https://doi.org/10.4081/ripppo.2021.533
Nightmares and bad dreams among individuals with musculoskeletal pain: a link to vitamin D and calcium
Submitted: March 9, 2021
Accepted: July 17, 2021
Published: August 24, 2021
Accepted: July 17, 2021
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Nightmares are frightening or disturbing dreams that awaken sleepers while bad dreams are disturbing dreams that do not awaken sleepers. Both types are known to be associated with psychological symptoms including anxiety and depression. Chronic pain is often comorbid with psychological symptoms and vitamin D deficiency increases risk of chronic musculoskeletal pain (MSP), which in turn is associated with increased risk of anxiety and depression. We aimed to investigate associations between types of dreams, psychological symptoms, vitamin D, and calcium intake in individuals with MSP. The study included 191 outpatients with MSP and 191 age/gender matched healthy controls. Psychological symptoms were assessed using Hospital Anxiety and Depression Scale. Serum vitamin D was measured and daily calcium intake was estimated. Participants were asked about types of their dreams (normal, bad, or nightmares) during the past month. Binary logistic regression was used to find predictors of MSP and bad dreams and nightmares. Bad dreams and nightmares, vitamin D deficiency, low calcium intake, anxiety, and depression were more prevalent in cases versus controls (Ps<0.001). Chi-square analyses showed that types of dreams were associated with anxiety, depression, and MSP (Ps<0.001). Participants with normal dreams had higher vitamin D (P<0.01) and calcium intake (P<0.001) and lower anxiety and depression scores (Ps<0.001) compared to participants with bad dreams and nightmares. Anxiety, depression and MSP were predictors for bad dreams and nightmares. Further studies are required to assess if vitamin D supplementation and increasing calcium intake may improve MSP, psychological symptoms and thus prevent nightmares and bad dreams.
Abdul-Razzak, K. K., Almanasrah, S. O., Obeidat, B. A., & Khasawneh, A. G. (2018). Vitamin D is a potential antidepressant in psychiatric outpatients. International Journal of Clinical Pharmacology and Therapy, 56(12), 585-596. doi: 10.5414/cp203309.
DOI: https://doi.org/10.5414/CP203309
Abdul-Razzak, K. K., Alshogran, O. Y., Altawalbeh, S. M., Al-Ghalayini, I. F., Al-Ghazo, M. A., Alazab, R. S., ... &Sahawneh, F. E. (2019). Overactive bladder and associated psychological symptoms: A possible link to vitamin D and calcium. Neurourology and Urodynamic, 38(4), 1160-1167. doi: 10.1002/nau.23975.
DOI: https://doi.org/10.1002/nau.23975
Abdul-Razzak, K. K., Mayyas, F. A., & Al-Farras, M. I. (2018). Vitamin D as potential antidepressant in outpatients with musculoskeletal pain. International Journal of Clinical Pharmacology and Therapy, 56(9), 400-410. doi: 10.5414/cp203252.
DOI: https://doi.org/10.5414/CP203252
Alkhatatbeh, M. J., Abdul-Razzak, K. K., & Khwaileh, H. N. (2021). Poor sleep quality among young adults: The role of anxiety, depression, musculoskeletal pain, and low dietary calcium intake. Perspectives in Psychiatric Care, 57(1), 117-128. doi: 10.1111/ppc.12533.
DOI: https://doi.org/10.1111/ppc.12533
Ashworth, P. C., Davidson, K. M., & Espie, C. A. (2010). Cognitive-behavioral factors associated with sleep quality in chronic pain patients. Behavioural Sleep Medicine, 8(1), 28-39. doi: 10.1080/15402000903425587.
DOI: https://doi.org/10.1080/15402000903425587
Gieselmann, A., Ait Aoudia, M., Carr, M., Germain, A., Gorzka, R., Holzinger, B., ... & Pietrowsky, R. (2019). Aetiology and treatment of nightmare disorder: State of the art and future perspectives. Journal of Sleep Research, 28(4), e12820. doi: 10.1111/jsr.12820.
DOI: https://doi.org/10.1111/jsr.12820
Gouda, M. A. (2015). Common Pitfalls in Reporting the Use of SPSS Software. Medical principles and practice: international journal of the Kuwait University, Health Science Centre, 24(3), 300-300. doi: 10.1159/000381953.
DOI: https://doi.org/10.1159/000381953
Gureje, O., Von Korff, M., Kola, L., Demyttenaere, K., He, Y., Posada-Villa, J., ... & Alonso, J. (2008). The relation between multiple pains and mental disorders: results from the World Mental Health Surveys. Pain, 135(1-2), 82-91. doi: 10.1016/j.pain.2007.05.005.
DOI: https://doi.org/10.1016/j.pain.2007.05.005
Hasler, B., & Germain, A. (2009). Correlates and Treatments of Nightmares in Adults. Sleep medicine clinics, 4(4), 507-517. doi: 10.1016/j.jsmc.2009.07.012.
DOI: https://doi.org/10.1016/j.jsmc.2009.07.012
Holick, M. F. (2009). Vitamin D status: measurement, interpretation, and clinical application. Annals of Epidemiology, 19(2), 73-78. doi: 10.1016/j.annepidem.2007.12.001.
DOI: https://doi.org/10.1016/j.annepidem.2007.12.001
Krystal, A. D. (2012). Psychiatric disorders and sleep. Neurology and Clinics, 30(4), 1389-1413. doi: 10.1016/j.ncl.2012.08.018.
