In the midnight hour: Cancer and nightmares. A review of theories and interventions in psycho-oncology.
Palliative & Supportive Care June 1, 2011 David K Wellisch, Marie Cohen
Cancer patients' poor sleep often involves both physical symptoms and nightmares. A review of about 30 articles and books, drawing on threat simulation theory and imagery rehearsal therapy, shows that nightmares in cancer patients reflect attempts to cope with threats like dependency, disfigurement, and death, especially in the doctor-patient relationship. Imagery rehearsal can help patients feel empowered rather than helpless. The review suggests that modern dream theories offer opportunities for interventions that relieve sleep disturbances and improve communication among patients, families, and medical caregivers.