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Importance of Baseline Nightmare Frequency in Assessing Causes of Nightmares

Mark Blagrove, PhD, is Reader in Psychology at the University of Wales Swansea, where he runs a sleep laboratory and conducts research into the psychology of dreaming. He is a Past President of IASD, and is a consulting editor for the journal Dreaming and the Journal of Sleep Research.

Abstract

Many studies find only a small relationship between proposed causes of nightmares and nightmare frequency. For example, table 1 in Blagrove and Hayward (2006) shows that most studies of the relationship between anxiety and nightmare frequency find only low correlations. Furthermore, Cellucci and Lawrence (1978) found only a few subjects to have significant associations between their anxiety across the days of the study and the occurrence of nightmares on each night. We therefore raise the question, are some people more susceptible to certain causes of nightmares than are others? Schredl (2003) proposed such an interaction between trait and state factors, but found that although neuroticism and boundary thinness were related to nightmare frequency, these trait measures did not add to the variance explained by the state measures.

This paper proposes that a relevant trait is the number of nightmares that people have before the state factor occurs. Thus, it is only people who already have nightmares who show an increase in nightmare frequency due to such state factors.

This is illustrated with a review of the literature of the effects of the anaesthetic drug ketamine on dreaming. Some studies have found ketamine causes more pleasant dreams, but many studies have found it causes nightmares. This lack of consistent findings is shown to be a result of studies not taking account of the baseline number of nightmares that people have at home before being given ketamine. It is suggested that future studies on causes of nightmares partial out the trait of baseline nightmare frequency.  

References  

Blagrove, M & Hayward, S. (2006). Evaluating the awakening criterion in the definition of nightmares: how certain are people that a nightmare woke them up? Journal of Sleep Research, 2006. 

Cellucci, A. J., and P. S. Lawrence. (1978). Individual differences in self-reported sleep variable correlations among nightmare sufferers. Journal of Clinical Psychology 34(3):721-25. 

Schredl, M.(2003). Effects of state and trait factors on nightmare frequency. Eur Arch Psychiatry Clin Neurosci. 2003 Oct;253(5):241-7. 

 
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