Sunshine Coast University Hospital.
International Psychoanalytic University.
Psychol Trauma. 2018 Jul;10(4):475-481. doi: 10.1037/tra0000319. Epub 2017 Oct 9.
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
噩梦是创伤后应激障碍（PTSD）中最常见和最令人困扰的症状之一。然而，关于某些噩梦特征（尤其是重复性）与创伤后精神病理学之间的关键关联的基础研究问题仍需要进一步的实证研究。
62 名德国士兵（平均年龄 33.8 岁，17.7%为女性）被纳入一家退伍军人医院为基础的治疗项目，他们完成了广泛的评估，包括临床访谈和自我评估，涉及社会人口学特征和精神病理学以及与梦境相关的变量。
尽管噩梦困扰、频率和重复性都与 PTSD 症状相关，但只有后者被证明是 PTSD 诊断的一个显著预测因子。此外，这些噩梦特征均不能预测抑郁症的诊断。
噩梦的重复性似乎是理解创伤后噩梦与 PTSD 之间关系的关键变量，而噩梦的频率和困扰似乎更适合作为心理健康的通用标志物。
