:919627. https://doi.org/10.1155/2014/919627.
Desseilles M, Dang-Vu TT, Sterpenich V, Schwartz S. Cognitive and emotional processes during dreaming: a neuroimaging view. Conscious Cogn. 2011;20(4):998–1008. https://doi.org/10.1016/j.concog.2010.10.005.
Fisher C, Byrne JV, Edwards A, Kahn E. REM and NREM nightmares. Int Psychiatry Clin. 1970;7(2):183–7.
Fraser GA. The use of a synthetic cannabinoid in the management of treatment-resistant nightmares in posttraumatic stress disorder (PTSD). CNS Neurosci Ther. 2009;15(1):84–8. https://doi.org/10.1111/j.1755-5949.2008.00071.x.
Godin I, Montplaisir J, Gagnon JF, Nielsen T. Alexithymia associated with nightmare distress in idiopathic REM sleep behavior disorder. Sleep. 2013;36(12):1957–62. https://doi.org/10.5665/sleep.3238.
Hartmann E. The nightmare: the psychology and biology of terrifying dreams. New York, NY: Basic Books; 1984.
Hartmann E. Nightmare after trauma as paradigm for all dreams: a new approach to the nature and functions of dreaming. Psychiatry. 1998;61(3):223–38.
Hauri PJ, Silber MH, Boeve BF. The treatment of parasomnias with hypnosis: a 5-year follow-up study. J Clin Sleep Med. 2007;3(4):369–73.
Hublin C, Kaprio J, Partinen M, Koskenvuo M. Nightmares: familial aggregation and association with psychiatric disorders in a nationwide twin cohort. Am J Med Genet. 1999;88(4):329–36.
Isacsson G, Ahlner J. Antidepressants and the risk of suicide in young persons--prescription trends and toxicological analyses. Acta Psychiatr Scand. 2014;129(4):296–302. https://doi.org/10.1111/acps.12160.
Khan F, Bernadt M. Intense suicidal thoughts and self-harm following escitalopram treatment. Indian J Psychol Med. 2011;33(1):74–6. https://doi.org/10.4103/0253-7176.85400.
van der Kolk B, Blitz R, Burr W, Sherry S, Hartmann E. Nightmares and trauma: a comparison of nightmares after combat with lifelong nightmares in veterans. Am J Psychiatry. 1984;141(2):187–90.
Kotagal S. Parasomnias in childhood. Sleep Med Rev. 2009;13(2):157–68. https://doi.org/10.1016/j.smrv.2008.09.005.
Köthe M, Pietrowsky R. Behavioral effects of nightmares and their correlations to personality patterns. Dreaming. 2001;11:43–52.
Krakow B, Zadra A. Clinical management of chronic nightmares: imagery rehearsal therapy. Behav Sleep Med. 2006;4(1):45–70. https://doi.org/10.1207/s15402010bsm0401_4.
Krakow B, Tandberg D, Scriggins L, Barey M. A controlled comparison of self-rated sleep complaints in acute and chronic nightmare sufferers. J Nerv Ment Dis. 1995;183(10):623–7.
Krakow B, Lowry C, Germain A, Gaddy L, Hollifield M, Koss M, Tandberg D, Johnston L, Melendrez D. A retrospective study on improvements in nightmares and post-traumatic stress disorder following treatment for co-morbid sleep-disordered breathing. J Psychosom Res. 2000;49(5):291–8.
Krakow B, Hollifield M, Johnston L, Koss M, Schrader R, Warner TD, Tandberg D, Lauriello J, McBride L, Cutchen L, Cheng D, Emmons S, Germain A, Melendrez D, Sandoval D, Prince H. Imagery rehearsal therapy for chronic nightmares in sexual assault survivors with posttraumatic stress disorder: a randomized controlled trial. JAMA. 2001;286(5):537–45.
Kramer M, Schoen LS, Kinney L. Psychological and behavioral features of disturbed dreamers. Psychiatr J Univ Ott. 1984;9(3):102–6.
