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Sleep

ISSN 1550-9109

151 papers in the library · 2,700 citations · publishing 1978-2026

Papers

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1182 Enhancing Primary Care Detection and Referral of Nightmare Disorder: A Quality Improvement Project

Sleep May 1, 2025 James R. Kang, Zahari N. Tchopev, H. Scheuller et al.

Nightmare disorder (NDO) is a significant but often under-recognized condition, especially within the military population. We previously reported that 31.2% of patients referred to our military sleep disorders center have NDO, yet only 3.9% were referred for NDO. Despite the general population’s NDO prevalence (2-8%), our center had no referrals for NDO from June 1 to August 31, 2024. This...

1181 Fear of Sleep Prospectively Predicts Nightmare Severity in Acute Trauma Patients Exposed to Community Violence

Sleep May 1, 2025 Anthony N Reffi, Lily Jankowiak, David Moore et al.

Fear of sleep engenders arousal at bedtime that can promote nightmares. Living in disadvantaged neighborhoods with high rates of community violence may exacerbate fear of sleep and in turn increase nightmare risk. We tested fear of sleep among acute trauma patients as a prospective predictor of nightmares, and whether exposure to community violence moderated this relationship. Patients...

1187 At What Frequency Do Nightmares Effect Suicide

Sleep May 1, 2025 Ainsley Pickering, Emma Angle, Victoria West Staples et al.

A robust body of research has linked nightmares to suicide. For example, research has found that nightmares predict suicidal ideation above and beyond other mental health symptoms (such as depression and post-traumatic stress disorder) and that treating nightmares may indirectly decrease the risk of suicide. Considering the established link between nightmares and suicide, our goal was to...

1198 2NITEmares: The Relationship Between Nightmares and Integrated CBT-I and Prolonged Exposure Treatments Among Veterans with Insomnia and PTSD

Sleep May 1, 2025 Kira Clare, Riona Yoshida, Kimberly Savin et al.

Nightmares and insomnia commonly co-occur with Posttraumatic Stress Disorder (PTSD), with 70% to 91% of individuals with PTSD reporting chronic nightmares and insomnia. Evidence suggests that even gold standard treatments for PTSD (such as Prolonged Exposure, PE) and insomnia (CBT-I) individually may not fully resolve nightmares. Our study presents secondary analyses of a randomized controlled...

1184 Enhancing Diagnosis of Nightmare Disorder at an Academic Sleep Disorders Center: A Quality Improvement Initiative

Sleep May 1, 2025 Amanda Radtke, Aaron Burch, James R. Kang et al.

Nightmare Disorder (NDO) is estimated to impact at least 4% of the US adult population yet is reported to be much higher among service members (SMs). Our Center has previously reported 31.2% of referred SMs had probable NDO based on screening measures, yet only 3.9% reported nightmares as a reason for evaluation. No quality measures report on the rate of confirmed diagnosis, and more...

1196 Personality Traits Are Associated with Nightmare Frequency and Distress

Sleep May 1, 2025 Michael Price, Odalis G Garcia, Jeremy Hamm et al.

Many studies involving the relationship between personality and nightmare frequency (NF), common in cross-sectional data, have only looked at neuroticism in isolation, assumed a linear relationship, or did not include nightmare disorder index (NDI) to determine if personality traits might predict NDI over NF. While neuroticism is the personality trait most commonly associated with nightmares,...

0083 The Multiplicity of Dreams Reported from Nightly Awakenings

Sleep May 1, 2025 J. Pagel, Geoff Carre

Dream recall has high individual variability affected by a wide spectrum of methodological variables. The possibility that multiple dreams are typically experienced each night has received minimal study. 51 subjects were recruited from college psychology classes (35 F/16 M, mean age 22.2). The intake questionnaire queried subject dream recall varying from no dream recall=1, to multiple dreams...

1195 Exploring Dream Self-Efficacy’s Relationship with Suicide

Sleep May 1, 2025 Westley Youngren, Emma Angle, Victoria West Staples et al.

Research has begun to identify self-efficacy as a crucial variable related to positive treatment outcomes. For treatments targeting nightmares, self-efficacy related to dreaming (DSE) has been proposed to be a key mechanism of change. Additionally, a robust amount of research exists that links nightmares to suicide, suggesting that mechanisms related to trauma-related nightmares may also be...

0562 Effect of an Online Meditation Program in Women with Insomnia: A Randomized Clinical Trial

Sleep May 1, 2025 Maria José Pereira Morais, A. Bezerra, C. Banzoli et al.

