Association of Posttraumatic Nightmares and Psychopathology in a Military Sample
Objective: Nightmares are among the most frequent and disturbing symptoms of posttraumatic stress disorder (PTSD). However, basic research questions regarding key associations between certain nightmare characteristics, especially replicativeness, and posttraumatic psychopathology need further empiri...
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| Published in: | Psychological trauma Vol. 10; no. 4; pp. 475 - 481 |
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| Format: | Journal Article |
| Language: | English |
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01-07-2018
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| Abstract | Objective: Nightmares are among the most frequent and disturbing symptoms of posttraumatic stress disorder (PTSD). However, basic research questions regarding key associations between certain nightmare characteristics, especially replicativeness, and posttraumatic psychopathology need further empirical elaboration. Method: Sixty-two German soldiers (mean age 33.8 years, 17.7% females) admitted to a hospital-based treatment program for veterans completed extensive assessments consisting of clinical interviews and self-rating measures with respect to sociodemographic characteristics and psychopathology as well as dream-related variables. Results: Although nightmare distress, frequency, and replicativeness were all linked to PTSD symptomatology, only the latter proved to be a significant predictor of PTSD diagnosis. Moreover, none of these nightmare characteristics predicted a depression diagnosis. Conclusions: The replicativeness of nightmares appears to be a key variable for understanding the relationship between posttraumatic nightmares and PTSD, whereas nightmare frequency and distress appear to be more aptly defined as generic markers of mental health. |
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| AbstractList | OBJECTIVENightmares are among the most frequent and disturbing symptoms of posttraumatic stress disorder (PTSD). However, basic research questions regarding key associations between certain nightmare characteristics, especially replicativeness, and posttraumatic psychopathology need further empirical elaboration.METHODSixty-two German soldiers (mean age 33.8 years, 17.7% females) admitted to a hospital-based treatment program for veterans completed extensive assessments consisting of clinical interviews and self-rating measures with respect to sociodemographic characteristics and psychopathology as well as dream-related variables.RESULTSAlthough nightmare distress, frequency, and replicativeness were all linked to PTSD symptomatology, only the latter proved to be a significant predictor of PTSD diagnosis. Moreover, none of these nightmare characteristics predicted a depression diagnosis.CONCLUSIONSThe replicativeness of nightmares appears to be a key variable for understanding the relationship between posttraumatic nightmares and PTSD, whereas nightmare frequency and distress appear to be more aptly defined as generic markers of mental health. (PsycINFO Database Record Nightmares are among the most frequent and disturbing symptoms of posttraumatic stress disorder (PTSD). However, basic research questions regarding key associations between certain nightmare characteristics, especially replicativeness, and posttraumatic psychopathology need further empirical elaboration. Sixty-two German soldiers (mean age 33.8 years, 17.7% females) admitted to a hospital-based treatment program for veterans completed extensive assessments consisting of clinical interviews and self-rating measures with respect to sociodemographic characteristics and psychopathology as well as dream-related variables. Although nightmare distress, frequency, and replicativeness were all linked to PTSD symptomatology, only the latter proved to be a significant predictor of PTSD diagnosis. Moreover, none of these nightmare characteristics predicted a depression diagnosis. The replicativeness of nightmares appears to be a key variable for understanding the relationship between posttraumatic nightmares and PTSD, whereas nightmare frequency and distress appear to be more aptly defined as generic markers of mental health. (PsycINFO Database Record Objective: Nightmares are among the most frequent and disturbing symptoms of posttraumatic stress disorder (PTSD). However, basic research questions regarding key associations between certain nightmare characteristics, especially replicativeness, and posttraumatic psychopathology need further empirical elaboration. Method: Sixty-two German soldiers (mean age 33.8 years, 17.7% females) admitted to a hospital-based treatment program for veterans completed extensive assessments consisting of clinical interviews and self-rating measures with respect to sociodemographic characteristics and psychopathology as well as dream-related variables. Results: Although nightmare distress, frequency, and replicativeness were all linked to PTSD symptomatology, only the latter proved to be a significant predictor of PTSD diagnosis. Moreover, none of these nightmare characteristics predicted a depression diagnosis. Conclusions: The replicativeness of nightmares appears to be a key variable for understanding the relationship between posttraumatic nightmares and PTSD, whereas nightmare frequency and distress appear to be more aptly defined as generic markers of mental health. Objective: Nightmares are among the most frequent and disturbing symptoms of posttraumatic stress disorder (PTSD). However, basic research questions regarding key associations between certain nightmare characteristics, especially replicativeness, and posttraumatic psychopathology need further empirical elaboration. Method: Sixty-two German soldiers (mean age 33.8 years, 17.7% females) admitted to a hospital-based treatment program for veterans completed extensive assessments consisting of clinical interviews and self-rating measures with respect to sociodemographic characteristics and psychopathology as well as dream-related variables. Results: Although nightmare distress, frequency, and replicativeness were all linked to PTSD symptomatology, only the latter proved to be a significant predictor of PTSD diagnosis. Moreover, none of these nightmare characteristics predicted a depression diagnosis. Conclusions: The replicativeness of nightmares appears to be a key variable for understanding the relationship between posttraumatic nightmares and PTSD, whereas nightmare frequency and distress appear to be more aptly defined as generic markers of mental health. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: journal abstract) |