Kung S, Espinel Z, Lapid MI. Treatment of nightmares with prazosin: a systematic review. Mayo Clin Proc. 2012;87(9):890–900. https://doi.org/10.1016/j.mayocp.2012.05.015.
Kushida CE. Encyclopedia of sleep. Waltham, MA: Academic Press; 2013. p. 219–24. https://doi.org/10.1016/B978-0-12-378610-4.00429-0.
Marinova P, Koychev I, Laleva L, Kancheva L, Tsvetkov M, Bilyukov R, Vandeva D, Felthouse A, Koychev G. Nightmares and suicide: predicting risk in depression. Psychiatr Danub. 2014;26(2):159–64.
McCall WV, Black CG. The link between suicide and insomnia: theoretical mechanisms. Curr Psychiatry Rep. 2013;15(9):389. https://doi.org/10.1007/s11920-013-0389-9.
Montagna P, Chokroverty S. Sleep disorders. In:Handbook of clinical neurology, vol. 3. New York, NY: Elsevier, Edinburgh; 2011. p. 98–9.
Moore M. Behavioral sleep problems in children and adolescents. J Clin Psychol Med Settings. 2012;19(1):77–83. https://doi.org/10.1007/s10880-011-9282-z.
Nadorff MR, Fiske A, Sperry JA, Petts R, Gregg JJ. Insomnia symptoms, nightmares, and suicidal ideation in older adults. J Gerontol B Psychol Sci Soc Sci. 2013a;68(2):145–52. https://doi.org/10.1093/geronb/gbs061.
Nadorff MR, Nazem S, Fiske A. Insomnia symptoms, nightmares, and suicide risk: duration of sleep disturbance matters. Suicide Life Threat Behav. 2013b;43(2):139–49. https://doi.org/10.1111/sltb.12003.
Neuspiel DR. Nightmare disorder treatment & management. 2015. https://emedicine.medscape.com/article/914428-treatment
Nevsimalova S, Prihodova I, Kemlink D, Skibova J. Childhood parasomnia--a disorder of sleep maturation? Eur J Paediatr Neurol. 2013;17(6):615–9. https://doi.org/10.1016/j.ejpn.2013.05.004.
Nielsen T, Levin R. Nightmares: a new neurocognitive model. Sleep Med Rev. 2007;11(4):295–310. https://doi.org/10.1016/j.smrv.2007.03.004.
Pagel JF, Helfter P. Drug induced nightmares--an etiology based review. Hum Psychopharmacol. 2003;18(1):59–67. https://doi.org/10.1002/hup.465.
Partinen M. Epidemiology of sleep disorders. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 2nd ed. Philadelphia: Saunders; 1994. p. 437–52.
Petit D, Touchette E, Tremblay RE, Boivin M, Montplaisir J. Dyssomnias and parasomnias in early childhood. Pediatrics. 2007;119(5):e1016–25. https://doi.org/10.1542/peds.2006-2132.
Pillar G, Malhotra A, Lavie P. Post-traumatic stress disorder and sleep-what a nightmare! Sleep Med Rev. 2000;4(2):183–200. https://doi.org/10.1053/smrv.1999.0095.
Pisko J, Pastorek L, Buskova J, Sonka K, Nevsimalova S. Nightmares in narcolepsy: underinvestigated symptom? Sleep Med. 2014;15(8):967–72. https://doi.org/10.1016/j.sleep.2014.03.006.
Pollak C, Thorpy MJ, Yager J. The encyclopedia of sleep and sleep disorders. 3rd ed. New York, NY: Facts on File; 2010. Updated and revised edn.
Rosenzweig I, Williams SC, Morrell MJ. The impact of sleep and hypoxia on the brain: potential mechanisms for the effects of obstructive sleep apnea. Curr Opin Pulm Med. 2014;20(6):565–71. https://doi.org/10.1097/MCP.0000000000000099.
