Nightmare Disorder
Nightmare disorder, also known as dream anxiety disorder, is a sleep disorder characterized by frequent nightmares. The nightmares, which often portray the individual in a situation that jeopardizes their life or personal safety, usually occur during the REM stages of sleep.
Cluster Number:
Wiki Number: PW136
Diagnosis: Nightmare Disorder
US Patients: 4% of adults; 1% of children
World Patients:
Sex Ratio: M;W2
Age Onset:
Brain Area:
Symptoms: frequent nightmares involving personal safety, usually occurring during REM stages of sleep; remembers every detail of the dream
Progression: does not wake up screaming, but reduce daytime efficiencies from being “tired”; fear and physical aggression are the most common
Causes: PTSD, extreme stress, death of a loved one; 30% have other psychiatric illnesses
Medications: several antipsychotic medicines have reduced nightmares; hypnosis and relaxation may also help
Therapies: EMDR (Eye Movement Desensitization and Reprocessing) have helped portions of those with PTSD or other threatening experiences.
4 CURRENT ARTICLES
FROM PUBMED
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PubMed article’s summary-abstract.
- Patient Experience in Early-Stage Parkinson's Disease: Using a Mixed Methods Analysis to Identify Which Concepts Are Cardinal for Clinical Trial Outcome Assessmentby Thomas Morel on July 1, 2022
CONCLUSION: Patient experiences in early-stage PD are complex and wide-ranging, and the currently available patient-reported outcome (PRO) instruments do not evaluate many early-stage PD concepts such as functional slowness, fine motor skills, and subtle gait abnormalities. The development of a new PRO instrument, created in conjunction with people with PD, that fully assesses symptoms and the experience of living with early-stage PD, is required.
- The evolution of DREAMS: using data for continuous program improvementby Janet Saul on June 29, 2022
The DREAMS (Determined, Resilient, Empowered, AIDS-Free, Mentored, and Safe) Partnership, a public-private partnership launched by the United States President's Emergency Plan for AIDS Relief (PEPFAR), represents the largest investment in comprehensive HIV prevention for adolescent girls and young women (AGYW) ever made in a single global initiative. This paper describes the evolution of programming over time using the triangulation of multiple data sources to develop and refine an impactful...
- From policy to practice: uptake of pre-exposure prophylaxis among adolescent girls and young women in United States President's Emergency Plan for AIDS Relief-supported countries, 2017-2020by Pragna Patel on June 29, 2022
CONCLUSION: PrEP uptake among AGYW has grown since 2016; however, challenges remain. Tools to improve adherence are needed to improve PrEP persistence among AGYW. National policies to facilitate greater PrEP uptake among adolescents would be beneficial. A greater need for PrEP in DREAMS countries is evident and if realized, will contribute to epidemic control.
- Nightmares in patients with insomniaby E A Korabelnikova on June 27, 2022
Studies show a high frequency of comorbidity of insomnia and nightmares, which aggravate and chronicle each other. The mechanisms of their mutual influence are different. Insomnia changes the nature of dreams, both indirectly through emotional hyperactivation characteristic of insomnia, and as a result of frequent awakenings. However, frequent recurring unpleasant and frightening dreams can themselves increase the frequency of nocturnal awakenings and worsen the quality of sleep. The comorbidity...