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Dream Recall and Dream Content in Obsessive-Compulsive Patients

Anne Katrin Kuelz, Ulrike Stotz, Dieter Riemann, Michael Schredl, Ulrich Voderholzer

The Journal of Nervous and Mental Disease August 1, 2010 DOI: 10.1097/nmd.0b013e3181e9dd65 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 30
Population Obsessive compulsive inpatients, obsessive compulsive outpatients, and healthy control participants
Intervention Exposure and response prevention
Topics Dreaming
Keywords Dream Obsessive compulsive Content measure theory Psychotherapist Clinical psychology Obsessive-compulsive spectrum disorders
Citations 14
Key findings Before treatment, OCD patients' dreams had significantly less positive content than healthy controls' dreams; under exposure treatment, OCD themes in dreams significantly decreased.

Abstract

Very little is known about dreams in patients with obsessive compulsive disorder, especially regarding changes over the course of treatment with stimulus exposure and response prevention. By use of dream content analysis, 40 dreams of 9 obsessive compulsive (OC) inpatients were compared with 84 dreams of 10 matched OC outpatients and 63 dreams of 11 healthy control participants. Dream protocols of inpatients were collected at the beginning of treatment and after the first exposure exercises. Controls filled in dream protocols in respective intervals. Before treatment, dreams of patients showed significantly less positive contents than dreams of healthy controls. Under treatment with exposure, a significant reduction of OC themes was observed. The findings support the continuity hypothesis of dreaming by showing a link between day-time symptoms and OC symptoms in dreams. Contrary to expectations, however, exposure treatment does not intensify dreams.

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Nightmare Prevalence, Nightmare Distress, and Self-Reported Psychological Disturbance Young adults with a mean age of 20 years 2002 Prospective observational study n = 116
Long-term effects of extreme situational stress on sleep and dreaming Survivors of traumatic events who complained of sleep disturbances, compared with... 1987 Case-control study n = 11
The relationship of nightmare frequency and nightmare distress to well‐being Adults who reported dreams 2004 Observational cohort n = 147
Dreaming in NREM Sleep: A High-Density EEG Study of Slow Waves and Spindles Healthy human subjects 2018 Observational cohort n = 14

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