DOI: https://doi.org/10.1016/j.ncl.2012.08.018
Lemyre, A., Bastien, C., & Vallières, A. (2019). Nightmares in mental disorders: A review. Dreaming, 29(2), 144-166. doi: 10.1037/drm0000103.
DOI: https://doi.org/10.1037/drm0000103
Levin, R., & Fireman, G. (2002). Nightmare prevalence, nightmare distress, and self-reported psychological disturbance. Sleep, 25(2), 205-212.
Levin, R., & Nielsen, T. (2009). Nightmares, bad dreams, and emotion dysregulation: a review and new neurocognitive model of dreaming. Current Directions in Psychological Science, 18(2), 84-88. doi: 10.1111/j.1467-8721.2009.01614.x.
DOI: https://doi.org/10.1111/j.1467-8721.2009.01614.x
Li, S. X., Zhang, B., Li, A. M., & Wing, Y. K. (2010). Prevalence and correlates of frequent nightmares: a community-based 2-phase study. Sleep, 33(6), 774-780. doi: 10.1093/sleep/33.6.774.
DOI: https://doi.org/10.1093/sleep/33.6.774
Lima, G. A., Lima, P. D., Barros Mda, G., Vardiero, L. P., Melo, E. F., Paranhos-Neto Fde, P., ... &Farias, M. L. (2016). Calcium intake: good for the bones but bad for the heart? An analysis of clinical studies. Archives of Endocrinology and Metabolism, 60(3), 252-263. doi: 10.1590/2359-3997000000173.
DOI: https://doi.org/10.1590/2359-3997000000173
McCarty, D. E., Chesson, A. L., Jr., Jain, S. K., & Marino, A. A. (2014). The link between vitamin D metabolism and sleep medicine. Sleep medicine reviews, 18(4), 311-319. doi: 10.1016/j.smrv.2013.07.001.
DOI: https://doi.org/10.1016/j.smrv.2013.07.001
Nadorff, M. R., Porter, B., Rhoades, H. M., Greisinger, A. J., Kunik, M. E., & Stanley, M. A. (2014). Bad dream frequency in older adults with generalized anxiety disorder: prevalence, correlates, and effect of cognitive behavioral treatment for anxiety. Behavioral Sleep Medicine, 12(1), 28-40. doi: 10.1080/15402002.2012.755125.
DOI: https://doi.org/10.1080/15402002.2012.755125
Nir, Y., & Tononi, G. (2010). Dreaming and the brain: from phenomenology to neurophysiology. Trends in cognitive sciences, 14(2), 88-100. doi: 10.1016/j.tics.2009.12.001.
DOI: https://doi.org/10.1016/j.tics.2009.12.001
Ohayon, M. M., Morselli, P. L., & Guilleminault, C. (1997). Prevalence of nightmares and their relationship to psychopathology and daytime functioning in insomnia subjects. Sleep, 20(5), 340-348. doi: 10.1093/sleep/20.5.340.
DOI: https://doi.org/10.1093/sleep/20.5.340
Robert, G., & Zadra, A. (2014). Thematic and content analysis of idiopathic nightmares and bad dreams. Sleep, 37(2), 409-417. doi: 10.5665/sleep.3426.
DOI: https://doi.org/10.5665/sleep.3426
Romano, F., Muscogiuri, G., Di Benedetto, E., Zhukouskaya, V. V., Barrea, L., Savastano, S., ... & Di Somma, C. (2020). Vitamin D and sleep regulation: is there a role for vitamin D? Current Pharmacology Development, 26(21), 2492-2496. doi: 10.2174/1381612826666200310145935.
DOI: https://doi.org/10.2174/1381612826666200310145935
Scarpelli, S., Bartolacci, C., D’Atri, A., Gorgoni, M., & De Gennaro, L. (2019). Mental Sleep Activity and Disturbing Dreams in the Lifespan. International journal of environmental research and public health, 16(19). doi: 10.3390/ijerph16193658.
DOI: https://doi.org/10.3390/ijerph16193658
Schredl, M. (2014). Explaining the gender difference in nightmare frequency. American Journal of Psychology, 127(2), 205-213. doi: 10.5406/amerjpsyc.127.2.0205.
DOI: https://doi.org/10.5406/amerjpsyc.127.2.0205
Spoormaker, V. I., Schredl, M., & van den Bout, J. (2006). Nightmares: from anxiety symptom to sleep disorder. Sleep Medical Reviews, 10(1), 19-31. doi: 10.1016/j.smrv.2005.06.001.
DOI: https://doi.org/10.1016/j.smrv.2005.06.001
Swart, M. L., van Schagen, A. M., Lancee, J., & van den Bout, J. (2013). Prevalence of nightmare disorder in psychiatric outpatients. Psychotheraphy and Psychosomatics, 82(4), 267-268. doi: 10.1159/000343590.
DOI: https://doi.org/10.1159/000343590
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta of Psychiatry Scandinava, 67(6), 361-370.
DOI: https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
Zündorf, G., & Reiser, G. (2011). Calcium dysregulation and homeostasis of neural calcium in the molecular mechanisms of neurodegenerative diseases provide multiple targets for neuroprotection. Antioxidants & redox signaling, 14(7), 1275-1288. doi: 10.1089/ars.2010.3359.
DOI: https://doi.org/10.1089/ars.2010.3359
How to Cite
Abdul-Razzak, K. K. ., & Alkhatatbeh, M. J. (2021). Nightmares and bad dreams among individuals with musculoskeletal pain: a link to vitamin D and calcium. Research in Psychotherapy: Psychopathology, Process and Outcome, 24(2). https://doi.org/10.4081/ripppo.2021.533
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