Nightmares are vividly realistic, disturbing dreams that wake you up from a deep sleep. They can be really scary. Nightmares tend to occur most often during rapid eye movement (REM) sleep, when most dreaming takes place. Everyone is different, but some common nightmares that many people have, like not being able to run fast enough to escape danger or about falling from a great height. If you've gone through a traumatic event, such as an attack or accident, you may have recurrent nightmares about that experience.
Exactly how or why nightmares occur is not known. However, being too tired, not getting enough sleep, having an irregular routine for sleep, and having stress or anxiety may all increase the risk of having nightmares. Nightmares can be related to the child’s stage of development. Most nightmares are a normal part of coping with changes in our lives. For children, nightmares could be related to events such as starting school, moving to a new neighborhood, or living through a family divorce or remarriage.
Some genetic and psychological factors can also lead to nightmares. About 7% of children who have nightmares have a family history of nightmares (their brother or sister or parents had nightmares). Nightmares are more common in some children, including those with intellectual disability, depression, and certain diseases that affect the brain. Nightmares may also be associated with fevers. Some medications can cause frightening dreams, either during treatment or after the treatment has stopped. Conflicts and stress that happen during the day can affect a child’s sleep and lead to nightmares. Nightmares can also occur after a traumatic event. These nightmares may be a sign of post-traumatic stress disorder.
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