The “Dream Changer” approach for lowering kids’s nightmares


Some kids expertise nightmares frequently – as soon as per week, or extra. What can dad and mom do to assist children cope? In case your youngster has simply woke up from a nightmare, and involves you for help, it’s necessary to supply reassurance. Youngsters must see that you simply aren’t afraid, and that you’ll assist them reconnect with actuality. So the usual recommendation is all good:
- Inform children they’re protected.
- Allow them to discuss in regards to the content material of the dream.
- Remind them that desires aren’t actual (exhibiting them, if crucial, that there aren’t any monsters underneath the mattress).
- Be sympathetic, assured, and calm, and assist children chill out to allow them to fall again to sleep.
For recurring nightmares, there’s additionally proof that youngsters can profit from studying to “rescript” their desires. Rewrite the unhealthy dream of their imaginations – by turning into empowered, vanquishing the risk, and arriving at a cheerful ending (e.g., St-Onge et al 2009).
As well as, it’s useful to implement an everyday, soothing, bedtime routine every evening (so your youngster will be taught to affiliate sleep onset with feeling protected and tranquil), and to keep away from exposing your youngster to media content material that is disturbing or overly-stimulating. Learn extra about it in my article, “Nightmares and evening terrors in kids.”
However there’s extra. Not too long ago, researchers at Flinders College, in Australia, examined a quite simple approach for lowering the frequency of kids’s nightmares. It includes giving children a concrete means to consider taking management, and it seems very promising. In simply two weeks, kids utilizing this method lower their charge of nightmares in half. Listed here are the small print.
Selecting higher desires with the “Dream Changer”
Image this. You give your youngster a tool — a hand-hand “clicker” that resembles the distant for a tv. However this one doesn’t management the TV. As a substitute, it’s a “Dream Changer.” And also you clarify its function this fashion:
“While you don’t like one thing on the display screen you employ the distant to vary the channel, proper? Now you are able to do the identical issues together with your desires. Desires are like movies that we watch in our sleep — our mind creates them, and we watch them with our eyes shut. Any further you determine which ‘video’ to observe in your sleep. While you get into mattress, take into consideration an excellent dream you’d like to observe in your sleep tonight. And if a foul dream begins screening, use this to vary it” (Bourboulis et al 2022).
That is the script that Stephanie Bourboulis and her colleagues utilized in an experiment on 56 kids, ranging in age from 3 to 10 years. The researchers randomly assigned children to both the “Dream Changer” intervention or a passive management group. The children who obtained “Dream Changers” got the discuss by their dad and mom, they usually have been requested to make use of the machine each evening for 2 weeks.
Bourboulis’s workforce adopted the youngsters’s progress all through — earlier than, throughout, and after this system ended. And outcomes have been substantial. Earlier than the experiment started, the youngsters had been experiencing a median of three.4 nightmares per week. However they began exhibiting enhancements after only one week of utilizing the “Dream Changer,” and by the tip of the two-week interval? Their common variety of nightmares had fallen to 1.6 per week (Bourboulis et al 2022).
Furthermore, these children additionally confirmed reasonable reductions of their nighttime nervousness ranges, and the advantages weren’t short-lived. Three months later, the youngsters have been nonetheless sustaining their enhancements.
In the meantime, children within the management group didn’t expertise any reductions in nightmare frequency. Nor did their nervousness ranges go down.
Why would a way like this have the potential to scale back nightmares in kids?
There could also be a number of psychological mechanisms at work. Individuals who research nightmare problems have lengthy argued about what makes sure therapies efficient. One widespread speculation considerations what occurs when (throughout waking) we recall a disturbing nightmare after which change it — the “rescripting” I discussed earlier (Rousseau and Belleville 2018). The method normally offers sufferers a sense of mastery over their nightmares, and it’s this sense that predicts whether or not or not rescripting helps (Kunze et al 2019).
Researchers aren’t but clear on how a way of self-efficacy may trigger a discount in nightmares. Possibly, by assuaging fear and reducing stress ranges, the mind turns into much less hyperreactive to perceived threats, and fewer prone to generate and encode emotionally disturbing content material at evening (Gieselmann et al 2019). Maybe, too, taking management makes the mind reprocess its recollections of the nightmare, in order that it will definitely stops making an attempt to “replay” that individual content material throughout subsequent desires.
