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Dream enactment behavior—a real nightmare: a review of post-traumatic stress disorder, REM sleep behavior disorder, and trauma-associated sleep disorder

Daniel A. Barone

Journal of Clinical Sleep Medicine August 17, 2020 DOI: 10.5664/jcsm.8758 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Topics Dreaming PTSD
Key findings Argues that post-traumatic stress disorder, REM sleep behavior disorder, and trauma-associated sleep disorder all involve dream enactment behavior but differ in pathophysiology and underlying mechanisms, and that trauma-associated sleep disorder deserves greater clinical awareness despite sharing diagnostic criteria with REM sleep behavior disorder.

Abstract

Dream enactment behavior is a phenomenon demonstrated in patients with post-traumatic stress disorder, rapid eye movement sleep behavior disorder, as well as with a more recently described condition entitled trauma-associated sleep disorder, which shares diagnostic criteria for rapid eye movement sleep behavior disorder. While these conditions share some commonalities, namely dream enactment behavior, they are quite different in pathophysiology and underlying mechanisms. This review will focus on these 3 conditions, with the purpose of increasing awareness for trauma-associated sleep disorder in particular. Barone DA. Dream enactment behavior—a real nightmare: a review of post-traumatic stress disorder, REM sleep behavior disorder, and trauma-associated sleep disorder. J Clin Sleep Med. 2020;16(11):1943–1948.

Comparable studies

Other narrative reviews on PTSD, most cited first.

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