Abstract
Nightmares that replicate traumatic events are among the criteria that define posttraumatic stress disorder (PTSD); however, there has been limited systematic assessment of the content of dreams in PTSD. A PTSD dream rating instrument was developed to ope rationalize features attributed to dreams associated with combat-related PTSD that incorporated dimensions from the dream content analysis literature, and its reliability was assessed. Then the instrument was used to characterize dream reports in 18 Vietnam combat veterans diagnosed with PTSD. Approximately half of the group's target dreams contained features characteristic of combat, and all but 3 (17%) were moderately to highly threatening. Fifty-three percent were set at least partially in the present and 79% contained distorted elements. We therefore conclude that target dreams of combat veterans with PTSD vary with regard to replication of trauma and elements normally associated with dreaming, but typically are threatening.
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References
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington DC: Author.
Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Klauminzer, G., Charney, D. S., & Keane, T. M. (1990). A clinician rating scale for assessing current and lifetime PTSD: The CAPS-1. Behavior Therapist, 13, 187–188.
Domhoff, B., & Kamiya, J. (1964). Problems in dream content study with objective indicators: I. A comparison of home and laboratory dream reports. Archives of General Psychiatry, 11, 519–524.
Dow, B. M., Kelsoe, J. R., Jr., & Gillin, J. C. (1996). Sleep and dreams in Vietnam PTSD and depression. Biological Psychiatry, 39, 42–50.
Hall, C. S., & van de Castle, R. L. (1966). The content analysis of dreams. New York: Appleton-Century-Crofts.
Hartmann, E. (1998). Nightmare after trauma as paradigm for all dreams: A new approach to the nature and function of dreaming. Psychiatry, 61, 223–238.
Keller, M. B., Lavori, P. W., Friedman, B., Nielsen, E., Endicott, J., McDonald-Scott, P., & Andreasen, N. (1987). The longitudinal interval follow-up evaluation. Archives of General Psychiatry, 44, 540–548.
Kramer, M., Schoen, L. S., & Kinney, L. (1984). The dream experience in dream-disturbed Vietnam veterans. In van der Kolk (Ed.), Posttraumatic stress disorders: Psychological and biological sequelae (pp. 82–95). Washington, DC: American Psychiatric Association.
Mellman, T. A., Kulick-Bell, R., Ashlock, L. E., & Nolan, B. (1995). Sleep events among veterans with combat-related posttraumatic stress disorder. American Journal of Psychiatry, 152, 110–115.
Neylan, T. C., Marmar, C. R., Metzler, T. J., Weiss, D. S., Zatzick, D. F., Delucchi, K. L., Wu, R. M., & Schoenfeld, F. B. (1998). Sleep disturbances in the Vietnam generation: Findings from a nationally representative sample of male Vietnam veterans. American Journal of Psychiatry, 155, 929–933.
Ross, R. J., Ball, W. A., Sullivan, K. A., & Caroff, S. N. (1989). Sleep disturbance as the hallmark of posttraumatic stress disorder. American Journal of Psychiatry, 146, 697–707.
St. Onge, M. A., Grenier, J., Vinette, S., Vachon, J., Dupuis-Roy, N., Roussy, F., & de Koninck, J. (1999). A comparison of visual imagery in laboratory and home dreams. Sleep, 22(Suppl. 1), 170.
Van der Kolk, B., Blitz, R., Burr, W., Sherry, S., & Hartmann, E. (1984). Nightmares and trauma: A comparison of nightmares after combat with lifelong nightmares in veterans. American Journal of Psychiatry, 141, 187–190.
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Esposito, K., Benitez, A., Barza, L. et al. Evaluation of Dream Content in Combat-Related PTSD. J Trauma Stress 12, 681–687 (1999). https://doi.org/10.1023/A:1024725319777
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DOI: https://doi.org/10.1023/A:1024725319777