In keeping with these concepts, Bourboulis’ workforce thinks the “Dream Changer” approach might assist children by making them really feel much less helpless and passive. It may also lead children to have interaction in one thing akin to “dream rescripting”. When children are requested to “change the channel” on their desires, they may think about a brand new state of affairs or story – one the place they’re not feeling threatened.
Will this work for everybody?
Possibly not. And we don’t but know if the results seen on this experiment are typical. Because the researchers themselves observe, their outcomes should be replicated in subsequent research. However in the meantime, this seems like one thing that many households might attempt at dwelling.
Is there a draw back to utilizing this method?
Though I haven’t seen anybody increase this objection, I can think about that some individuals may really feel dad and mom are being requested to mislead their children — to make children imagine {that a} distant management machine has the ability to cease unhealthy desires. However I don’t suppose it has to unfold this fashion. Dad and mom can clarify to their kids that it’s the act of utilizing the clicker — and pondering the ideas — that sends a useful message to the mind.
To me, the larger concern can be if dad and mom relied on this method alone, with out additionally addressing any underlying emotional points {that a} youngster is likely to be wrestling with. If, as an example, a toddler retains having nightmares about canines — and has a worry of canines — it’s necessary to actively work together with your youngster to unlearn this worry. Merely altering the channel on nightmares isn’t sufficient.
Equally, in case your youngster’s nightmares are triggered by a traumatic occasion — or by ongoing trauma, comparable to bullying — a dream-clicker isn’t going to chop it. We want to verify children are protected, and assist them get the remedy they should recuperate.
So I believe it’s finest to view this method as one thing so as to add to your repertoire — not as a substitution for coping with tough feelings. And, as at all times, if one thing about your youngster’s nightmares appear worrying or uncommon, make sure to talk about them together with your pediatrician.
The place are you able to be taught extra about dealing with nightmares and nocturnal fears?
In my article, “Nightmares and evening terrors in kids”, I assist dad and mom inform the distinction between these two phenomena, and provide evidence-based data for dealing with every. As well as, for extra details about completely different approaches to extinguishing worry, see my article, “Nighttime fears in kids: A sensible information for the science-minded.”
References: Strategies for lowering kids’s nightmares
Albanese M, Liotti M, Cornacchia L, Mancini F. 2022. Nightmare Rescripting: Utilizing Imagery Strategies to Deal with Sleep Disturbances in Put up-traumatic Stress Dysfunction. Entrance Psychiatry.13:866144.
Bourboulis S, Gradisar M, Kahn M. 2022. The “Dream Changer”: a randomized controlled trial evaluating the efficacy of a parent-based intervention for childhood nightmares. Sleep. 45(4):zsac004.
Gieselmann A, Ait Aoudia M, Carr M, Germain A, Gorzka R, Holzinger B, Kleim B, Krakow B, Kunze AE, Lancee J, Nadorff MR, Nielsen T, Riemann D, Sandahl H, Schlarb AA, Schmid C, Schredl M, Spoormaker VI, Steil R, van Schagen AM, Wittmann L, Zschoche M, Pietrowsky R. 2019. Aetiology and remedy of nightmare dysfunction: Cutting-edge and future views. J Sleep Res. 28(4):e12820.
Kunze AE, Lancee J, Morina N, Kindt M, Arntz A. 2019. Mediators of Change in Imagery Rescripting and Imaginal Publicity for Nightmares: Proof From a Randomized Wait-Checklist Managed Trial. Behav Ther. 50(5):978-993.
Rousseau A and Belleville G. 2018. The mechanisms of motion underlying the efficacy of psychological nightmare remedies: A scientific evaluate and thematic evaluation of mentioned hypotheses. Sleep Med Rev. 39:122-133.
Simard V and Nielsen T. 2009. Adaptation of images rehearsal remedy for nightmares in kids: a short report. Psychotherapy. 46:492.
St-Onge M, Mercier P, De Koninck J. 2009. Imagery rehearsal remedy for frequent nightmares in kids. Behav Sleep Med. 7(2):81-98.
Content material of “The ‘Dream Changer’ approach for lowering kids’s nightmares” final modified 2/2023
picture of little lady with machine by Liderina / istock