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Things that Go Bump in the Night: Frequency and Predictors of Nightmares in Anxious and Nonanxious Children.

Katharine C Reynolds, Candice A Alfano

Behavioral Sleep Medicine September 25, 2015 DOI: 10.1080/15402002.2015.1017099 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational study comparing children with and without generalized anxiety disorder using prospective and retrospective reports Peer reviewed
Sample size 86
Population Children aged 7-11 years with generalized anxiety disorder (n = 42) and children with no diagnosis (n = 44), plus their parents
Duration One-week prospective assessment period
Topics Anxiety Dreaming
Keywords Humans Retrospective studies Prospective studies Parents Dreams Wakefulness Sleep Anxiety disorders Child Female Self report
Key findings Children with generalized anxiety disorder and their parents reported more nightmares than controls on retrospective reports, but daily prospective assessment over one week showed no group difference. Girls reported more nightmares than boys only prospectively. The authors suggest anxious children and their parents overestimate nightmare occurrence, and that child sleep anxiety and presleep somatic arousal predicted parent but not child reports.

Abstract

Frequency and predictors of nightmares among children 7-11 years old with generalized anxiety disorder (GAD; n = 42) and no diagnosis (n = 44) were examined using both prospective and retrospective child and parent reports. Both children with GAD and their parents reported significantly more nightmares than controls based on retrospective reports, but the groups did not differ when nightmares were assessed daily across a one-week prospective period. Females reported more nightmares than males according to prospective assessment only. Controlling for sex and group, child sleep anxiety and presleep somatic arousal predicted parent but not child report of nightmares. Results suggest both clinically anxious youth and their parents overestimate the occurrence of nightmares, yet factors influencing retrospective accounts appear to differ across informants.

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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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