Introduction to Nightmares

What is a Nightmare?

The general population experience nightmare once in a while during their lifetime. It is especially more prevalent in children. Nightmare11.jpg (22544 bytes)A Nightmare is defined as the experience of sudden awakening in the middle of the night with a feeling of intense dread or terror.( Bearden, 1994)A review says that a research found that the average time of occurrence to be 212 minutes after sleep onset or they are more frequent in the second half of the night. Increased body movement also accompanies the phenomenon and some increase in autonomic function such as pulse and respiration. The length of a nightmare ranges from 5 to 30 minutes. The content of the nightmare involves a generalized fear, such as being chased, attacked, or having one’s body mutilated. Therefore nightmares almost always involve themes of helplessness, terror, and a sense of catastrophe. The people who are experiencing nightmares often perceive more than visual scenes, instead other sensations such as loud noise, smells, and physical pain. As a result nightmares create more vivid and intense sense of reality.

Children who wake from nightmares are typically alert, aroused, and often describe details of frightening images. These children typically have trouble going back to sleep and want parental interaction and reassurance. In addition to this these children continue to remember and talk about nightmare the following day. Nightmare is also related to sleep disturbances in adolescence and it is even more problematic for the family with young children who suffer from chronic nightmare.