Nightmare

A nightmare, also called a bad dream, is an unpleasant dream that can cause a strong emotional response from the mind, typically fear but also despair, anxiety and great sadness. However, psychological nomenclature differentiates between nightmares and bad dreams, specifically, people remain asleep during bad dreams whereas nightmares awaken individuals. Further, the process of psychological homeostasis employs bad dreams to protect an individual's Homeostatically Protected Mood (HPMood) from the impact of elevated anxiety levels. During sleep, nightmares indicate the failure of the homeostatic system employing bad dreams to extinguish anxiety accumulated throughout the day. The dream may contain situations of discomfort, psychological or physical terror or panic. After a nightmare, a person will often awaken in a state of distress and may be unable to return to sleep for a short period of time. A nightmare, also called a bad dream, is an unpleasant dream that can cause a strong emotional response from the mind, typically fear but also despair, anxiety and great sadness. However, psychological nomenclature differentiates between nightmares and bad dreams, specifically, people remain asleep during bad dreams whereas nightmares awaken individuals. Further, the process of psychological homeostasis employs bad dreams to protect an individual's Homeostatically Protected Mood (HPMood) from the impact of elevated anxiety levels. During sleep, nightmares indicate the failure of the homeostatic system employing bad dreams to extinguish anxiety accumulated throughout the day. The dream may contain situations of discomfort, psychological or physical terror or panic. After a nightmare, a person will often awaken in a state of distress and may be unable to return to sleep for a short period of time. Nightmares can have physical causes such as sleeping in an uncomfortable position or having a fever, or psychological causes such as stress or anxiety. Eating before going to sleep, which triggers an increase in the body's metabolism and brain activity, is a potential stimulus for nightmares. Recurrent nightmares may require medical help, as they can interfere with sleeping patterns and cause insomnia. Those with nightmares experience abnormal sleep architecture and that the results of having a nightmare during the night were very similar to those of people who have insomnia. This is thought to be caused by frequent nocturnal awakenings and fear of falling asleep. According to the International Classification of Sleep Disorders-Third Edition (ICSD-3) the nightmare disorder, together with REM sleep behaviour disorder (RBD) and recurrent isolated sleep paralysis form the REM-related parasomnias subcategory of the Parasomnias cluster. Nightmares may be idiopathic without any signs of psychopathology or associated with disorders like stress, anxiety, substance abuse, psychiatric illness or PTSD ( >80% of PTSD patient report nightmares). As regarding the dream content of the dreams they are usually imprinting negative emotions like sadness, fear or rage. According to the clinical studies the content can range from being chased, injury or death of others, falling, natural disasters or accidents. Typical dreams or recurrent dreams may also have some of these topics. Scientific research shows that nightmares may have many causes.In a study focusing on children, researchers were able to conclude that nightmares directly correlate with the stress in children’s lives. Children who experienced the death of a family member or a close friend or know someone with a chronic illness have more frequent nightmares than those who are only faced with stress from school or stress from social aspects of daily life.A study researching the causes of nightmares focuses on patients who have sleep apnea. The study was conducted to determine whether or not nightmares may be caused by sleep apnea, or being unable to breathe. In the nineteenth century, authors believed that nightmares were caused by not having enough oxygen, therefore it was believed that those with sleep apnea had more frequent nightmares than those without. The results actually showed that healthy people have more nightmares than the sleep apnea patients.Another study supports the hypothesis. In this study, 48 patients (aged 20–85 yrs) with obstructive airways disease (OAD), including 21 with and 27 without asthma, were compared with 149 sex- and age-matched controls without respiratory disease. OAD Ss with asthma reported approximately 3 times as many nightmares as controls or OAD Ss without asthma. The evolutionary purpose of nightmares then could be a mechanism to awaken a person who is in danger. Lucid-dreaming advocate Stephen LaBerge has outlined a possible reason for how dreams are formulated and why nightmares occur with a high frequency. To LaBerge, a dream starts with an individual thought or scene, such as walking down a dimly lit street. Since dreams are not predetermined, the brain responds to the situation by either thinking a good thought or a bad thought, and the dream framework follows from there. Since the prominence of bad thoughts in dreams is higher than good, the dream will proceed to be a nightmare. There is a view, possibly featured in the story A Christmas Carol, that eating cheese before sleep can cause nightmares, but there is little scientific evidence for this phenomenon. Sigmund Freud and Carl Jung seemed to have shared a belief that people frequently distressed by nightmares could be re-experiencing some stressful event from the past. Both perspectives on dreams suggest that therapy can provide relief from the dilemma of the nightmare experience.