Nightmare frequency,nightmare distress,and anxiety

Using the self-reports of 300 university students, we replicated and extended the results of a 1971 study of Hersen by demonstrating a significant relationship between both nightmare frequency and nightmare distress with two dimensions of anxiety. Our results are not consistent with the 1990 findings of Wood and Bootzin who concluded that both nightmare frequency and nightmare distress were not correlated with anxiety.     

Dream recall and nightmare frequency: a family study

The present study investigated dream recall as well as nightmare frequency in families. Whereas a positive correlation for nightmare frequencies between children and mothers was found (but not for children and their fathers), the relationship for dream recall frequency was small and nonsignificant. Assuming that mothers are still the primary caregivers in the modern family, and, thus, might encourage or discourage children to talk about their dreams, the findings of the study support Cohen's 1973 hypothesis of a socialization effect on nightmare frequency and maybe a smaller effect on dream recall frequency.     

Nightmare frequency versus nightmare distress: relations to psychopathology and cognitive style.

The hypotheses that psychopathology is related to nightmare distress but not nightmare frequency and that cognitive style is related to nightmare frequency were examined. The sample consisted of 85 subjects (58 women and 27 men) who completed several measures: a sleep and dream inventory, Symptom Check List-90-R, Fear Survey Schedule-II, Beck Depression Inventory, an abbreviated version of the Harvard Group Scale of Hypnotic Susceptibility, Vividness of Visual Imagery, an absorption scale, a social desirability scale, and the Boundaries Questionnaire. The results strongly support the first hypothesis but only slightly the second. Such findings underscore the need to differentiate nightmare frequency from suffering (waking distress associated with nightmares) and suggest that although frequency may be related to an intensification of dreaming process, suffering is related to waking emotional adjustment.     

The prevalence of nightmares and their independence from anxiety

Although several studies have examined the prevalence of nightmares and their relationship to anxiety, this is the first to have used daily dream logs, rather than retrospective self-reports, to monitor nightmare frequency. 220 undergraduates were administered self-report measures of anxiety and for 2 weeks recorded the number of their nightmares in logs. 47% of Ss reported at least one nightmare during the study period. The dream logs yielded an estimated mean annual nightmare frequency of 23.6, which is 2.5 times as great as the estimate yielded by retrospective reports (p less than .01). Nightmare frequency and anxiety were uncorrelated. The findings indicate that nightmares are more prevalent than has been reported, and their frequency unrelated to self-reported anxiety.     

Content mazes and filled pauses in narrative language samples of children with specific language impairment

Linguistic nonfluencies known as mazes (filled pauses, repetitions, revisions, and abandoned utterances) have been used to draw inferences about processing difficulties associated with the production of language. In children with normal language development (NL), maze frequency in general increases with linguistic complexity, being greater in narrative than conversational contexts and in longer utterances. The same tendency has been found for children with specific language impairment (SLI). However, the frequency of mazes produced by children with NL and SLI has not been compared directly at equivalent utterance lengths in narration. This study compared the frequency of filled pauses and content mazes in narrative language samples of school-age children with SLI. The children with SLI used significantly more content mazes than the children with NL, but fewer filled pauses. Unlike content mazes, the frequency of filled pauses remained stable across samples of different utterance lengths among children with SLI. This indicates that filled pauses and content mazes have different origins and should not be analyzed or interpreted in the same way.     

Nightmare frequency and femininity/masculinity

Several large-scale studies showed that women tend to report nightmares more often than men. Despite this robust finding, empirically tested interpretations of these sex differences are lacking. Levin and Nielsen put forward the hypothesis that sex-specific socialization might be one of the risk factors for nightmare occurrence. The present findings of an online survey indicate that expressivity/femininity and instrumentality/masculinity were related to nightmare fre quency and, thus, supported this hypothesis. Since the sex difference in nightmare frequency was not fully explained by these two variables, future studies should investigate other variables--in addition to sex-role orientation--like depressive symptoms, history of sexual and/or physical abuse, ruminative coping styles, and physiological measures of processing emotional stimuli within the brain.     

