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Nightmares - Overview

Alternative Names

Dreams - bad; Bad dreams

Definition of Nightmares:

A nightmare is a dream occuring during rapid eye movement (REM) sleep that brings out feelings of strong fear, terror, distress, or extreme anxiety. Nightmares are usually in the latter part of the night and wake up the sleeper, who is able to remember the content of the dream.

See also:

Considerations:

Nightmares tend to be more common among children and become less frequent toward adulthood. About 50% of adults have occasional nightmares, women more often than men.

Common Causes:

Anxiety and stress are the most common causes of nightmares. A major life event occurs before the nightmare in most cases.

Other causes of nightmares include:

Eating just before going to bed, which raises the body's metabolism and brain activity, may cause nightmares to occur more often.

  • Reviewed last on: 12/15/2008
  • Linda Vorvick, MD, Family Physician, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Timothy A. Rogge, MD, private practice in Psychiatry, Kirkland, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Moore DP, Jefferson JW. Nightmare disorder. In: Moore DP, Jefferson JW, eds. Handbook of Medical Psychiatry. 2nd ed. Philadelphia, Pa:Mosby Elsevier;2004:chap 123.

Moser SE, Bober JF. Behavioral problems in children and adolescents. In: Rakel RE, ed. Textbook of Family Medicine. 7th ed. Philadelphia, Pa:Saunders Elsevier;2007:chap 33.

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