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Relationship between Dream Anxiety in Recurrent Nightmare and Indefinite Complaints in Patients Undergoing Maintenance Hemodialysis: A Cross-sectional Study

Yoshihiro Tsuji, Naoki Suzuki, Yasumasa Hitomi, Yusuke Sakai, Toshiko Tokoro, Masato Nishimura, Yuko Mizuno‐Matsumoto

International Journal of Affective Engineering 2018 DOI: 10.5057/ijae.ijae-d-18-00004 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational study Cross-sectional Peer reviewed
Population Patients undergoing hemodialysis
Measures Athens Insomnia Scale, Van Dream Anxiety Scale, visual analog scale, Beck Depression Inventory
Topics Anxiety Dreaming
Key findings The presence of feelings of malaise was an independent risk factor for recurrent nightmares in hemodialysis patients (odds ratio 1.360). The authors propose that addressing malaise could reduce nightmare or sleep disorder frequency in this population.

Abstract

The objective of this study was to investigate the relationship between recurrent nightmare and indefinite complaints and to determine the explanatory variables of indefinite complaints related to nightmares in hemodialysis (HD) patients. Sleep quality and dream anxiety in nightmare were assessed with the Athens Insomnia Scale and Van Dream Anxiety Scale. Using a visual analog scale and the Beck Depression Inventory, we assessed the presence of indefinite complaints and levels of depressive symptoms, respectively. Moreover, logistic regression analysis was performed to determine the risk factors of dream anxiety in recurrent nightmare. The presence of feelings of malaise was an independent risk factor of recurrent nightmare (OR, 1.360; p = 0.0083). Adjustment for the presence of feelings of malaise could help to reduce the frequency of nightmares or sleep disorders in patients undergoing HD treatment. Our findings will be useful when considering adjustment of the HD dose.

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Study Year Design Participants
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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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