The association between sleep disturbance and nightmares: Temporal dynamics of nightmare occurrence and sleep architecture in the home
Corresponding Author
John Balch
Department of Psychology, National University, San Diego, California, USA
Center for Mind and Culture, Boston, Massachusetts, USA
Correspondence
John Balch, Department of Psychology, Center for Mind and Culture, National University, Boston, MA, 02215, USA.
Email: [email protected]
Contribution: Conceptualization, Methodology, Investigation, Data curation, Formal analysis, Resources, Writing - original draft, Writing - review & editing, Software, Validation, Visualization
Search for more papers by this authorRachel Raider
Department of Psychology, National University, San Diego, California, USA
Contribution: Methodology, Investigation, Data curation, Resources, Writing - original draft, Writing - review & editing
Search for more papers by this authorChanel Reed
Department of Psychology, National University, San Diego, California, USA
Contribution: Investigation, Data curation, Resources, Writing - review & editing, Project administration
Search for more papers by this authorPatrick McNamara
Department of Psychology, National University, San Diego, California, USA
Boston University School of Medicine, Boston, Massachusetts, USA
Contribution: Conceptualization, Methodology, Investigation, Resources, Supervision, Writing - original draft, Writing - review & editing, Funding acquisition
Search for more papers by this authorCorresponding Author
John Balch
Department of Psychology, National University, San Diego, California, USA
Center for Mind and Culture, Boston, Massachusetts, USA
Correspondence
John Balch, Department of Psychology, Center for Mind and Culture, National University, Boston, MA, 02215, USA.
Email: [email protected]
Contribution: Conceptualization, Methodology, Investigation, Data curation, Formal analysis, Resources, Writing - original draft, Writing - review & editing, Software, Validation, Visualization
Search for more papers by this authorRachel Raider
Department of Psychology, National University, San Diego, California, USA
Contribution: Methodology, Investigation, Data curation, Resources, Writing - original draft, Writing - review & editing
Search for more papers by this authorChanel Reed
Department of Psychology, National University, San Diego, California, USA
Contribution: Investigation, Data curation, Resources, Writing - review & editing, Project administration
Search for more papers by this authorPatrick McNamara
Department of Psychology, National University, San Diego, California, USA
Boston University School of Medicine, Boston, Massachusetts, USA
Contribution: Conceptualization, Methodology, Investigation, Resources, Supervision, Writing - original draft, Writing - review & editing, Funding acquisition
Search for more papers by this authorSummary
We collected measures of sleep architecture and nightmares from participants (N = 61) wearing the DREEM 3 headband across 2 weeks of data collection to test the hypothesis that there are bidirectional links between insomnia (measured as sleep disturbance) and nightmare events. Nightmares were predicted by increased sleep disturbance the night before the nightmare, but not on the same night or 2 nights before. We also found that nightmare occurrences did not predict increased sleep disturbance on the same night or the following 2 nights, rather nightmares predicted increased sleep disturbance at the between-subjects level only. We suggest that nightmares are associated with an N3 sleep rebound on the night of the nightmare following a night of sleep disturbance.
CONFLICT OF INTEREST STATEMENT
None.
Open Research
DATA AVAILABILITY STATEMENT
The data underlying this article will eventually be made available at the Open Science Framework site for Cognitive Neuroscience of Religious Cognition. Readers should forward inquiries to the corresponding author (JB) in the meantime.
REFERENCES
- Akkaoui, M. A., Lejoyeux, M., d'Ortho, M.-P., & Geoffroy, P. A. (2020). Nightmares in patients with major depressive disorder, bipolar disorder, and psychotic disorders: A systematic review. Journal of Clinical Medicine, 9(12), 12. https://doi.org/10.3390/jcm9123990
- American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders. DSM-5. American Psychiatric Publishing.
