Nightmares, those vividly disturbing dreams that jolt us awake with a racing heart, are a near-universal human experience. But Why Do People Have Nightmares? While a frightening dream might occasionally disrupt anyone’s sleep, for some, nightmares are a recurring and distressing problem. To understand this phenomenon, we need to delve into the science of sleep, dreams, and the subtle yet significant differences between nightmares and other sleep disturbances.
What Exactly Are Nightmares?
Going back centuries, definitions of nightmares have evolved, yet the core concept remains consistent. An early 18th-century dictionary described them as dreams causing a sense of oppression in the chest. Today, we understand nightmares as frightening dreams that evoke strong negative emotions such as terror, fear, distress, or anxiety. It’s more than just a bad dream; it’s an experience that can leave you feeling genuinely shaken and disturbed.
The Prevalence of Nightmares
While we might casually use the term “nightmare” to describe a bad day, clinically significant nightmares are more specific and impactful. It is estimated that 3 to 7 percent of adults in the U.S. population experience nightmares as a recurring issue. Interestingly, nightmares are even more common in children, particularly those between the ages of 3 and 6.
One theory suggests an evolutionary basis for childhood nightmares. As Dr. Deirdre Barrett, a psychologist at Cambridge Health Alliance affiliated with Harvard Medical School, explains, children are inherently more vulnerable than adults. Nightmares, in this context, could be seen as a reflection of this heightened vulnerability, a way for the developing brain to process and prepare for potential threats in a safe, simulated environment of sleep.
The Brain’s Role in Dreaming and Nightmares
To understand why nightmares occur, it’s crucial to understand the basics of dreaming itself. Dreams are thought to emerge from the brain’s “default network,” a set of interconnected brain regions active during rest and introspection. This network, including areas like the thalamus, medial prefrontal cortex, and posterior cingulate cortex, becomes particularly influential during REM (Rapid Eye Movement) sleep.
REM sleep is a distinct stage of sleep characterized by rapid eye movements, increased brain activity, irregular heartbeat, and faster breathing. It occurs in cycles throughout the night, making up about 20% of our total sleep time. Vividly recalled dreams, including nightmares, are most likely to happen during these REM sleep periods when the default network is highly engaged. Nightmares, specifically, tend to occur during the later part of the night when REM sleep intervals are longer, often in the second half of our sleep cycle.
As we approach wakefulness, our brains are in a state of memory consolidation and integration. Because dreaming often happens as we transition out of REM sleep, the images and emotions experienced in dreams, especially the intense fear of nightmares, are more likely to be remembered.
Nightmares vs. Night Terrors: Not the Same
It’s easy to confuse nightmares with night terrors, but they are distinct phenomena. Night terrors are more common in children and are typically more dramatic and outwardly physical than nightmares. However, night terrors are not technically dreams. Instead, they are abrupt fear reactions happening during the transition between different sleep stages, specifically when moving from deep non-REM sleep to REM sleep, usually a couple of hours after falling asleep.
During a night terror, a child might scream, kick, thrash, and show intense fear. Crucially, because night terrors occur during non-REM sleep, a period when the brain is less active in areas related to narrative and memory formation, children usually have no memory of them the next morning.
Dr. Barrett highlights this key difference: “Night terrors are a phenomenon of the deepest parts of non-REM sleep, when the brain is less active.” While a night terror involves a surge of fear and physical response, there’s typically no complex dream narrative associated with it, unlike the story-like quality of nightmares. Dr. John Winkelman, a sleep disorder specialist at Massachusetts General Hospital and Harvard Medical School, adds that the lack of memory in night terrors is linked to their occurrence during slow-wave sleep, when the neocortex, the brain’s center for higher cognitive functions, is less active.
In summary, while both nightmares and night terrors are sleep disturbances that can cause distress, nightmares are frightening dreams experienced during REM sleep that are remembered, while night terrors are non-REM sleep events characterized by intense fear reactions with no dream recall. Understanding why do people have nightmares involves considering the complex interplay of sleep stages, brain activity, and even evolutionary factors, painting a fascinating picture of our nocturnal mental landscape.