Nightmare Disorder, Psychopathology Levels, and Coping in a Diverse Psychiatric Sample

J Clin Psychol. 2017 Jan;73(1):65-75. doi: 10.1002/jclp.22315. Epub 2016 Apr 21.

Abstract

Objective: Nightmares are associated with psychopathology and impaired coping in the general population. However, little is known about this association in a psychiatric population. In this study, we investigate whether patients with diverse psychiatric disorders have increased symptomatology and different coping styles if they suffer from comorbid nightmare disorder.

Method: Participants were 498 patients with diverse moderate to severe psychiatric disorders. As part of a standard assessment procedure, they filled out questionnaires regarding nightmares, psychopathology, personality pathology, and coping.

Results: A multivariate analysis of covariance and post hoc tests showed that patients with nightmare disorder scored higher on psychopathology (ηp2 = .03; p = .001) and personality pathology (ηp2 = .01-.03; p < .05). No significant differences were found with regards to coping strategies.

Conclusion: Nightmare disorder is associated with higher levels of psychopathology and personality pathology in a sample of patients with diverse psychiatric disorders.

MeSH terms

  • Adaptation, Psychological / physiology*
  • Adult
  • Anxiety Disorders / epidemiology
  • Comorbidity
  • Dreams / physiology*
  • Female
  • Humans
  • Male
  • Mental Disorders* / epidemiology
  • Middle Aged
  • Mood Disorders / epidemiology
  • Parasomnias / epidemiology
  • Parasomnias / physiopathology*
  • Personality Disorders / epidemiology
  • Stress Disorders, Post-Traumatic / epidemiology