Nightmare experience and family relationships in healthy volunteers and nightmare disorder patients

Associations between frequent nightmares, nightmare distress and depressive symptoms in adolescent psychiatric patients

BACKGROUND

Nightmares are common in patients with psychiatric disorders. Patients with psychiatric disorders often experience depressive symptoms. Nightmares have been associated with depressive symptoms among adolescents. Previous studies have explored the mediating role of nightmare distress in the relationship between frequent nightmares and depressive symptoms in the general adolescent population. We aimed to explore the associations between frequent nightmares, nightmare distress, and depressive symptoms in Chinese adolescent patients with psychiatric disorders.

METHODS

A total of 408 adolescents participated in this study. A self-administered questionnaire was used to measure nightmare frequency, nightmare distress, depressive symptoms, and covariates. Linear regressions and mediation analyses were performed to examine the associations between nightmare frequency, nightmare distress, and depressive symptoms.

RESULTS

The mean age of participants was 15.31 ± 1.88 years, and 152 (37.3%) were boys. The prevalence of frequent nightmares in adolescent patients with psychosis was 49.3%. Girls reported more frequent nightmares and had significantly higher scores of depressive symptoms and nightmare distress. Patients with frequent nightmares had higher scores of nightmare distress and depressive symptoms. Frequent nightmares and nightmare distress were significantly associated with depressive symptoms. Nightmare distress had a full mediating effect on the correlation between frequent nightmares and depressive symptoms.

CONCLUSIONS

In Chinese adolescent patients with psychiatric disorders, frequent nightmares and nightmare distress were associated with depressive symptoms, whereas the association between frequent nightmares and depressive symptoms was mediated by nightmare distress. Interventions for nightmare distress may be more useful in reducing depressive symptoms in adolescent patients with psychiatric disorders.

The Relationship between Nightmare Experience and Athletes' Personality Traits and Anxiety

OBJECTIVE

Frequent nightmare behavior or deep nightmare experiences may harm the physical and mental health and performance of athletes. This study explores the nightmare experiences of athletes, and includes non-athletes with similar experiences for comparison.

METHODS

The Nightmare Experience Questionnaire (NEQ); Zuckerman-Kuhlman-Aluja Personality Questionnaire, Shortened Form (ZKA-PQ/SF); and Self-Rating Anxiety Scale (SAS) were used. The subjects were 187 athletes (mean age = 20.44 years, SD = 0.85; 91 females, 96 males) and 90 non-athletes (mean age = 20.34 years, SD = 1.65; 52 females, 38 males) who reported having nightmares.

RESULTS

A total of 87 athletes (46.5%) reported having nightmare experiences. The athlete nightmare group scored significantly higher in neuroticism than the non-nightmare group, and their anxiety scores were significantly higher than those of non-athletes, who scored higher in aggressiveness, neuroticism, and sensation seeking. Moreover, anxiety, neuroticism, and sensation seeking positively predicted athletes' nightmare experiences.

CONCLUSIONS

Personality traits and anxiety levels can be effectively applied to predict athletes' nightmare experiences.

Hungarian version of the Family Relationship Questionnaire (FRQ)

The purpose of this paper is to examine the validity of the Family Relationship Questionnaire (FRQ) in Hungary. The FRQ was filled out together with the Parental Bonding Instrument (PBI) by 1017 healthy Hungarian people. The original factor structure of the FRQ did not fit well in the Hungarian sample, but with some modifications – based on modification indices – adequate fit indices could arise. The FRQ scales showed significant relations (moderate to high) with the PBI which confirmed the convergent validity of the scales. Four of the FRQ scale turned to be cross-culturally valid scales. The reliability and validity of Dominance scale in Western cultures should further be examined.