10.1176/appi.books.9780890425596 Google Scholar
- Anjum, M. F., Smyth, C., Zuzuárregui, R., Dijk, D. J., Starr, P. A., Denison, T., & Little, S. (2024). Multi-night cortico-basal recordings reveal mechanisms of NREM slow-wave suppression and spontaneous awakenings in Parkinson's disease. Nature Communications, 15(1), 1793. https://doi.org/10.1038/s41467-024-46002-7
- Arnal, P. J., Thorey, V., Debellemaniere, E., Ballard, M. E., Bou Hernandez, A., Guillot, A., … Sauvet, F. (2020). The Dreem headband compared to polysomnography for electroencephalographic signal acquisition and sleep staging. Sleep, 43(11), zsaa097. https://doi.org/10.1093/sleep/zsaa097
- Arnal, P. J., Thorey, V., Debellemaniere, E., Mordret, E., Llamosi, A., & Chouraki, A. (2020). 0546 sleep science At home-delivering sleep assessment and digital CBT-I at scale. Sleep, 43(Supplement_1), A209. https://doi.org/10.1093/sleep/zsaa056.543
10.1093/sleep/zsaa056.543 Google Scholar
- Asp, A., Lund, F., Benedict, C., & Wasling, P. (2022). Impaired procedural memory in narcolepsy type 1. Acta Neurologica Scandinavica, 146(2), 186–193. https://doi.org/10.1111/ane.13651
- Beacon. (n.d.). Dreem headband. Beacon Bio. Retrieved July 11, 2024, from https://beacon.bio/dreem-headband/
- Belicki, K. (1992). The relationship of nightmare frequency to nightmare suffering with implications for treatment and research. Dreaming, 2(3), 143–148. https://doi.org/10.1037/h0094355
10.1037/h0094355 Google Scholar
- Birch, I. C. (2021). Using wearable EEG to quantify associations between sleep architecture, anxiety, and fear memory. [PhD, Cardiff University]. https://orca.cardiff.ac.uk/id/eprint/145872/
- Bixler, E. O., Kales, A., Soldatos, C. R., Kales, J. D., & Healey, S. (1979). Prevalence of sleep disorders in the Los Angeles metropolitan area. American Journal of Psychiatry, 136(10), 1257–1262. https://doi.org/10.1176/ajp.136.10.1257
- Blagrove, M., Farmer, L., & Williams, E. (2004). The relationship of nightmare frequency and nightmare distress to well-being. Journal of Sleep Research, 13(2), 129–136. https://doi.org/10.1111/j.1365-2869.2004.00394.x
- Blaskovich, B., Reichardt, R., Gombos, F., Spoormaker, V. I., & Simor, P. (2020). Cortical hyperarousal in NREM sleep normalizes from pre- to post-REM periods in individuals with frequent nightmares. Sleep, 43(1), zsz201. https://doi.org/10.1093/sleep/zsz201
- Carney, C. E., Buysse, D. J., Ancoli-Israel, S., Edinger, J. D., Krystal, A. D., Lichstein, K. L., & Morin, C. M. (2012). The consensus sleep diary: Standardizing prospective sleep self-monitoring. Sleep, 35(2), 287–302. https://doi.org/10.5665/sleep.1642
- Carr, M., Matthews, E., Williams, J., & Blagrove, M. (2020). Testing the theory of differential susceptibility to nightmares: The interaction of sensory processing sensitivity with the relationship of low mental wellbeing to nightmare frequency and nightmare distress. Journal of Sleep Research, 30(3), e13200. https://doi.org/10.1111/jsr.13200
- Carr, M., Yoo, A., Guardino, D., Hall, W. C., McIntosh, S., & Pigeon, W. R. (2023). Characterization of sleep among deaf individuals. Sleep Health, 9(2), 177–180. https://doi.org/10.1016/j.sleh.2022.10.011
- Chinoy, E. D., Cuellar, J. A., Jameson, J. T., & Markwald, R. R. (2022). Performance of four commercial wearable sleep-tracking devices tested under unrestricted conditions at home in healthy young adults. Nature and Science of Sleep, 14, 493–516. https://doi.org/10.2147/nss.s348795
- Debellemaniere, E., Chambon, S., Pinaud, C., Thorey, V., Dehaene, D., Léger, D., Chennaoui, M., Arnal, P. J., & Galtier, M. N. (2018). Performance of an ambulatory dry-EEG device for auditory closed-loop stimulation of sleep slow oscillations in the home environment. Frontiers in Human Neuroscience, 12, 88. https://doi.org/10.3389/fnhum.2018.00088
- Delage, J.-P., Côté, J., Journault, W.-G., Lemyre, A., & Bastien, C. H. (2024). The relationships between insomnia, nightmares, and dreams: A systematic review. Sleep Medicine Reviews, 75, 101931. https://doi.org/10.1016/j.smrv.2024.101931
