APA article 2024: Worrying, being anxious, and having fear-related life experiences can cause/increase nightmares. Poor sleep and nightmares can lead to emotional dysregulation. Nightmares cause/increase anxiety, distress, increased suicide risk, and impairment to daytime functioning. PTSD related nightmares occur during all stages of sleep. Treating sleep & nightmares can help reduce overall PTSD symptoms. Sleep apnea is correlated with nightmares for some.