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Correlation of Depression and Nightmares in Young Medical Students

Kanza Yousaf, Hafiza Hina Pasha

Pakistan Journal of Health Sciences June 30, 2025 DOI: 10.54393/pjhs.v6i6.3042 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional study Peer reviewed
Sample size 350
Population Medical students aged 18 to 30, distributed across all academic years
Topics Depression Dreaming
Keywords Correlation Depression economics Clinical psychology
Key findings Depressed feelings and the frequency of nightmares are significantly correlated (P=0.019), with a substantial correlation between the frequency of nightmares and depressive moods (P≤0.01).

Abstract

Consistent dream sequences that appear genuine and become more upsetting as they progress are known as nightmares. A prevalent condition that significantly impairs psychosocial performance and lowers quality of life is major depression. Insomnia and nightmares independently but additionally have an impact on the exacerbation of depression.

Objectives: To find the correlation between depression and nightmares in young medical students.

Methods: A cross-sectional study was carried out from September 2021 to June 2022, involving 350 medical students aged 18 to 30, distributed across all academic years. The symptoms of depression were measured and assessed using the CES-D scale, while nightmares were evaluated by using a validated sleep 50 questionnaire. Data were analyzed in SPSS version 27.0.

Results: A total of 350 medical students (49.1% male and 50.9% female), with most aged 19 to 23 years, 91.4%, and single, 97.7%. The mean CES-D score was 23.0 ± 12.42, higher in females 24.8% than in males 21.0. Severe depression was more common in females 44.9%) and first-year students 58.6%. Frequency of nightmares was reported by 23.9%, and the depressed feelings and the frequency of nightmares are significantly correlated (P=0.019). Pearson correlation analysis shows a substantial correlation between the frequency of nightmares and depressive moods. (P≤0.01).

Conclusion: The study concluded a significant association between depression symptoms and nightmares, particularly in females and younger medical students. Academic and social factors significantly influence depression symptoms.

Comparable studies

Other cross-sectional and survey studies on dreaming, most cited first.

Study Year Design Participants
Insomnia Symptoms, Nightmares, and Suicidal Ideation in a College Student Sample Undergraduate students at a large, public university in the southeastern United States 2011 Observational cross-sectional survey n = 583
Prevalence and Correlates of Frequent Nightmares: A Community-Based 2-Phase Study Middle-aged Hong Kong Chinese adults from the community, mean age 40.9 years (SD 5.5,... 2010 Cross-sectional survey with subsequent clinical evaluation (two-phase design) n = 8,558
Factors of home dream recall: a structural equation model Adults (general population sample) 2003 Cross-sectional survey with structural equation modeling n = 444
The Phenomenology of Lucid Dreaming: An Online Survey Respondents to an online survey about lucid dreams 2014 Online survey n = 684
Frequency of Lucid Dreaming in a Representative German Sample Representative sample of German adults 2011 Cross-sectional survey n = 919

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