- Dietch, J. R., & Taylor, D. J. (2021). Evaluation of the consensus sleep diary in a community sample: Comparison with single-channel EEG, actigraphy, and retrospective questionnaire. Journal of Clinical Sleep Medicine, 17(7), 1389–1399. https://doi.org/10.5664/jcsm.9200
- Dumser, B., Werner, G. G., Ehring, T., & Takano, K. (2023). Symptom dynamics among nightmare sufferers: An intensive longitudinal study. Journal of Sleep Research, 32(3), e13776. https://doi.org/10.1111/jsr.13776
- Gieselmann, A., Ait Aoudia, M., Carr, M., Germain, A., Gorzka, R., Holzinger, B., Kleim, B., Krakow, B., Kunze, A. E., Lancee, J., Nadorff, M. R., Nielsen, T., Riemann, D., Sandahl, H., Schlarb, A. A., Schmid, C., Schredl, M., Spoormaker, V. I., Steil, R., … Pietrowsky, R. (2019). Aetiology and treatment of nightmare disorder: State of the art and future perspectives. Journal of Sleep Research, 28(4), e12820. https://doi.org/10.1111/jsr.12820
- González, D. A., Wang, D., Pollet, E., Velarde, A., Horn, S., Coss, P., Vaou, O., Wang, J., Li, C., Seshadri, S., Miao, H., & Gonzales, M. M. (2024). Performance of the Dreem 2 EEG headband, relative to polysomnography, for assessing sleep in Parkinson's disease. Sleep Health, 10(1), 24–30. https://doi.org/10.1016/j.sleh.2023.11.012
- Gorgoni, M., Scarpelli, S., Alfonsi, V., & De Gennaro, L. (2022). Dreaming during the COVID-19 pandemic: A narrative review. Neuroscience & Biobehavioral Reviews, 138, 104710. https://doi.org/10.1016/j.neubiorev.2022.104710
- Hamaker, E. L., & Muthén, B. (2020). The fixed versus random effects debate and how it relates to centering in multilevel modeling. Psychological Methods, 25(3), 365–379. https://doi.org/10.1037/met0000239
- Haynes, S. N., & Mooney, D. K. (1975). Nightmares: Etiological, theoretical, and behavioral treatment considerations. The Psychological Record, 25(2), 225–236.
- Holzinger, B., Mayer, L., Barros, I., Nierwetberg, F., & Klösch, G. (2020). The dreamland: Validation of a structured dream diary. Frontiers in Psychology, 11, 585702. https://doi.org/10.3389/fpsyg.2020.585702
- Jolly, B. (2018). Pymer4: Connecting R and python for linear mixed modeling. Journal of Open Source Software, 3(31), 862. https://doi.org/10.21105/joss.00862
10.21105/joss.00862 Google Scholar
- Koulack, D., & Goodenough, D. R. (1976). Dream recall and dream recall failure: An arousal-retrieval model. Psychological Bulletin, 83(5), 975–984. https://doi.org/10.1037/0033-2909.83.5.975
- Lemyre, A., Bastien, C., & Vallières, A. (2019). Nightmares in mental disorders: A review. Dreaming, 29(2), 144–166. https://doi.org/10.1037/drm0000103
- Levin, R. (1994). Sleep and dreaming characteristics of frequent nightmare subjects in a university population. Dreaming, 4(2), 127–137.
- Levin, R., & Nielsen, T. (2009). Nightmares, bad dreams, and emotion dysregulation: A review and new neurocognitive model of dreaming. Current Directions in Psychological Science, 18(2), 84–88. https://doi.org/10.1111/j.1467-8721.2009.01614.x
- Levin, R., & Nielsen, T. A. (2007). Disturbed dreaming, posttraumatic stress disorder, and affect distress: A review and neurocognitive model. Psychological Bulletin, 133(3), 482–528. https://doi.org/10.1037/0033-2909.133.3.482
- Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Psychology Foundation of Australia.
- McNamara, P., Moore, K. H., Papelis, Y., Diallo, S., & Wildman, W. J. (2018). Virtual reality-enabled treatment of nightmares. Dreaming, 28(3), 205–224. https://doi.org/10.1037/drm0000088
- Muurling, M., De Boer, C., Kozak, R., Religa, D., Koychev, I., Verheij, H., Nies, V. J. M., Duyndam, A., Sood, M., Fröhlich, H., Hannesdottir, K., Erdemli, G., Lucivero, F., Lancaster, C., Hinds, C., Stravopoulos, T. G., Nikolopoulos, S., Kompatsiaris, I., Manyakov, N. V., … Visser, P. J. (2021). Remote monitoring technologies in Alzheimer's disease: Design of the RADAR-AD study. Alzheimer's Research & Therapy, 13(1), 89. https://doi.org/10.1186/s13195-021-00825-4
- Ohayon, M. M., Roth, T., Smyth, C., & Earle, M. (1997). How sleep and mental disorders are related to complaints of daytime sleepiness. Archives of Internal Medicine, 157(22), 2645–2652.