Rosenzweig I, Glasser M, Polsek D, Leschziner GD, Williams SCR, Morrell MJ. Sleep apnoea and the brain: a complex relationship. Lancet Respir Med. 2015;3:404. https://doi.org/10.1016/S2213-2600(15)00090-9.
Ross RJ, Ball WA, Sullivan KA, Caroff SN. Sleep disturbance as the hallmark of posttraumatic stress disorder. Am J Psychiatry. 1989;146(6):697–707.
Sadeh A. Cognitive-behavioral treatment for childhood sleep disorders. Clin Psychol Rev. 2005;25(5):612–28. https://doi.org/10.1016/j.cpr.2005.04.006.
Salvio MA, Wood JM, Schwartz J, Eichling PS. Nightmare prevalence in the healthy elderly. Psychol Aging. 1992;7(2):324–5.
Schredl M. Effects of state and trait factors on nightmare frequency. Eur Arch Psychiatry Clin Neurosci. 2003;253(5):241–7. https://doi.org/10.1007/s00406-003-0438-1.
Schredl M. Editorial for “Nightmares in narcolepsy - under-investigated symptom?” (SLEEP-D-13-00591) Understanding and treating nightmares in patients with narcolepsy. Sleep Med. 2014a;15(8):851–2. https://doi.org/10.1016/j.sleep.2014.05.003.
Schredl M. Explaining the gender difference in nightmare frequency. Am J Psychol. 2014b;127(2):205–13.
Sjostrom N, Waern M, Hetta J. Nightmares and sleep disturbances in relation to suicidality in suicide attempters. Sleep. 2007;30(1):91–5.
Susanszky E, Hajnal A, Kopp M. Sleep disturbances and nightmares as risk factors for suicidal behavior among men and women. Psychiatr Hung. 2011;26(4):250–7.
Tamanna S, Parker JD, Lyons J, Ullah MI. The effect of continuous positive air pressure (CPAP) on nightmares in patients with posttraumatic stress disorder (PTSD) and obstructive sleep apnea (OSA). J Clin Sleep Med. 2014;10(6):631–6. https://doi.org/10.5664/jcsm.3786.
Thompson DF, Pierce DR. Drug-induced nightmares. Ann Pharmacother. 1999;33(1):93–8.
Thompson CE, Taylor FB, McFall ME, Barnes RF, Raskind MA. Nonnightmare distressed awakenings in veterans with posttraumatic stress disorder: response to prazosin. J Trauma Stress. 2008;21(4):417–20. https://doi.org/10.1002/jts.20351.
Voss U, Holzmann R, Hobson A, Paulus W, Koppehele-Gossel J, Klimke A, Nitsche MA. Induction of self awareness in dreams through frontal low current stimulation of gamma activity. Nat Neurosci. 2014;17(6):810–2. https://doi.org/10.1038/nn.3719.
Woodward SH, Arsenault NJ, Murray C, Bliwise DL. Laboratory sleep correlates of nightmare complaint in PTSD inpatients. Biol Psychiatry. 2000;48(11):1081–7.
Youakim JM, Doghramji K, Schutte SL. Posttraumatic stress disorder and obstructive sleep apnea syndrome. Psychosomatics. 1998;39(2):168–71. https://doi.org/10.1016/S0033-3182(98)71365-9.
Zadra A, Donderi DC. Nightmares and bad dreams: their prevalence and relationship to well-being. J Abnorm Psychol. 2000;109(2):273–81.
Zadra A, Pilon M, Donderi DC. Variety and intensity of emotions in nightmares and bad dreams. J Nerv Ment Dis. 2006;194(4):249–54. https://doi.org/10.1097/01.nmd.0000207359.46223.dc.
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Rosenzweig, I. (2018). Nightmare Disorders. In: Selsick, H. (eds) Sleep Disorders in Psychiatric Patients. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54836-9_15
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