Nightmare and Psychosis Proneness: Mediating Role of Lucid Dreaming in Pakistani Adults


  • Rabia Farooqi University of Central Punjab
  • Anum Atiq University of Management and Technology
  • Farzana Ashraf COMSATS


Dream lucidity, Nightmare and Psychosis Proneness


The current study was designed to examine the role of nightmares in psychosis proneness in relation to lucid dreaming. In this correlational study, the sample comprised of 220 young Pakistani adults from both genders (124 women and 96 men) age range from 18 to 26 years (M = 21.14, SD = 1.87). The participants were assessed on nightmares, psychosis proneness, and lucid dreaming through the Mannheim Dream Questionnaire, Inventory of Personality Organization, and The Lucidity and Consciousness in Dreams Scale respectively. Pearson correlation analysis demonstrated significant inter-correlation between dream lucidity, nightmare, and psychosis proneness. Path analysis illustrated dream lucidity as a significant mediator in the link between nightmare and psychosis proneness. The results concluded that dream lucidity plays the role of facilitating factor in the development of psychosis proneness. The findings also provide insight into the role of nightmares and lucid dreaming while examining psychosis proneness.


American Academy of Sleep Medicine (2005). International classification of sleep disorders, revised: Diagnostic and coding manual. Chicago, Illinois: Author.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author

Ansari, K., Imran, H., & Bilal, K. (2005). Religious orientation and schizotypal personality traits: A correlational study. Pakistan Journal of Psychology, 36(2), 87-99.

Barrett, D. (1991). Flying dreams and lucidity: An empirical study of their relationship. Dreaming, 1(2), 129-134.

Bendall, S., Jackson, H. J., Hulbert, C. A., & McGorry, P. D. (2007). Childhood trauma and psychotic disorders: A systematic, critical review of the evidence. Schizophrenia Bulletin, 34(3), 568-579. 10.1093/schbul/sbm121

DeVylder, J. E., & Kelleher, I. (2016). Clinical significance of psychotic experiences in the context of sleep disturbance or substance use. Psychological Medicine, 46(8), 1761-1767. 291716000271

Dresler, M., Wehrle, R., Spoormaker, V. I., Koch, S. P., Holsboer, F., Steiger, A., Obrig, H., Sämann, P. G., & Czisch, M. (2012). Neural correlates of dream lucidity obtained from contrasting lucid versus non-lucid REM sleep: A combined EEG/fMRI case study. Sleep, 35(7), 1017-1020.

Dresler, M., Wehrle, R., Spoormaker, V. I., Steiger, A., Holsboer, F., Czisch, M., & Hobson, J. A. (2015). Neural correlates of insight in dreaming and psychosis. Sleep Medicine Reviews, 20, 92-99. j.smrv.2014.06.004

Feinberg, I. (2010). Corollary discharge, hallucinations, and dreaming. Schizophrenia Bulletin, 37(1), 1-3.

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. The Guilford Press.

Hobson, A. (2009). The neurobiology of consciousness: Lucid dreaming wakes up. International Journal of Dream Research, 2(2), 41-44. doi: 10.11588/ijodr.2009.2.403

Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. 9540118

Jahangir, S. F., & Qasmi, F. N. (2007). Perception of death message through dream work: A transpersonal experience. Pakistan Journal of Psychological Research, 22(1/2), 35-41.

Lenzenweger, M. F., Clarkin, J. F., Kernberg, O. F., & Foelsch, P. A. (2001). The Inventory of Personality Organization: Psychometric properties, factorial composition, and criterion relations with affect, aggressive dyscontrol, psychosis proneness, and self-domains in a nonclinical sample. Psychological Assessment, 13(4), 577-591. 037/1040-3590.13.4.577

Levin, R., & Fireman, G. (2002). Nightmare prevalence, nightmare distress, and self-reported psychological disturbance. Sleep, 25(2), 205-213

Liu, C. Z. (2016). Making Inception a Reality: Lucid Dreaming in Science Fiction and Technology. Intersect: The Stanford Journal of Science, Technology and Society, 9(2), 1-20

Lyon, S. M. (2010). Motivation and justification from dreams: Muslim decision-making strategies in Punjab, Pakistan. History and Anthropology, 21(3), 263-276. 00813

Mota, N. B., Resende, A., Mota-Rolim, S. A., Copelli, M., & Ribeiro, S. (2016). Psychosis and the Control of Lucid Dreaming. Frontiers in Psychology, 7, 1-10.