- Paul, F., Schredl, M., & Alpers, G. W. (2015). Nightmares affect the experience of sleep quality but not sleep architecture: An ambulatory polysomnographic study. Borderline Personality Disorder and Emotion Dysregulation, 2(1), 3. https://doi.org/10.1186/s40479-014-0023-4
- Pépin, J., Bailly, S., Mignot, E., Gaucher, J., Chouraki, A., Cals-Maurette, M., Messaoud, R. B., Tamisier, R., & Arnal, P. J. (2022). Digital markers of sleep architecture to characterize the impact of different lockdown regimens on sleep health during the COVID-19 pandemic. Sleep, 45(6), zsac074. https://doi.org/10.1093/sleep/zsac074
- Pépin, J., Bailly, S., Mordret, E., Gaucher, J., Tamisier, R., Messaoud, R. B., Arnal, P., & Mignot, E. (2021). Greatest changes in objective sleep architecture during COVID-19 lockdown in night owls with increased REM sleep. Sleep, 44(9), zsab075. https://doi.org/10.1093/sleep/zsab075
- Riemann, D., Benz, F., Dressle, R. J., Espie, C. A., Johann, A. F., Blanken, T. F., Leerssen, J., Wassing, R., Henry, A. L., Kyle, S. D., Spiegelhalder, K., & Van Someren, E. J. W. (2022). Insomnia disorder: State of the science and challenges for the future. Journal of Sleep Research, 31(4), e13604. https://doi.org/10.1111/jsr.13604
- Riemann, D., Dressle, R. J., Benz, F., Spiegelhalder, K., Johann, A. F., Nissen, C., Hertenstein, E., Baglioni, C., Palagini, L., Krone, L., Perlis, M. L., Domschke, K., Berger, M., & Feige, B. (2024). Chronic insomnia, REM sleep instability and emotional dysregulation: A pathway to anxiety and depression? Journal of Sleep Research, 29, e14252. https://doi.org/10.1111/jsr.14252
10.1111/jsr.14252 Google Scholar
- Saguin, E., Gomez-Merino, D., Sauvet, F., Leger, D., & Chennaoui, M. (2021). Sleep and PTSD in the military forces: A reciprocal relationship and a psychiatric approach. Brain Sciences, 11(10), 1310. https://doi.org/10.3390/brainsci11101310
- Sayk, C., Saftien, S., Koch, N., Ngo, H.-V. V., Junghanns, K., & Wilhelm, I. (2024). Cortical hyperarousal in individuals with frequent nightmares. Journal of Sleep Research, 33(2), e14003. https://doi.org/10.1111/jsr.14003
- Scarpelli, S., Alfonsi, V., Gorgoni, M., & De Gennaro, L. (2022). What about dreams ? State of the art and open questions. Journal of Sleep Research, 31(4), e13609. https://doi.org/10.1111/jsr.13609
- Scarpelli, S., Alfonsi, V., Gorgoni, M., Musetti, A., Filosa, M., Quattropani, M. C., Lenzo, V., Vegni, E., Borghi, L., Margherita, G., Freda, M. F., Saita, E., Cattivelli, R., Castelnuovo, G., Manari, T., Plazzi, G., De Gennaro, L., & Franceschini, C. (2021). Dreams and nightmares during the first and second wave of the COVID-19 infection: A longitudinal study. Brain Sciences, 11(11), 1375. https://doi.org/10.3390/brainsci11111375
- Scarpelli, S., Alfonsi, V., Mangiaruga, A., Musetti, A., Quattropani, M. C., Lenzo, V., Freda, M. F., Lemmo, D., Vegni, E., Borghi, L., Saita, E., Cattivelli, R., Castelnuovo, G., Plazzi, G., De Gennaro, L., & Franceschini, C. (2021). Pandemic nightmares: Effects on dream activity of the COVID-19 lockdown in Italy. Journal of Sleep Research, 30(5), e13300. https://doi.org/10.1111/jsr.13300
- Schwartz, S., Clerget, A., & Perogamvros, L. (2022). Enhancing imagery rehearsal therapy for nightmares with targeted memory reactivation. CB/Current Biology, 32(22), 4808–4816.e4. https://doi.org/10.1016/j.cub.2022.09.032
- Siclari, F., Baird, B., Perogamvros, L., Bernardi, G., LaRocque, J. J., Riedner, B., Boly, M., Postle, B. R., & Tononi, G. (2017). The neural correlates of dreaming. Nature Neuroscience, 20(6), 872–878. https://doi.org/10.1038/nn.4545
- Simor, P., & Blaskovich, B. (2019). The pathophysiology of nightmare disorder: Signs of impaired sleep regulation and hyperarousal. Journal of Sleep Research, 28(6), e12867. https://doi.org/10.1111/jsr.12867
- Simor, P., Horváth, K., Gombos, F., Takács, K. P., & Bódizs, R. (2012). Disturbed dreaming and sleep quality: Altered sleep architecture in subjects with frequent nightmares. European Archives of Psychiatry and Clinical Neuroscience, 262, 687–696.
