ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2016
Nightmares and Suicide in Posttraumatic Stress Disorder: The Mediating Role of Defeat, Entrapment, and Hopelessness.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.
- Bad dream, nightmares and psychopathology: a systematic review.Frontiers in psychiatry · 2024Pooled it
- Nightmares and psychiatric symptoms: A systematic review of longitudinal, experimental, and clinical trial studies.Clinical psychology review · 2023Pooled it
- Examining the role of psychological factors in the relationship between sleep problems and suicide.Clinical psychology review · 2017Pooled it
- Predicting next-day suicidal urges, depression, and PTSD symptoms using ecological momentary assessments and passive sensing of sleep among military service members and veterans.Journal of affective disorders · 2026Article
- Suicide and Sleep Disorders: The Role of Insomnia, Nightmares, and Circadian Disruption.Cureus · 2026Review
- Explaining the Link Between PTSD and Suicide: A Meta-Analysis to Introduce the CEASE Framework.Psychological reports · 2026Article
- From defeat to non-suicidal self-injury: the roles of entrapment and interpersonal relationship patterns in adolescence.Frontiers in psychiatry · 2026Article
- Analysis of the Internal Structure and Psychometric Properties of the Entrapment Scale in Spanish Adolescents and Emerging Adults.European journal of investigation in health, psychology and education · 2025Article
- Influences of sleep, cortisol reactivity, and risk/reward-based decision-making on suicide.Journal of behavior therapy and experimental psychiatry · 2024Article
- Article
- Suicidal Ideation in Adolescents and Young Adults: The Role of Defeat, Entrapment, and Depressive Symptoms-From a Systematic Review to a Tentative Theoretical Model.Behavioral sciences (Basel, Switzerland) · 2024Review
- The Association Between Intolerance of Uncertainty and Mobile Phone Addiction Among Overseas Chinese Students During COVID-19: The Mediating Roles of Perceived Stress and Rumination.Psychology research and behavior management · 2024Article
- Sleep disturbance and anxiety symptoms among asymptomatic COVID-19 carriers in Shanghai, China: the mediating role of entrapment and defeat.BMC public health · 2023Article
- Entrapment, Hopelessness, and Cognitive Control: A Moderated Mediation Model of Depression.Healthcare (Basel, Switzerland) · 2023Article
- Metabotropic glutamate receptor function and regulation of sleep-wake cycles.International review of neurobiology · 2023Article
- Verification of sleep scales as predictors of suicidal ideation in Japanese dayworkers: a longitudinal study.Sleep and biological rhythms · 2022Article
- Sleep disturbances predict active suicidal ideation the next day: an ecological momentary assessment study.BMC psychiatry · 2022Article
- Trapped in my inner prison-Cross-sectional examination of internal and external entrapment, hopelessness and suicidal ideation.PloS one · 2022Article
- Nightmare Rescripting: Using Imagery Techniques to Treat Sleep Disturbances in Post-traumatic Stress Disorder.Frontiers in psychiatry · 2022Review
- Nightmare Distress as a Risk Factor for Suicide Among Adolescents with Major Depressive Disorder.Nature and science of sleep · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesAlthough nightmares appear to be related to suicidal behaviors, the mechanisms which underpin this relationship are unknown. We sought to address this gap by examining a multiple mediation hypothesis whereby nightmares were predicted to have an indirect effect on suicidal behaviors through perceptions of defeat, entrapment, and hopelessness.
methodsData were collected from 91 participants who had experienced trauma and symptoms of posttraumatic stress disorder (PTSD). Nightmares were measured by summing the frequency and intensity ratings of relevant items on the Clinician-Administered PTSD Scale. Participants also completed questionnaire measures of suicidal behavior, hopelessness, defeat, and entrapment. Given the interrelations between insomnia, PTSD, and suicide, a measure of insomnia was included as a covariate. Furthermore, analyses were conducted with and without those participants who had comorbid depression.
resultsSuicidal behaviors were higher in those participants who experienced nightmares (62%), in comparison to those who did not (20%). Bootstrapped analyses provided support for the hypothesized multistep mediational model. Specifically, nightmares were both directly and indirectly associated with suicidal behaviors, through perceptions of defeat, entrapment, and hopelessness, independent of comorbid insomnia and depression.
conclusionsFor the first time we show that the relationship between nightmares and suicidal behaviors is partially mediated by a multistep pathway via defeat, entrapment, and hopelessness. Clinically, our work highlights the importance of monitoring and targeting nightmares and perceptions of defeat, entrapment, and hopelessness when working with clients who have experienced trauma. COMMENTARY: A commentary on this article appears in this issue on page 289.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.