The theory that psychosis and dreaming share some common underlying me
chanism finds support in the observation that chronic nightmare suffer
ers are at increased risk for psychopathology. We examined this connec
tion in a large general population sample, administering a battery of
psychosis proneness and other personality scales, together with a nigh
tmare distress scale; participants also answered a single question on
pleasurable mood associated with dreaming. In addition, they completed
the Bem Sex Role Inventory, to reinvestigate previously observed gend
er differences in nightmare susceptibility. It was found that, among t
he psychosis proneness scales, the best predictor of nightmare distres
s was STA, a mostly cognitive measure of schizotypy; this was true eve
n after allowing for a strong influence in the data of general neuroti
cism. Other aspects of psychosis proneness-e.g. anhedonia-were unrelat
ed to nightmares. However, sex and sex role differences did make a sig
nificant contribution, self-confessed feminine females and masculine m
ales reporting, respectively, the highest and lowest nightmare distres
s. For schizotypy it was further shown that relationships were not con
fined to the nightmare experience; high (STA) schizotypes also signifi
cantly more often reported enjoyable dreaming. It was concluded that a
unifying theme explaining the data is the schizotype's greater imagin
ativeness, which can have both positive and negative expression in sle
ep and consciousness.