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About 4% of American adults are affected by nightmare disorders. [1] Women seem to be more affected than men, the ratio being 2–4 : 1. [5] This inequality decreases with aging because of a less high prevalence in elderly women. [5] The rate of nightmares increases from ages 10–19 to 20–39, and then decreases during the ages of 50–59. [8]
A separate meta-analysis focusing on this sleeping disorder in the elderly mentions that those with more than one physical or psychiatric malady experience it at a 60% higher rate than those with one condition or less. It also notes a higher prevalence of insomnia in women over the age of 50 than their male counterparts. [71]
Late-life depression refers to depression occurring in older adults and has diverse presentations, including as a recurrence of early-onset depression, a new diagnosis of late-onset depression, and a mood disorder resulting from a separate medical condition, substance use, or medication regimen. [1]
In addition, nightmares appear ordinarily during REM sleep in contrast to night terrors, which occur in NREM sleep. [2] Finally, individuals with nightmares can wake up completely and easily and have clear and detailed memories of their dreams. [2] [30] A distinction between night terrors and epileptic seizure is required. [30]
Nightmare disorder is defined as recurrent nightmares associated with awakening dysphoria that impairs sleep or daytime functioning. [1] [2] It is rare in children, however persists until adulthood. [11] [35] About 2/3 of the adult population report experiencing nightmares at least once in their life. [11]
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A nightmare, also known as a bad dream, [1] is an unpleasant dream that can cause a strong emotional response from the mind, typically fear but also despair, anxiety, disgust or sadness.
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