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It presents a definition of nightmares and nightmare disorder followed by epidemiological findings, and then explains existing models of nightmare aetiology in traumatized and non\u2010traumatized individuals. Chronic nightmares develop through the interaction of elevated hyperarousal and impaired fear extinction. This interplay is assumed to be facilitated by trait affect distress elicited by traumatic experiences, early childhood adversity and trait susceptibility, as well as by elevated thought suppression and potentially sleep\u2010disordered breathing. Accordingly, different treatment options for nightmares focus on their meaning, on the chronic repetition of the nightmare or on maladaptive beliefs. Clinically, knowledge of healthcare providers about nightmare disorder and the delivery of evidence\u2010based interventions in the healthcare system is discussed. Based on these findings, we highlight some future perspectives and potential further developments of nightmare treatments and research into nightmare aetiology.<\/jats:p>","DOI":"10.1111\/jsr.12820","type":"journal-article","created":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T03:59:36Z","timestamp":1548820776000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":181,"title":["Aetiology and treatment of nightmare disorder: State of the art and future perspectives"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7797-6437","authenticated-orcid":false,"given":"Annika","family":"Gieselmann","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology Heinrich Heine University D\u00fcsseldorf D\u00fcsseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malik","family":"Ait Aoudia","sequence":"additional","affiliation":[{"name":"Centre du 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