Alexithymia and aspects of dreaming: Differential associations of alexithymia facets with dream variables

Research on aspects of dreaming associated with alexithymia has yielded mixed results. The present study recruited a young adult online sample of 577 participants who completed validated indices of alexithymia, emotion suppression, negative moods, and eight aspects of dreaming, with a focus on evaluating a counterintuitive previous finding that alexithymia and two of its core facets were associated with greater self-reported typical emotional intensity of dreams. Total alexithymia and facet scores showed differential relationships to aspects of dreaming including dream recall frequency, emotionality, meaningfulness, nightmare frequency, nightmare distress, usefulness of dreams in problem-solving and creativity, and learning about oneself through dreams. Planned hierarchical regression controlling for demographics, alcohol use, and dream recall frequency indicated that the difficulties identifying feelings (DIF) facet of alexithymia was a significant positive predictor of dream emotionality, whereas the externally oriented thinking (EOT) facet was a significant negative predictor. Stress, but not emotion suppression, mediated the positive relationship between DIF and dream emotionality. The likely role of dream emotionality in higher ratings of nightmare distress, dream meaningfulness, and learning about oneself through dreams among those with higher DIF scores is noted, along with other findings and the strengths and limitations of the study.     

Effectiveness of Imagery Rehearsal Therapy for the Treatment of Combat-Related Nightmares in Veterans

Imagery Rehearsal Therapy (IRT) has been shown to be efficacious in reducing nightmares, but the treatment has not been well-studied in veterans. The effectiveness of IRT was assessed from a chart review of veterans seeking outpatient treatment for chronic, trauma-related nightmares. Of those offered IRT, veterans who completed a full course of treatment for PTSD in the past year were more likely to initiate treatment. However, completion of IRT was not related to previous treatment, demographic variables, or nightmare severity reported at the first treatment session. Treatment completers reported significant reductions in nightmare frequency and intensity, severity of insomnia, and subjective daytime PTSD symptoms. Insomnia and PTSD symptoms, on average, were below clinical cutoffs following treatment, and 23% of patients showed a complete treatment response (≤ 1 nightmare/week). Findings suggest IRT may be an effective short-term treatment for nighttime and daytime PTSD symptoms among veterans who complete a full course of treatment.     

Nightmare prevalence in the healthy elderly.

Fifty-one healthy elderly subjects (median age = 65) gave retrospective estimates of nightmare frequency in questionnaires and recorded the occurrence of nightmares in daily logs over a 2-week period. (a) Mean annual nightmare frequency as estimated from logs was only 65% as high among college student controls. (b) Elderly subjects were about 1/5 as likely as college students to report a problem with nightmares. (c) Frequency estimates on the basis of logs were over 10 times higher than retrospective estimates.     

Exploring Thematic Nightmare Content and Associated Self‐Harm Risk

Nightmares have been shown to be robust predictors of self‐harm risk, beyond depressive symptoms and hopelessness at times. However, few studies have investigated associations between nightmare content and increased self‐harm risk. This study explored associations of thematic nightmare content with history of self‐harm, and risk of self‐harm phenomena the morning following a nightmare. A mixed‐method diary study was performed. Prospective nightmare reports were obtained from 72 participants. A total of 47 nightmare reports met inclusion criteria and were analyzed for themes using inductive thematic analysis. Chi‐square and bootstrap Pearson's correlation tests were performed to assess the associations between nightmare themes and self‐harm history, and risk of self‐harm phenomena following a nightmare. “ Powerlessness to Change Behavior” was associated with a history of self‐harm engagement, whereas “Financial Hardship” indicated reduced risk. Themes were not significantly associated with increased risk of self‐harm phenomena following a nightmare. Content may be of use in detecting lifetime history of self‐harm engagement, particularly in populations where disclosure is seen as taboo. However, nightmare symptom severity remains a better indicator of risk. Evidence for the utility of nightmare content in assessing immediate self‐harm risk is presently lacking. Replication with increased power is recommended.     

Disturbed dreaming, posttraumatic stress disorder, and affect distress: a review and neurocognitive model

Nightmares are common, occurring weekly in 4%-10% of the population, and are associated with female gender, younger age, increased stress, psychopathology, and dispositional traits. Nightmare pathogenesis remains unexplained, as do differences between nontraumatic and posttraumatic nightmares (for those with or without posttraumatic stress disorder) and relations with waking functioning. No models adequately explain nightmares nor have they been reconciled with recent developments in cognitive neuroscience, fear acquisition, and emotional memory. The authors review the recent literature and propose a conceptual framework for understanding a spectrum of dysphoric dreaming. Central to this is the notion that variations in nightmare prevalence, frequency, severity, and psychopathological comorbidity reflect the influence of both affect load, a consequence of daily variations in emotional pressure, and affect distress, a disposition to experience events with distressing, highly reactive emotions. In a cross-state, multilevel model of dream function and nightmare production, the authors integrate findings on emotional memory structures and the brain correlates of emotion.     

