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Korabelnikova E.A.

Sechenov First Moscow State Medical University (Sechenov University)

Tkachenko V.D.

Central State Medical Academy of the Presidential Administration;
Loginov Moscow Clinical Scientific Center

Nightmares in patients with insomnia

Authors:

Korabelnikova E.A., Tkachenko V.D.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(5‑2): 42‑47

DOI: 10.17116/jnevro202212205242

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NIGHTMARES IN PATIENTS WITH INSOMNIA
NIGHTMARES IN PATIENTS WITH INSOMNIA

To cite this article:

Korabelnikova EA, Tkachenko VD. Nightmares in patients with insomnia. S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(5‑2):42‑47. (In Russ.)
https://doi.org/10.17116/jnevro202212205242

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Studies show a high frequency of comorbidity of insomnia and nightmares, which aggravate and chronicle each other. The mechanisms of their mutual influence are different. Insomnia changes the nature of dreams, both indirectly through emotional hyperactivation characteristic of insomnia, and as a result of frequent awakenings. However, frequent recurring unpleasant and frightening dreams can themselves increase the frequency of nocturnal awakenings and worsen the quality of sleep. The comorbidity of insomnia and nightmares should be taken into account when choosing a therapeutic approach in this category of patients. Priority are drugs that do not cause nightmares as a side effect, as well as psychotherapy.

Keywords:

insomnia
nightmares
pharmacotherapy
psychotherapy

Authors:

Korabelnikova E.A.

Sechenov First Moscow State Medical University (Sechenov University)

Tkachenko V.D.

Central State Medical Academy of the Presidential Administration;
Loginov Moscow Clinical Scientific Center

Received:

31.03.2022

Accepted:

04.05.2022

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