| Author | Gorzka, Robert J. Höllmer, Helge de Dassel, Thérèse Wittmann, Lutz Protic, Sonja |
| Author_xml | – sequence: 1 givenname: Thérèse surname: de Dassel fullname: de Dassel, Thérèse organization: The Sunshine Coast University Hospital and International Psychoanalytic University – sequence: 2 givenname: Lutz surname: Wittmann fullname: Wittmann, Lutz email: lutz.wittmann@ipu-berlin.de organization: International Psychoanalytic University – sequence: 3 givenname: Sonja surname: Protic fullname: Protic, Sonja organization: International Psychoanalytic University and Institute of Criminological and Sociological Research – sequence: 4 givenname: Helge surname: Höllmer fullname: Höllmer, Helge organization: Hamburg Military Hospital – sequence: 5 givenname: Robert J. surname: Gorzka fullname: Gorzka, Robert J. organization: Hamburg Military Hospital |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29016155$$D View this record in MEDLINE/PubMed |
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| Copyright | 2017 American Psychological Association (c) 2018 APA, all rights reserved). 2017, American Psychological Association |
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| Editor | Kendall-Tackett, Kathleen |
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| Issue | 4 |
| Keywords | replicativeness posttraumatic nightmares military psychopathology posttraumatic stress disorder |
| Language | English |
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R. – volume: 25 start-page: 706 year: 2011 end-page: 713 article-title: Posttraumatic stress and sleep: Differential relations across types of symptoms and sleep problems publication-title: Journal of Anxiety Disorders contributor: fullname: Schmidt, N. – volume: 7 start-page: 102 year: 2001 end-page: 108 article-title: Intrusive re-experiencing of chronic strife or war publication-title: Advances in Psychiatric Treatment contributor: fullname: van Dijk, J. – volume: 25 start-page: 511 year: 2012 end-page: 518 article-title: Combat-related PTSD nightmares and imagery rehearsal: Nightmare characteristics and relation to treatment outcome publication-title: Journal of Traumatic Stress contributor: fullname: Ross, R. J. – volume: 12 start-page: 511 year: 1998 end-page: 524 article-title: Daily reports of posttraumatic nightmares and anxiety dreams in Dutch war victims publication-title: Journal of Anxiety Disorders contributor: fullname: van Egmond, M. – volume: 33 start-page: 365 year: 2014 end-page: 372 article-title: Sleep disturbances predict later trauma-related distress: Cross-panel investigation amidst violent turmoil publication-title: Health Psychology contributor: fullname: Canetti, D. – volume: 13 start-page: 453 year: 2000 end-page: 463 article-title: Nocturnal re-experiencing more than forty years after war trauma publication-title: Journal of Traumatic Stress contributor: fullname: Schreuder, B. J. – volume: 12 start-page: 511 year: 1998 end-page: 524 article-title: Daily reports of posttraumatic nightmares and anxiety dreams in Dutch war victims publication-title: Journal of Anxiety Disorders contributor: fullname: Visser, A. T. – volume: 17 start-page: 187 year: 2007 end-page: 198 article-title: Characteristics of chronic nightmares in a trauma-exposed treatment-seeking sample publication-title: Dreaming contributor: fullname: Rhudy, J. L. – volume: 8 start-page: 23 year: 1998 end-page: 30 article-title: Austrian dream behavior: Results of a representative population survey publication-title: Dreaming contributor: fullname: Holzinger, B. – volume: 14 start-page: 241 year: 2001 end-page: 247 article-title: Dreams in the acute aftermath of trauma and their relationship to PTSD publication-title: Journal of Traumatic Stress contributor: fullname: Mellman, T. – volume: 8 start-page: 23 year: 1998 end-page: 30 article-title: Austrian dream behavior: Results of a representative population survey publication-title: Dreaming contributor: fullname: Schmeiser-Rieder, A. – volume: 33 start-page: 365 year: 2014 end-page: 372 article-title: Sleep disturbances predict later trauma-related distress: Cross-panel investigation amidst violent turmoil publication-title: Health Psychology contributor: fullname: Hobfoll, S. 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| Snippet | Objective: Nightmares are among the most frequent and disturbing symptoms of posttraumatic stress disorder (PTSD). However, basic research questions regarding... Nightmares are among the most frequent and disturbing symptoms of posttraumatic stress disorder (PTSD). However, basic research questions regarding key... OBJECTIVENightmares are among the most frequent and disturbing symptoms of posttraumatic stress disorder (PTSD). However, basic research questions regarding... |
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| SubjectTerms | Adult Cross-Sectional Studies Dreams - psychology Female Human Humans Male Middle Aged Military Personnel Military Personnel - psychology Nightmares Posttraumatic Stress Disorder Psychopathology Retrospective Studies Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - psychology Stress Disorders, Post-Traumatic - therapy Test Construction Veterans - psychology Young Adult |
| Title | Association of Posttraumatic Nightmares and Psychopathology in a Military Sample |
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