Final Research Paper


Dark Dreams
Abstract
            This paper involves the research on Dream Anxiety Disorder. Dream Anxiety Disorder is a sleep disorder in which the individual experiences constant vivid terrifying dreams. This research points out some of the possible causes, preventions and treatments. A personal interview was also conducted to explain and support the claims of this paper. The purpose of this paper is to make people more aware of this disorder not only that but to also discover the negative effects that recurrent nightmares can have on individuals and how these effects can lead to health, emotional and physical problems.   











Keywords: Nightmares, Disorder, Post Traumatic Disorder, Anxiety, Sleep, Children, Adults, Study, Insurance, .
           
       Dark Dreams
            Should you start taking constant nightmares seriously? Up to 50% of children aged 3-6 years’ experience sleep-disturbing dreams, and between 2%-8% of adults also complain about recurring nightmares” (Gertz). Nightmare disorder, also known as Dream Anxiety Disorder, is a terrifying condition described as the occurrence of repeated dreams during which the sleeper feels threatened and terrified (Psychology Today). Nightmares are a common phenomenon experienced by nearly everyone. Those who experience constant nightmares and night terrors may also carry underlying psychological and neurological disorders. Although they might not be given much thought or consideration, they are a prominent factor in the life of others, so the attention and funding’s for research should increase.
            Nightmares are vivid, detailed dreams that can cause worry or fear, often exposing the dreamer to experiences of horrifying visual and emotional turbulence.  The picture on the right shows a demonic looking figure under the bed, the children looks disturbed and scared. This disorder could affect any person, but rather tends to have a greater effect on children. It also holds the possibility of impacting individuals emotionally as well as physically, by often reiterating fears or traumas that person has experienced. Nightmare Disorder also known as dream anxiety disorder, is a terrifying disorder caused by someone experiencing recurrent dreams which constantly evoke emotions of fear, anger, sadness or disgust. This nightmare often presents the individual in a situation that jeopardizes their life or their personal safety. Nightmares usually take place during someone's Rapid Eye Movement (REM) stage of sleep which is 70 to 90 minutes after falling asleep which is when dreams happen. Dreaming takes a lot of energy, your eyes move fast and your heart rate and blood pressure increases. The body goes into a different deep rest after any dream along the night. The body goes through six cycles of sleep at night and the REM gets longer with each cycle, sweating and other different symptoms of anxiety are shown. During a nightmare, the individual may moan talk or move slightly. The person will most of the times wake up with the sense of fear. Nightmares are often complex and long lasting. Is hard for the person to fall asleep after a nightmare. The individual will usually have a good reminiscence of what the dream was about, what happened and what was so horrifying towards them. Nightmare disorder could be specified by duration(Psychology Today). A nightmare can be very disturbing and it can lead you to very uncomfortable situations, after you wake up you can feel unsafe or even scared of falling back asleep.
Dream Anxiety Disorder significantly correlates with higher rates of childhood trauma history and poor sleep quality. Different factors can be causing individuals to experience terrifying and perturbing dreams. According to Semiz, Umit B., et al. from the GATA Haydarpasa Training Hospital “Nightmares and sleep problems are frequently encountered in patients with Borderline Personality Disorder BPD” (1). Borderline Personality Disorder is a serious disorder which according to the National Institute of Mental Health is marked by a pattern of ongoing instability in moods, behavior, self-image, and functioning. Different factors can be causing patients to have these horrifying and perturbing dreams. Neurological disorders can contribute to an individual becoming a victim and experiencing symptoms of Nightmare Disorder. In this article, the researchers also state that, “Adults as well as children with a history of early trauma frequently report persistent disruptions in sleep” (1). These past events of trauma can lead to posttraumatic nightmares which are more intense, vivid dreams that hold actual traumatic scenes from a past event, dramatized by the imagination as it could contain scenes of death or violence. There are many possible ways of treating Dream Anxiety Disorder; such as imagery rehearsal therapy, counseling, and even medication. This condition, like most disorders, does not have a cure. Although doctors and researchers alike had been conducting studies to find treatments and even a possible cure. A study conducted by Kunze, Anna E., et al. discusses how frequent nightmares can effectively be treated with cognitive behavioral techniques such as imagery rehearsal therapy. IRT is a technique that can help individuals reprogram their nightmares to be less terrifying when they occur again. The results of this study which have not been published yet, conclude that nightmares “might provide useful knowledge about the working mechanism rescripting and exposure based treatments” (1). The researchers of this study tried to investigate the efficiency of these methods by following through with the therapy and collecting the results from their experiments.
Constant nightmares can cause sleep deprivation, which can lead to other medical diseases such as heart disease, obesity, depression and possibly death. Things you might normally do before you sleep can also have an effect on the quality of dreams, such as having  “[a] pre-bedtime snack can increase your metabolism, which causes the brain to become more active and can possibly lead to nightmares” (Sleep.org). Eating before bedtime can cause vivid nightmares. After eating, the body starts increasing its metabolism rate, due to digestion; leading the individual to have more energy and higher brain activity during late hours of the night. This can cause the individual to experience sleep deprivation. Sleep deprivation is a “condition that occurs when you don't get enough sleep” (Nhlbi.nih.gov). Heart disease can be triggered by sleep deprivation, as a result of not receiving the satisfactory amount of sleep needed, which is highly considered to be from about seven to eight hours. During these episodes of sleep deprivation, the heart and blood pressure rate increases and does not allow for the heart to rest when it’s supposed to. The only time the heart has to rest is when one sleeps, because the blood pressure rate returns to its normal resting state and can allow the heart to recover for the next day. Frequent nightmares can even lead an individual to suicide. According to the American Academy of Sleep Medicine suicidal thoughts, plans or attempts were present in 62 percent of participants who experienced nightmares and only 20 percent of those without nightmares” (Science Daily). Nightmares can act as stressors for people who already suffer from a disorder.
Children tend to have more nightmares than adults because they have a more imaginative and sensitive mind, followed along by less exposure to the reality of the world around them.  “A new baby is constantly exposed to new images, sensations, smells, sounds and, as a result, strong emotions. It’s only during sleep that the infant eliminates all the information the brain- accumulates during the day” (Horrocks). Children often tend to experience nightmares about paranormal figures such as ghosts, as well as being chased around or being in grave danger, often finding themselves placed in a state of danger or helplessness. This happens because the child does not have the capacity to explain their feelings, emotions and fears. As the child grows up and starts developing ideas on how to communicate those fears and emotions more effectively, they tend to have less nightmares. Nightmares in children are thought to be a key part of their imagination development, bringing awareness to the fact that there are many things in this world that can actually harm them or endanger their well-being. Fears and nightmares can also be the result of a frightening experience, or traumatic event in one’s life. Family conflict and anxiety, as mentioned before, can also play a severe role in causing these terrifying ruminations in children.
While doing my research on nightmares and its disorder, I interviewed Casey Diaz a female college student that has been experiencing nightmares since she was a kid. I asked Casey a couple of questions one of them being, how experiencing this recurrent dream affected her? according to Casey her nightmares made her feel “powerlessness and a powerful sensation of vulnerability. These feeling can make me feel weak and ashamed of myself. I can't control the dream which makes me feel out of control and guilty. I wake with a sinking impression that something will go wrong in my day and that the next mistake or bad things is waiting right around the corner”.  I also asked Casey how her nightmares affected her not only physically but also emotionally she said, “In some cases I have gone days without sleeping out of fear of returning to a disturbing dream” and that’s when this recurrent nightmare start affecting your body and causing sleep deprivation and other health problems. Since individuals tend to have frequent nightmares when they’ve been through traumatic experiences, I asked Casey if she have had any post traumatic experiences and she answered “yes” but didn’t want to talk about it which is very understanding. According to Casey a way to try to prevent nightmares is to start “a well-balanced diet at appropriate hours of the day” because “Eating before bed can sometimes have strange effects” she states. 
Nightmares can be a terrible experience for those who are constantly experiencing it and being affected by it. Some believe that those constant nightmares that an individual has might mean something deeper. According to Charlotte Harding in her article Why nightmares can be good for your health Dr. Lukeman believes that nightmares “ are trying to warn us that we are caught up in some internal conflict needing resolution for the sake of our well-being” (Harding). Elizabeth Wagele in her article What is GOOD about nightmares, also believes that nightmares have a positive effect in people and that experiencing nightmares can also have a deeper meaning, or are giving an individual clue or meaning about something that could be happening in one's life (Wagele). This clip  https://www.youtube.com/watch?v=FhJUuoZj-G0 describes some of the meanings nightmares could have. Even though some might think that nightmares should be takes as clues or should be seen with a deeper meaning, recurrent nightmares could do more harm than good.
Text Box: Figure 2 Courtesy of Ozy.comA nightmare can be a very disturbing and frightening experience, often signifying of underlying factors and fears of your subconscious mind. This other frightening image on the right shows how the adult sleeping is terrified of the tall and also demonic looking figure that she is seeing while sleeping. These types of dreams can wake you up, and often keep you up at night, causing your sleep patterns inconsistent. Sleep disturbances such as these can cause a high level of distress as well as affect bodily functions throughout the day. Psychologists and doctors alike often find difficulty in adequately explaining exactly what causes these consistent nightmares, and the context within them. Although Dream Anxiety Disorder is not regarded as a popular topic in mainstream media, it definitely should be. Considering its prevalence in society, the emotional turmoil it is capable of, and the undeniable role nightmares serve in understanding the psychology behind our dreams. Research would suggest that it is time to rethink what nightmares are, as well as look within the boundaries of our own dreams to find the answers to our life’s fears, problems and personal mysteries.


