Journal of Sleep Research
April 1, 2026
Severin Ableidinger, Luigi De Gennaro, Sérgio Mota-Rolim et al.
During lucid dreaming (LD), dreamers are aware that they are dreaming and may be able to influence the oneiric content. There has been recent debate about the relative importance of the ability to influence the dream and having agency over the pure awareness of dreaming. To underline this, we examined the associations of lucid dreams without agency (LD-Ag) and lucid dreams with agency (LD + Ag)...
Journal of Sleep Research
February 1, 2026
Courtney J Bolstad, Bjørn Bjorvatn, Ngan Yin Chan et al.
The present study aimed to describe the prevalence rates of frequent (i.e., at least weekly) dream recall and nightmares with consideration for differences in age, gender and sleep duration in 16 countries using equivalent assessment methods. The study sample included 15,854 participants (69.9% women) aged 18-99 years (M = 42.39, SD = 16.43) collected by the International COVID-19 Sleep Study...
Journal of Sleep Research
June 1, 2025
Jennifer M Mundt, Kristi E. Pruiksma, Karen R Konkoly et al.
7 citations
Nightmares are a common symptom in narcolepsy that has not been targeted in prior clinical trials. This study investigated the efficacy of Cognitive Behavioural Therapy for Nightmares (CBT-N), adapted for narcolepsy, in a small group of adults. Given the high prevalence of lucid dreaming in narcolepsy, we added a promising adjuvant component, targeted lucidity reactivation (TLR), a procedure...
Behavioral Sleep Medicine
January 15, 2025
Kristi E. Pruiksma, Katherine E Miller, Joanne L. Davis et al.
16 citations
OBJECTIVES: Research supports cognitive behavioral therapies for nightmares (CBT-N) in adults. However, the nuances of implementation and unstandardized nomenclature for treatment components has created confusion in the field. To provide clarification, an expert consensus panel convened to review treatment manual components and to develop guidelines for the standardized implementation and...
Journal of Sleep Research
October 1, 2024
Courtney J Bolstad, Brigitte Holzinger, Serena Scarpelli et al.
The association between nightmare frequency (NMF) and suicidal ideation (SI) is well known, yet the impact of the COVID-19 pandemic on this relation is inconsistent. This study aimed to investigate changes in NMF, SI, and their association during the COVID-19 pandemic. Data were collected in 16 countries using a harmonised questionnaire. The sample included 9328 individuals (4848 women; age...
Sleep medicine clinics
March 1, 2024
Victoria R Garriques, Deepali M Dhruve, Michael R Nadorff
This article presents a comprehensive review of nightmare disorder, covering diagnosis, treatment approaches, guidelines, and considerations. It begins with an introduction, defining the disorder and addressing its prevalence and psychosocial implications. The article explores assessment tools for diagnosis and then delves into psychological and pharmacologic treatment modalities, examining...
Nature and Science of Sleep
August 1, 2022
Brigitte Holzinger, Franziska Nierwetberg, Frances Chung et al.
16 citations
Purpose: The COVID-19 pandemic affects mental health and sleep, resulting in frequent nightmares. Therefore, identifying factors associated with nightmare frequency is important, as it can indicate mental health issues. The study aimed to investigate increases in nightmare frequency comparing the pre-pandemic and pandemic period, and identify its risk factors. Further, the mediating role of...
Nature and Science of Sleep
2022
Serena Scarpelli, Michael R Nadorff, Bjørn Bjorvatn et al.
A growing number of studies have demonstrated that the coronavirus disease-19 (COVID-19) pandemic has severely affected sleep and dream activity in healthy people. To date, no investigation has examined dream activity specifically in COVID-19 patients. As part of the International COVID-19 Sleep Study (ICOSS), we compared 544 COVID-19 participants with 544 matched-controls. A within-subjects...
Dreaming (New York, N.Y.)
September 1, 2021
Christina Pierpaoli-Parker, Courtney J Bolstad, E. Szkody et al.
Imagery rehearsal therapy (IRT) is an evidence-based treatment for nightmare disorder (ND), and numerous studies have demonstrated its ef fi cacy in reducing the frequency and severity of nightmares. ND and REM sleep behavior disorder (RBD) co-occur, yet the impact of successful treatment of nightmares on dream enactment in RBD has not been studied. In this case study, we present the treatment...
Nature and Science of Sleep
2021
Eirin Fränkl, Serena Scarpelli, Michael R Nadorff et al.
Many have reported odd dreams during the pandemic. Given that dreams are associated with mental health, understanding these changes could provide crucial information about wellbeing during the pandemic. This study explored associations between COVID-19 and dream recall frequency (DRF), and related social, health, and mental health factors. We conducted a cross-sectional web survey of 19,355...
Journal of Sleep Research
January 29, 2019
Annika Gieselmann, Malik Ait Aoudia, Michelle Carr et al.
192 citations
This consensus paper provides an overview of the state of the art in research on the aetiology and treatment of nightmare disorder and outlines further perspectives on these issues. It presents a definition of nightmares and nightmare disorder followed by epidemiological findings, and then explains existing models of nightmare aetiology in traumatized and non-traumatized individuals. Chronic...
Behavioral Sleep Medicine
2019
Thomas E Ellis, Katrina A Rufino, Michael R Nadorff
Objectives: This study sought to assess the utility of Imagery Rehearsal Therapy (IRT) for nightmares in an inpatient psychiatric setting. Although IRT enjoys a substantial evidence base for efficacy in various populations, data with psychiatric inpatients are lacking. Participants: Participants were 20 adult psychiatric inpatients (11 male, 9 female; mean age=43.4), in an extended stay...
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
July 15, 2015
Michael R Nadorff, Danielle K Nadorff, Anne Germain
Nightmares are a robust and modifiable predictor of increased suicidality and poor psychiatric outcomes, yet nightmare screening and treatment remain rare, even in sleep centers. This paper aims to examine what proportion of nightmare sufferers have discussed nightmares with a healthcare provider, as well as possible explanations for low rates of nightmare complaints. The present study utilized...
International review of psychiatry (Abingdon, England)
April 1, 2014
Michael R Nadorff, Karen K Lambdin, Anne Germain
Interest in the treatment of nightmares has greatly increased over the last several years as research has demonstrated the clinical significance of nightmare disorder. This paper provides an overview of nightmare disorder, its clinical relevance, and the leading treatments that are available. In particular, the paper defines nightmare disorder and then summarize the recent literature examining...