Content of waking life events and of nightmare themes

Examined the relationship of incidence of 3 types of nightmare themes to incidence of specific events listed in the Social Readjustment Rating Scale and in the Life Events Inventory. The former list of events was administered to 98 and the latter to 56 part-time college students. Information on nightmares' content was available for both samples. Events and nightmare themes were retrospectively reported for the last 6 mo. No significant relationships were found between specific types of nightmare content and specific events. Persons who experienced more events of the Life Events Inventory also reported more nightmare themes, however, similar relationship was not observed for events listed in the readjustment scale.     

The effects of reducing teacher questions and increasing pauses on child talk during morning news

The effects of reducing teacher questions and increasing pauses on student talk during morning news sessions were investigated. The length of student discourse was observed during random 10-min samples of the lesson, together with frequency counts of teacher questions and pauses. Concomitant measures of teacher praise, directives, control statements and student call-outs were also obtained. Within the constraints of a within-subjects reversal design (ABAB), experimentally reducing teacher questions and replacing these with pauses and/or topic-related statements was associated with an increase in child discourse. Teacher praise and directives did not systematically alter across experimental phases but both teacher control statements and child call-outs reduced during the intervention phases. Reducing teacher questions and increasing the use of pauses by the teacher was associated with increases in student discourse without adversely affecting classroom behavior. These results support the hypothesis that teacher questions foil pupil talk in morning news thereby obstructing the pedagogical value of these sessions.     

Within my breast, alas, two souls ...

The obsession is pursued of a word, a sign, a thought that is identical with the thing it signifies, where there is no space between the two. And the nightmare is entertained that, if such an identity is not attained, then intellectual work in general is worth nothing and should be destroyed.     

The relationship between age and frequency of disfluency in preschool children

The frequencies of nine types of disfluency, including silent pauses, were studied in 60 nonstuttering males, 3.5 and 5 yr-of-age. The younger children evidenced significantly higher rates of part word, word, and phrase repetitions, incomplete phrases, and disrhythmic phonations. The older children demonstrated significantly more grammatical pauses. The two groups did not differ in the frequency of interjections, ungrammatical pauses, and revisions. The most powerful discriminating category between the two age groups was phrase repetition. The results are compared with findings from other recent investigations of disfluency in nonstuttering preschool males. Possible explanations for the discrepancies among the various investigations and for the high degree of variability in disfluency reported in the literature are proposed. The results of this investigation suggest that nonstuttering children begin to show more adult-like disfluency patterns toward the later preschool years.     

GESTURE, SPEECH, AND LEXICAL ACCESS:

Abstract— In a within-subjects design that varied whether speakers were allowed to gesture and the difficulty of lexical access, speakers were videotaped as they described animated action cartoons to a listener. When speakers were permitted to gesture, they gestured more often during phrases with spatial content than during phrases with other content. Speech with spatial content was less fluent when speakers could not gesture than when they could gesture, speech with nonspatial content was not affected by gesture condition. Preventing gesturing increased the relative frequency of nonjuncture filled pauses in speech with spatial content, but not in speech with other content. Overall, the effects of preventing speakers from gesturing resembled those of increasing the difficulty of lexical access by other means, except that the effects of gesture restriction were specific to speech with spatial content. The findings support the hypothesis that gestural accompaniments to spontaneous speech can facilitate access to the mental lexicon     

‘I stumble... in my speech: Like a hobbled... horse... hops...’ — The nature and length of pauses in the reading of aphasics

Summary Fifteen mildly affected aphasic subjects were given the task of reading 21 sentences. The words of the sentences (apart from the articles) were controlled according to part of speech, length, and frequency of occurrence. It was predicted that the complexity of the grammatical function of the nouns, adjectives, and verbs investigated would determine the length of the pauses preceding the part of speech in question. The relative complexity of the syntactic function was determined by the number of valences according to the theory of dependence grammar. The results obtained supported the model of dependence grammar in that, of the content words, verbs were preceded by the longest pauses and adjectives by the shortest. The most surprising result was the finding that the pauses before the second article were even longer than those before the verb. It was suggested that these pauses be interpreted as following the verb rather than preceding the article. With respect to the nature of these pauses, a variety of classifications was discussed. It was proposed that these latencies be interpreted as juncture pauses, made for the sake of the listener in normal readers, changed into hesitation pauses, made for the sake of the reader in aphasics.