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Waking-hour cerebral activations in nightmare disorder: A resting-state functional magnetic resonance imaging study.

Chanchan Shen, Jiawei Wang, Guorong Ma, Qisha Zhu, Hongjian He, Qiuping Ding, Hongying Fan, Yanxia Lu, Wei Wang

Psychiatry and Clinical Neurosciences December 1, 2016 DOI: 10.1111/pcn.12455 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case-control study Peer reviewed
Sample size 30
Population Nightmare disorder patients and healthy volunteers
Topics Dreaming
Keywords Anterior cingulate cortex Emotion Hypervigilance Parietal lobule
Key findings Nightmare disorder patients had higher regional homogeneity in the left anterior cingulate cortex and right inferior parietal lobule, and lower regional homogeneity in left frontal and bilateral occipital regions, with correlations between brain activity and nightmare-related physical effect.

Abstract

The purpose of the current study was to explore the cerebral areas involved in nightmare disorder. Fifteen nightmare disorder patients and 15 healthy volunteers were invited to undergo resting-state functional magnetic resonance imaging and to complete the Nightmare Experience Questionnaire. The nightmare disorder patients scored higher on the Physical Effect and Horrible Stimulation scales, had higher values of regional homogeneity in clusters within the left anterior cingulate cortex and right inferior parietal lobule, and lower regional homogeneity values within the left superior and inferior frontal gyri and bilateral middle occipital gyri. Physical Effect was negatively correlated with regional homogeneity values in anterior cingulate cortex and inferior parietal lobule in the nightmare disorder group, and was positively correlated with regional homogeneity value in the inferior frontal gyrus in the healthy control group. To our best knowledge, this is the first neuroimaging study on nightmare disorder, and we have characterized the cerebral activities underlying altered hyperarousal and emotion regulation in nightmare disorder at resting-state.

Comparable studies

Other observational and cohort studies on dreaming, most cited first.

Study Year Design Participants
Lucid Dreaming: a State of Consciousness with Features of Both Waking and Non-Lucid Dreaming Student volunteers trained to become lucid and signal lucidity with horizontal eye... 2009 Observational study n = 6
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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