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A novel Differential Susceptibility framework for the study of nightmares: Evidence for trait sensory processing sensitivity.

Michelle Carr, Tore Nielsen

Clinical Psychology Review October 16, 2017 DOI: 10.1016/j.cpr.2017.10.002 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics Dreaming
Keywords Humans Disease susceptibility Stress, psychological Emotions Personality Imagination Dreams Nightmares Differential susceptibility Diathesis-stress Sensory processing sensitivity Affect distress
Key points Argues that sensory processing sensitivity is a novel trait marker underlying the unique symptoms and imaginative richness of nightmare-prone individuals, reframing them within the Differential Susceptibility framework rather than solely as victims of diathesis-stress psychopathology. Proposes that this 'for better and for worse' trait means such individuals may benefit especially from supportive environments, which is relevant for future treatment approaches.

Abstract

Research on nightmares has largely focused on the nightmare itself and its associated negative consequences, framing nightmare sufferers as victims of a diathesis-stress induced form of psychopathology. However, there is evidence that frequent nightmare recallers are sensitive to a wide range of sensory and emotional experiences, and report vivid, bizarre and even intensely positive dream and daydream experiences. We propose sensory processing sensitivity as a novel trait marker that underlies the unique symptoms and imaginative richness found in nightmare-prone individuals. Sensory processing sensitivity describes an increased emotional reactivity, greater depth of processing, and subtle awareness of environmental stimuli-it is a 'for better and for worse' trait that is associated with positive outcomes in conditions of support, but also confers a tendency to be easily overwhelmed by stressors and adversity. This novel approach places nightmare-prone individuals within the broader framework of Differential Susceptibility and raises the possibility that they may benefit especially from supportive environments-a possibility that is particularly relevant for developing future treatment approaches.

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