Evidence map›Paper›PMID 29510796›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2018

Nightmares in United States Military Personnel With Sleep Disturbances.

Jennifer L Creamer, Matthew S Brock, Panagiotis Matsangas, Vida Motamedi, Vincent Mysliwiec

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04529070 (Nightmare Rescripting and Rehearsal), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04529070 naterminatednot on this mapstarted 2021, after this paper: background citation

Nightmare Rescripting and Rehearsal: Testing a 10-Minute Intervention to Treat Recurring Distressing Dreams in Primary Care.

TypeinterventionalSponsorDavid MossRan2021 to 2025Enrolled68ConditionsNightmare, SleepArmsNightmare Rescripting and Rehearsal, standard of care
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 56 citations in OpenAlex.

  1. A pilot randomized controlled trial of cognitive behavioral treatment for trauma-related nightmares in active duty military personnel.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Trial
  2. Bringing cognitive behavioral therapy for nightmares to patients with trauma: increasing access and feasibility via primary and acute care.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  3. Article
  4. Enhancing identification and diagnosis of nightmare disorder in active duty patients at a sleep disorders center: A quality improvement initiative.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
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  7. The impact of cannabis use proximal to sleep and cannabinoid metabolites on sleep architecture.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
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  10. Comparison of autonomic reactivity to trauma and nightmare imagery: A Pilot Study.Sleep advances : a journal of the Sleep Research Society · 2024
    Article
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  14. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Jennifer L CreamerMartin Army Community Hospital, Sleep Center, Fort Benning, Georgia.
Matthew S BrockSan Antonio Military Medical Center, Department of Sleep Medicine, JBSA-Lackland, Texas.
Panagiotis MatsangasOperations Research Department, Naval Postgraduate School, Monterey, California.
Vida MotamediNational Institutes of Health, National Institutes of Nursing Research, Bethesda, Maryland.
Vincent MysliwiecSan Antonio Military Medical Center, Department of Sleep Medicine, JBSA-Lackland, Texas.
Brooke Army Medical Center · USCommunity Hospital · USNational Institutes of Health · USNaval Postgraduate School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesSleep disturbances are common in United States military personnel. Despite their exposure to combat and trauma, little is known about nightmares in this population. The purpose of this study was to describe the prevalence and associated clinical and polysomnographic characteristics of nightmares in United States military personnel with sleep disturbances.

methodsRetrospective review of 500 active duty United States military personnel who underwent a sleep medicine evaluation and polysomnography at our sleep center. The Pittsburgh Sleep Quality Index and the Pittsburgh Sleep Quality Index-Addendum were used to characterize clinically significant nightmares. Subjective and objective sleep attributes were compared between groups.

resultsAt least weekly nightmares were present in 31.2%; yet, only 3.9% reported nightmares as a reason for evaluation. Trauma-related nightmares occurred in 60% of those patients with nightmares. Patients with nightmares had increased sleep onset latency (SOL) and rapid eye movement (REM) sleep latency (mean SOL/REM sleep latency 16.6/145 minutes,

conclusionsClinically significant nightmares are highly prevalent in United States military personnel with sleep disturbances. Nightmares are associated with both subjective and objective sleep disturbances and are frequently comorbid with other sleep and mental health disorders. COMMENTARY: A commentary on this article appears in this issue on page 303.

Indexed as

DreamsAdultAnxietyDepressionFemaleHumansMaleMilitary PersonnelPolysomnographyPrevalenceRetrospective StudiesSleep Initiation and Maintenance DisordersSleep Wake DisordersStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited Statesinsomniamilitarynightmaresobstructive sleep apneaposttraumatic stress disordersleep disorderstrauma

Identifiers

PMID29510796
PMCPMC5837843
OpenAlexW2792543204

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.