- Simor, P., Körmendi, J., Horváth, K., Gombos, F., Ujma, P. P., & Bódizs, R. (2014). Electroencephalographic and autonomic alterations in subjects with frequent nightmares during pre-and post-REM periods. Brain and Cognition, 91, 62–70.
- Spoormaker, V. (2008). A cognitive model of recurrent nightmares. International Journal of Dream Research, 1(1), 15–22. https://doi.org/10.11588/ijodr.2008.1.21
10.11588/ijodr.2008.1.21 Google Scholar
- Thorey, V., Guillot, A., Kanbi, K. E., Harris, M., & Arnal, P. J. (2020). 1211 assessing the accuracy of a dry-EEG headband for measuring brain activity, heart rate, breathing and automatic sleep staging. Sleep, 43(Supplement_1), A463. https://doi.org/10.1093/sleep/zsaa056.1205
10.1093/sleep/zsaa056.1205 Google Scholar
- Thorey, V., Harris, M., Guillot, A., Hernandez, A., & Arnal, P. (2019). The dreem2 headband as an alternative to polysomnography for EEG signal acquisition, breathing and heart rate monitoring and sleep staging in healthy subjects. Sleep Medicine, 64, S383. https://doi.org/10.1016/j.sleep.2019.11.1068
- Vojnits, B., Magyar, T., Szalárdy, O., Bunford, N., Takács, M., & Bódizs, R. (2023). Sleep EEG spectral exponents and slow wave activity in ADHD. IBRO Neuroscience Reports, 15, S749. https://doi.org/10.1016/j.ibneur.2023.08.1532
10.1016/j.ibneur.2023.08.1532 Google Scholar
- Vojnits, B., Magyar, T. Z., Szalárdy, O., Reicher, V., Takács, M., Bunford, N., & Bódizs, R. (2024). Mobile sleep EEG suggests delayed brain maturation in adolescents with ADHD: A focus on oscillatory spindle frequency. Research in Developmental Disabilities, 146, 104693. https://doi.org/10.1016/j.ridd.2024.104693
- Waeber, A., Arnal, P., Mignot, E., & Heinzer, R. (2020). 0697 early sleep apnea termination by bone-conducted sound stimulation reduces oxygen desaturation magnitude and duration. Sleep, 43(Supplement_1), A266. https://doi.org/10.1093/sleep/zsaa056.693
10.1093/sleep/zsaa056.693 Google Scholar
- Waeber, A., Arnal, P. J., Lecciso, G., Albir, D., Mignot, E., & Heinzer, R. (2021). Acoustic stimulation time-locked to the beginning of sleep apnea events reduces oxygen desaturations: A pilot-study. Sleep Medicine, 78, 38–42. https://doi.org/10.1016/j.sleep.2020.12.006
- Wickham, R. E., & Knee, C. R. (2013). Examining temporal processes in diary studies. Personality and Social Psychology Bulletin, 39(9), 1184–1198. https://doi.org/10.1177/0146167213490962
- Yaremych, H. E., Preacher, K. J., & Hedeker, D. (2023). Centering categorical predictors in multilevel models: Best practices and interpretation. Psychological Methods, 28(3), 613–630. https://doi.org/10.1037/met0000434
- Youngren, W. A. (2022). Replicating and progressing the nightmare cognitive arousal processing model: The second night. (Doctoral dissertation, University of Kansas).
- Zambelli, Z., Jakobsson, C. E., Threadgold, L., Fidalgo, A. R., Halstead, E. J., & Dimitriou, D. (2022). Exploring the feasibility and acceptability of a sleep wearable headband among a community sample of chronic pain individuals: An at-home observational study. Digital Health, 8, 205520762210975. https://doi.org/10.1177/20552076221097504