Some patients with bipolar disorder have traumatic experience, sleep disturbance, and emotional variations, which are related to nightmare reports in clinics. We hypothesized that the nightmare experience might present some uniqueness in different types of bipolar disorder. We invited 200 healthy volunteers and 141 bipolar disorder I (BD I) and 78 bipolar disorder II (BD II) patients who had at least one nightmare lifelong to undergo tests of the Nightmare Experience Questionnaire (NEQ) and the questionnaires measuring mania, hypomania, and depression. Compared with healthy controls, both BD I and BD II patients displayed their abnormal affective states and scored significantly higher on NEQ Meaning Interpretation; BD I patients, in addition, scored higher on NEQ Horrible Stimulation. Hypomania was correlated with Horrible Simulation in BD II patients, and depression was correlated with Physical Effect and Horrible Stimulation in healthy controls. We found some NEQ scales were elevated in bipolar disorder, but these abnormalities failed to differentiate BD I from BD II. However, these results help explain the cognitive and emotional disturbances of bipolar disorder in general.

中文翻译：

---

双相 I 型和 II 型障碍的噩梦体验。

一些双相障碍患者有创伤经历、睡眠障碍、情绪变化等，这些都与诊所的噩梦报告有关。我们假设噩梦经历可能在不同类型的双相情感障碍中呈现出一些独特性。我们邀请了 200 名健康志愿者和 141 名双相情感障碍 I (BD I) 和 78 名双相情感障碍 II (BD II) 至少一生有一个噩梦的患者接受噩梦体验问卷 (NEQ) 和测量躁狂、轻躁狂、轻躁狂、和抑郁症。与健康对照组相比，BD I和BD II患者均表现出异常的情感状态，NEQ意义解释得分显着提高；此外，BD I 患者在 NEQ 恐怖刺激方面的得分更高。在 BD II 患者中，轻躁狂与可怕的模拟相关，而抑郁与健康对照中的身体效应和可怕的刺激相关。我们发现双相情感障碍的一些 NEQ 量表升高，但这些异常无法区分 BD I 和 BD II。然而，这些结果有助于解释一般双相情感障碍的认知和情绪障碍。