Nightmares and oxygen desaturations: is sleep apnea related to heightened nightmare frequency?

This study, for the first time, distinguishes between nightmares and bad dreams, measures the frequency of each using dream logs, and separately assesses the relation between nightmares, bad dreams, and well-being. Eighty-nine participants completed 7 measures of well-being and recorded their dreams for 4 consecutive weeks. The dream logs yielded estimated mean annual nightmare and bad-dream frequencies that were significantly (ps < .01) greater than the mean 12-month and 1-month retrospective estimates. Nightmare frequency had more significant correlations than bad-dream frequency with well-being, suggesting that nightmares are a more severe expression of the same basic phenomenon. The findings confirm and extend evidence that nightmares are more prevalent than was previously believed and underscore the need to differentiate nightmares from bad dreams. Show more

In a new approach, this study compared the effects of trait and state factors on nightmare frequency in a non-clinical sample. Although neuroticism and boundary thinness were related to nightmare frequency, regression analyses indicated that the trait measures did not add to the variance explained by the state measures. This finding supports the so-called continuity hypothesis of dreaming, i. e., nightmares reflect negative waking-life experiences. Second, the moderate relationship between nightmare frequency and poor sleep quality was partly explained by the day-time measures of neuroticism and stress, but it can be assumed that nightmares are an independent factor contributing to complaints of insomnia. Longitudinal studies measuring nightmare frequency and stress on a daily basis will shed light on the temporal relationship between daytime measures and the occurrence of nightmares. It will be also very interesting to study the relationship between stress and nightmare frequency in a sample who have undergone cognitive-behavioral treatment for nightmares. Show more