In the twilight zone: An epidemiological study of sleep-related hallucinations.
Comprehensive Psychiatry July 1, 2021 Josef J Bless, Kenneth Hugdahl, Bodil Kråkvik et al.
Hypnagogic and hypnopompic hallucinations (HHHs) are common in the general population, with auditory HHHs occurring in 6.8% of people, multimodal HHHs in 12.3%, and out-of-body experiences at sleep onset/offset in 32.2%. Individuals who experience only auditory HHHs report less frequent, less disturbing, and more neutral hallucinations, with less influence on behavior and social life, compared to those who also have daytime hallucinations. They also score similarly to non-hallucinating individuals on mental health, anxiety, childhood happiness, and wellbeing measures. The average age of first onset for purely auditory HHHs is 28.2 years, later than for daytime-only (20.9 years) or combined groups (19.1 years).