Nightmares: Knowledge and attitudes in health care providers and nightmare sufferers
J. Thnker, Maria Norpoth, M. Von Aspern, T. Zcan, Reinhard Pietrowsky
Journal of Public Health and Epidemiology July 31, 2014 DOI: 10.5897/jphe2013.0565 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Survey Peer reviewed |
|---|---|
| Sample size | 554 |
| Population | 219 German health care providers (primary care, psychiatrists, psychotherapists, in-patient and out-patient) and 335 nightmare sufferers |
| Topics | Dreaming |
| Citations | 23 |
| Key findings | All groups overestimated nightmare prevalence, and stress, traumatic events, and inner conflicts were rated the leading causes. Only a minority of sufferers used coping strategies on their own, rating them moderately helpful, and about one third sought help, mainly from general practitioners and specialists, rating it only a little helpful. Providers considered nightmares and their treatment need moderately important. |
Abstract
Chronic nightmares have a prevalence of 3 to 8% in the general population, but they seem not to play a relevant role in the health care system despite the existence of evidence-based treatments. The aim of this study was to identify nightmare-related knowledge, attitudes and coping approaches in the German mental health care system. A total of 219 health-care providers (primary care, psychiatrists, psychotherapists, in-patient versus out-patient) and another 335 nightmare sufferers were interviewed by telephone and/or filled out self-rating questionnaires. They were asked to estimate nightmare prevalence, to specify nightmare causes and how they cope with nightmares. Health care providers were asked to estimate the relevance of nightmares and the need for treatment. All groups overestimated the prevalence of nightmares. Stress, traumatic events and inner conflicts were rated the highest regarding the possible causes of nightmares, with small differences between the groups. Only a minority of nightmare sufferers tried coping strategies on their own and rated them as being moderately helpful. About one third asked health care providers for help, mainly from general practitioners and medical specialists, but rated this a little helpful. Health care providers rated the relevance of nightmares and the need for treatment as being of moderate importance. Given the high prevalence of clinically relevant nightmares and the fact that helpful and efficient treatment approaches exist, all parts of the health care system as well as the nightmare sufferers need to be better informed. That may help to decrease nightmare disorders. Key words: Nightmares, health care system, treatment, coping.
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 |
Citations in the library
Cited by 17
- Aetiology and treatment of nightmare disorder: State of the art and future perspectives Journal of Sleep Research January 29, 2019
- High-Level Control in Lucid Dreams Imagination, Cognition and Personality March 8, 2020
- Stability of nightmare frequency and its relation to neuroticism: A longitudinal study Journal of Sleep Research June 11, 2020
- Interest in telephone nightmare counselling in patients with sleep-related breathing disorders Somnologie: Schlafforschung und Schlafmedizin August 3, 2020
- Efficacy of a web application as a self-help intervention for nightmares: a randomized controlled trial Somnologie: Schlafforschung und Schlafmedizin April 30, 2026
and 12 more in the library
Cites 12
- Lucid Dreaming Treatment for Nightmares: A Pilot Study Psychotherapy and Psychosomatics 2006
- A cognitive model of recurrent nightmares heiDOK (Heidelberg University) 2008
- Effectiveness of a manualized imagery rehearsal therapy for patients suffering from nightmare disorders with and without a comorbidity of depression or PTSD. Behaviour Research and Therapy May 30, 2012
- Gender differences in nightmare frequency: a meta-analysis. Sleep Medicine Reviews April 1, 2011
- Best practice guide for the treatment of nightmare disorder in adults. Journal of Clinical Sleep Medicine August 1, 2010
and 7 more in the library