Nightmare frequency and nightmare distress in psychiatric inpatients.
Michael Schredl, Elisabeth Anzenberger, Claudia Schilling
European Archives of Psychiatry and Clinical Neuroscience June 1, 2025 DOI: 10.1007/s00406-024-01891-z (opens in new tab) via PubMed
Summary
AI-generated from the abstractAmong psychiatric inpatients, nightmares occurring once per week or more often were reported by 61.54% of those with PTSD (13 patients) and 40.32% of those without PTSD (62 patients). Higher depression scores and a PTSD diagnosis were linked to greater nightmare distress. The findings suggest that frequent nightmares are common in this population and that future work should explore the relationship between psychopathology and nightmares, as well as whether nightmare-focused treatments such as Imagery Rehearsal Therapy could help.
Study at a glance
| Characteristics | Cross-sectional survey Peer reviewed |
|---|---|
| Sample size | 75 |
| Population | Psychiatric inpatients |
| Topics | Depression |
| Keywords | Mental disorders Nightmare distress Nightmare frequency |
| Key finding | 61.54% of inpatients with PTSD and 40.32% without PTSD reported nightmares at least once per week; depression and PTSD were associated with higher nightmare distress. |
Abstract
Previous research indicated that the prevalence of frequent nightmares and/or the presence of a nightmare disorder is quite high in patients with mental disorders. In the present study, 75 randomly selected psychiatric inpatients were interviewed and completed questionnaires regarding nightmares, sleep, and psychopathology. The percentage of patients with nightmares once per week or more often was 61.54% in the group with PTSD diagnosis (N = 13) and 40.32% in the patients without PTSD diagnosis (N = 62). Moreover, depression scores and having PTSD were related to heightened nightmare distress. Based on the high prevalence rates of frequent nightmares, future research should aim at understanding better the interplay between psychopathology and nightmares and test whether nightmare interventions like Imagery Rehearsal Therapy might be beneficial for patients with mental disorders.