Posttraumatic nightmares and psychopathology in children after road traffic accidents
Open accessAbstract
Posttraumatic nightmares are considered as a reexperiencing symptom of the DSM-IV posttraumatic stress disorder (PTSD) diagnosis. Different types of posttraumatic nightmares, however, may differ in their relation to psychopathology. Thirty-two children were longitudinally assessed 10 days, 2 months, and 6 months after traffic accidents. Occurrence and characteristics of nightmares were examined and their relation to psychopathology assessed. Thirty-four percent of children reported posttraumatic nightmares during at least one assessment. Exact replicative nightmares at baseline assessment predicted PTSD symptoms 2 and 6 months postaccident, but not depressive symptoms. Exact replicative nightmares revealed the strongest cross-sectional association with trauma-specific psychopathology but not with depression. The authors conclude that posttraumatic nightmares--especially exact replicative ones--may be closely related to psychopathological mechanisms of posttraumatic stress in children.
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Empirical studies have shown increased dream recall rates in pathological conditions such as recurrent nightmares, post-traumatic stress disorder, and severe trauma compared to healthy cohorts.
“From studies about dream recall in pathological conditions, such as recurrent nightmares, post-traumatic stress disorder (PTSD), and severe trauma, empirical studies have shown an increased dream recall rates compared to healthy cohort, though no univocal explanation about the underlying mechanisms is available so far.40,66–70”
From Spotlight on dream recall: the ages of dreams (2018) · cites this paper as [66]
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Self-citationDreams in the acute aftermath of trauma and their relationship to PTSD
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Sleep Disturbance in Pediatric PTSD: Current Findings and Future Directions
Kovachy, B., O’Hara, R., Hawkins, N., Gershon, A., Primeau, M. M., Madej, J., & Carrion, V. (2013) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2678 · Cited by 109 · see citing works
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“However, very few studies during childhood provide information on dreaming in healthy subjects, and most of the data were obtained from clinical samples (see next Section) [72,73].”
Spotlight on dream recall: the ages of dreams
Mangiaruga, A., Scarpelli, S., Bartolacci, C., & De Gennaro, L. (2018) · Nature and Science of Sleep · doi:10.2147/nss.s135762 · Cited by 39 · see citing works
- Authors
- Wittmann, L., Zehnder, D., Schredl, M., Jenni, O. G., & Landolt, M. A.
- Affiliations
- University Hospital Zurich (CH)
- University Children's Hospital Zurich (CH)
- Central Institute of Mental Health (DE)
- Corresponding author
- Wittmann, Lutz
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2010-04
- Volume
- 23
- Issue
- 2
- Pages
- 232-239
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2033453901
- Cited by
- 45
- References
- 4
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 4 · 2012: 2
- FWCI
- 3.52
- Type
- journal article
- Language
- en
- Open access
- green
- www.zora.uzh.ch
- Licence
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- posttraumatic nightmares, post-traumatic stress disorder, children, traffic accidents, re-experiencing symptoms, depressive symptoms, pediatric trauma
- MeSH terms
- Accidents, Traffic, Adolescent, Child, Cross-Sectional Studies, Depression, Dreams, Female, Humans, Longitudinal Studies, Male, Mental Recall, Sensitivity and Specificity, Stress Disorders, Post-Traumatic, Switzerland
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