Nightmare disorder

WikiDoc Resources for Nightmare disorder
Articles
Most recent articles on Nightmare disorder Most cited articles on Nightmare disorder Review articles on Nightmare disorder Articles on Nightmare disorder in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Nightmare disorder Images of Nightmare disorder Photos of Nightmare disorder Podcasts & MP3s on Nightmare disorder Videos on Nightmare disorder
Evidence Based Medicine
Cochrane Collaboration on Nightmare disorder Bandolier on Nightmare disorder TRIP on Nightmare disorder
Clinical Trials
Ongoing Trials on Nightmare disorder at Clinical Trials.gov Trial results on Nightmare disorder Clinical Trials on Nightmare disorder at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Nightmare disorder NICE Guidance on Nightmare disorder NHS PRODIGY Guidance FDA on Nightmare disorder CDC on Nightmare disorder
Books
Books on Nightmare disorder
News
Nightmare disorder in the news Be alerted to news on Nightmare disorder News trends on Nightmare disorder
Commentary
Blogs on Nightmare disorder
Definitions
Definitions of Nightmare disorder
Patient Resources / Community
Patient resources on Nightmare disorder Discussion groups on Nightmare disorder Patient Handouts on Nightmare disorder Directions to Hospitals Treating Nightmare disorder Risk calculators and risk factors for Nightmare disorder
Healthcare Provider Resources
Symptoms of Nightmare disorder Causes & Risk Factors for Nightmare disorder Diagnostic studies for Nightmare disorder Treatment of Nightmare disorder
Continuing Medical Education (CME)
CME Programs on Nightmare disorder
International
Nightmare disorder en Espanol Nightmare disorder en Francais
Business
Nightmare disorder in the Marketplace Patents on Nightmare disorder
Experimental / Informatics
List of terms related to Nightmare disorder

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Overview

Nightmare disorder is a sleep disorder characterized by frequent awakening from nightmares with a vivid remembrance of the dream. It is often caused by a major stressful event or from the use of SSRIs, such as Prozac and Effexor. Most cases reported begin at the age of 10 after a stressful life event. The frequency of the episodes is varied form person to person; generally one will suffer from three or four episodes every week.

Differential Diagnosis

• Bereavement
• Breathing-related sleep disorders
• Medication or substance use

• Antidepressants
• Amphetamine
• Antihypertensives
• Beta-adrenergic antagonists
• Cocaine
• Dopaminergics
• Melatonin
• smoking cessation aids

• Narcolepsy
• Nocturnal seizures
• Panic disorder
• REM sleep behavior disorder
• Sleep terror disorder
• Sleep-related dissociative disorders

Epidemiology and Demographics

The prevalence of nightmare disorder is:

6,000 per 100,000 (6%) monthly among adults

1,000-2,000 per 100,000 (1%-2%) frequently among adults

Risk Factors

• Genetic predisposition
• Irregular sleep-wake schedules
• Past adverse events
• Sleep deprivation
• Sleep fragmentation

Diagnostic Criteria

DSM-V Diagnostic Criteria for Nightmare disorder

“

A. Repeated occurrences of extended, extremely dysphoric, and well-remembered dreams that usually involve efforts to avoid threats to survival, security, or physical integrity and that generally occur during the second half of the major sleep episode. AND B.On awakening from the dysphoric dreams, the individual rapidly becomes oriented and alert. AND C.The sleep disturbance causes clinically significant distress or impairment in social, occupational,or other important areas of functioning. AND D.The nightmare symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication). AND E.Coexisting mental and medical disorders do not adequately explain the predominant complaint of dysphoric dreams. Specify if: During sleep onset Specify if: With associated non-sleep disorder, including substance use disorders With associated other medical condition With associated other sleep disorder Specify if: Acute: Duration of period of nightmares is 1 month or less. Subacute: Duration of period of nightmares is greater than 1 month but less than 6 months. Persistent: Duration of period of nightmares is 6 months or greater. Specify current severity: Severity can be rated by the frequency with which the nightmares occur: Mild: Less than one episode per week on average. Moderate: One or more episodes per week but less than nightly. Severe: Episodes nightly.

”

References

http://psychnet-uk.com/dsm_iv/nightmare_disorder.htm Nightmares are a sub-category of Parasomnia Sleep Disorders. Template:Mental-health-stub Template:WikiDoc Sources