Mota-Rolim, S. A., & Araujo, J. F. (2013). Neurobiology and clinical implications of lucid dreaming. Medical Hypotheses, 81(5), 751-756. 2013.04.049

Najam, N., & Malik, I. (2003). Psychological problems and dream content of nightmare sufferers in Pakistan. Dreaming, 13(3), 135-143. https://doi. org/10.1023/a:1025317327743

Neil, B. (2015). Studying dream interpretation from early christianity to the rise of Islam. Journal of Religious History, 40(1), 44-64. 11/1467-9809.12262

Paul, F., Alpers, G. W., Reinhard, I., & Schredl, M. (2021). Nightmares are not the only negative dreams: Dream content in individuals who suffer from frequent nightmares. Dreaming, 31(2), 173-185. drm0000164

Rotenberg, V. S. (2015). Lucid dreams: their advantage and disadvantage in the frame of search activity concept. Frontiers in psychology, 6, 1472-1477.

Scarone, S., Manzone, M. L., Gambini, O., Kantzas, I., Limosani, I., D’Agostino, A., & Hobson, J. A. (2007). The dream as a model for psychosis: An experimental approach using bizarreness as a cognitive marker. Schizophrenia Bulletin, 34(3), 515-522. schbul/sbm116

Schredl, M., Berres, S., Klingauf, A., Schellhaas, S., & Göritz, A. S. (2014). The Mannheim Dream Questionnaire (MADRE): Retest reliability, age and gender effects. International Journal of Dream Research, 7(2), 141-147.

Solms, M. (2009). The neuropsychology of dreams a clinico-anatomical study. Taylor & Francis Group.

Solomonova, E., & Wei, S. X. (2016). Exploring the depth of dream experience. Constructivist Foundations, 11(2), 407-416.

Taitz, I. (2011). Learning lucid dreaming and its effect on depression in undergraduates. International Journal of Dream Research, 4(2), 117-126.

Thompson, A., Lereya, S. T., Lewis, G., Zammit, S., Fisher, H. L., & Wolke, D. (2015). Childhood sleep disturbance and risk of psychotic experiences at 18: UK birth cohort. The British Journal of Psychiatry, 207(1), 23-29.

Voss, U., D’Agostino, A., Kolibius, L., Klimke, A., Scarone, S., & Hobson, J. A. (2018). Insight and dissociation in lucid dreaming and psychosis. Frontier in Psychology, 9, 21-64. 64

Voss, U., Holzmann, R., Tuin, I., & Hobson, A. J. (2009). Lucid dreaming: A state of consciousness with features of both waking and non-lucid dreaming. Sleep, 32(9), 1191-1200. 91

Voss, U., Schermelleh-Engel, K., Windt, J., Frenzel, C., & Hobson, A. (2013). Measuring consciousness in dreams: The Lucidity and Consciousness in Dreams Scale. Consciousness and Cognition, 22(1), 8-21. 001

Windt, J. M., & Voss U. (2018). Spontaneous thought, insight, and control in lucid dreams. In Fox K. C. R., & Christoff K (Ed.). The Oxford Handbook of Spontaneous Thought: Mind-Wandering, Creativity, and Dreaming (pp.385-410). Oxford University Press.

Yasmeen, S. (2013). Role of Parenting Styles in Academic Performance of College Students. Pakistan Journal of Education, 30(1), 39-58.

Zink, N., & Pietrowsky, R. (2015). Theories of dreaming and lucid dreaming: An integrative review towards sleep, dreaming and consciousness. International Journal of Dream Research, 8(1), 35-53. 11588/ijodr.2015.1.17811