The role of nightmare distress in adolescents with psychiatric disorders

In a recent study published in Sleep Medicine, researchers aimed to investigate the relationship between nightmares, nightmare distress, and depressive symptoms in adolescent patients with psychiatric disorders. The findings of this study shed light on the significance of nightmare distress in contributing to depressive symptoms in this particular population.

Depressive symptoms are prevalent in various psychiatric disorders and often coexist with other psychiatric symptoms like anxiety and obsessive-compulsive symptoms. The frequency of nightmares in psychiatric patients, especially those with depressive disorder, is higher than that observed in the general population.

The study included 408 Chinese adolescents diagnosed with psychiatric disorders who completed questionnaires that assessed nightmare frequency, nightmare distress and depressive symptoms.

The findings revealed that nearly half of the adolescent patients with psychiatric disorders reported frequent nightmares, which was significantly higher compared to the general adolescent population. This highlights the importance of recognizing and addressing nightmares in these patients.

Interestingly, there were gender differences observed, with female adolescents more likely to experience frequent nightmares compared to males. Additionally, girls reported higher levels of nightmare distress and more symptoms of depression.

Furthermore, the study found that adolescents who reported frequent nightmares also experienced higher levels of nightmare distress and depressive symptoms. Notably, nightmare distress was identified as a significant mediating factor in the relationship between frequent nightmares and depressive symptoms. This underscores the crucial role that nightmare distress plays in the development of depressive symptoms among these patients.

Understanding the mediating role of nightmare distress provides valuable insights for targeted interventions to improve the mental well-being of adolescent patients with psychiatric disorders. Therapies that focus on reducing nightmare distress may prove effective in alleviating depressive symptoms.

However, it is important to acknowledge the limitations of the study. The findings relied on self-report measures, and the study was conducted with a specific group of outpatient participants in China.

Further research is needed to validate these results in diverse populations and explore the longitudinal relationship between nightmares, nightmare distress, and depressive symptoms.

The study, “Associations between frequent nightmares, nightmare distress and depressive symptoms in adolescent psychiatric patients“, was authored by Ziyang Wang, Kai Zhang, Long He, Junyuan Sun, Jintong Liu, and Lei Hu.

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