           


Reference
Nightmare Disorder. Encyclopedia of Mental Disorders,   www.minddisorders.com/Kau-Nu/Nightmare-disorder.html.
"nightmare, n. and adj." OED Online. Oxford University Press, June 2017. Web. 8 November 2017.Patient Information Publications/Egton Medical Information Systems Ltd. Nightmare Disorder. (2014). Accessed on October 30, 2017
Kunze, Anna E., et al. "Efficacy and Mechanisms of Imagery Rescripting and Imaginal Exposure for Nightmares: Study Protocol for a Randomized Controlled Trial." Trials, vol. 17, 26 Sept. 2016, pp. 1-14.
Semiz, Umit B., et al. "Nightmare Disorder, Dream Anxiety, and Subjective Sleep Quality in  Patients with Borderline Personality Disorder." Psychiatry & Clinical Neurosciences, vol. 62, no. 1, Feb. 2008, pp. 48-55.
“What Are Sleep Deprivation and Deficiency?” National Heart Lung and Blood Institute, U.S. Department of Health and Human Services, 7 June 2017, www.nhlbi.nih.gov/health/health-topics/topics/sdd.
“What Causes Nightmares | Sleep.Org by the National Sleep Foundation.” Sleep.Org, sleep.org/articles/causes-nightmares/.
“What nightmares mean.” Sofeminine, 16 June 2008, www.sofeminine.co.uk/wellbeing/what-nightmares-mean-s564021.html.




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