An epidemiological study conducted by the Sleep Institute in 2007 revealed that 44.8% of the population in São Paulo exhibited symptoms of insomnia, with women being disproportionately affected (32%). Considering a global adaptation towards utilizing technology for health services, the present study evaluated the effects of an online meditation program on women with insomnia. The study was a...

Talking to sleepwalkers? Response to communication efforts in disorders of arousals.

Sleep February 10, 2025 Yannis Idir, Régis Lopez, Amélie Barbier et al. 5 citations

Disorders of arousal (DoA) are diagnosed on the basis of clinical criteria, including inappropriate or absent responsiveness to communication attempts. Surprisingly, the ability of patients to interact with others during DoA episodes has not been systematically investigated. To address this gap, we conducted three studies. First, we used a retrospective questionnaire to assess verbal...

It is the sentiment that counts: comparing sentiment analysis tools for estimating affective valence in dream reports.

Sleep December 1, 2024 Garrett Baber, Nancy Hamilton, Jeffrey M. Girard et al.

Despite advances in sleep and dream science via neuroscientific methods, self-reported diary data (e. g. dream journals) remain indispensable for capturing theory-relevant phenomenological aspects of dreams including their emotional content [1, 2]. Manual annotation of such data; however, is time-intensive and typically requires human coders to be trained to reliability. To circumvent these...

Development of a mindfulness-based intervention for narcolepsy: a feasibility study.

Sleep October 11, 2024 Jennifer M Mundt, Phyllis C Zee, Matthew D Schuiling et al. 3 citations

Mindfulness-based interventions (MBI) have been shown to improve psychosocial functioning in medical populations but have not been studied in narcolepsy. This study examined the feasibility and acceptability of an MBI that was adapted for narcolepsy, including three variations in program length. Adults with narcolepsy (N = 60) were randomized to MBI groups of varying durations: brief (4 weeks),...

0139 Testing the Mood Regulatory Hypothesis of Dreaming

Sleep April 20, 2024 Garrett Baber, Daiil Jun, Jeffrey M. Girard et al.

Abstract Introduction Dreaming has been theorized to facilitate fear extinction learning in a manner akin to desensitization therapy. A testable hypothesis from this theory is that the experience of fear in dreams leads to lower subsequent daytime negative affect. This study employed a novel natural language processing tool and multilevel modeling to test whether fear in dreams led to...

DOI: 10.1093/sleep/zsae067.0139 (opens in new tab) Mood Cognitive psychology Clinical psychology

0066 Reactivating Remote Emotional Memory Before Sleep Impacts Dream Affect, but Not Dream Content

Sleep April 20, 2024 Chadwick C Frost, Taya Middleton, Erin J. Wamsley

Abstract Introduction Completing a learning task just before sleep often induces task-related dreams. This is thought to reflect the consolidation of recently formed memories in the sleeping brain. However, this literature has focused almost exclusively on how recent experiences newly introduced before sleep are incorporated into dreams. It is unknown whether and how remote memories may also be...

0926 Dreaming Big: Launching a Web-Based Provider Training for Cognitive Behavioral Therapy for Nightmares

Sleep April 20, 2024 Kristi E. Pruiksma, Allison K. Wilkerson, Daniel J. Taylor et al.

Few providers are trained to deliver Cognitive Behavioral Therapy for Nightmares (CBT-N) despite the impact of nightmares on physical and mental health. Reduced access to treatment is partially due to limited training opportunities. Web-based training resources are valuable because they are easily accessible, are cost-efficient, and can be reviewed by providers as needed. This presentation...

0699 Frequency of Sleep Paralysis as Related to Lifestyle Variables in a Nationwide Student Sample: Preliminary Findings

Sleep April 20, 2024 Michael Spano, Edward F Pace-Schott

Abstract Introduction Sleep Paralysis (SP) is a sleep-disturbing experience of muscle atonia while conscious, creating an in-between sensation of wakefulness and dissociation during REM sleep. During SP, one can experience hypnagogic and hypnopompic hallucinations, which may cause feelings of terror and fear. These feelings affect the overall well-being of the experiencers and may impact other...

0085 Dream Bizarreness Is Related to Specific Aspects of Metacognition That Are Influenced by Personality

Sleep April 20, 2024 Michael Price, Zehra Haque, Lydia Garza et al.

According to the continuity hypothesis, dreams reflect waking life experiences. Metacognition, the awareness of one’s thought processes, is minimal during typical dreaming but is assumed to be greater during lucid dreams, when the dreamer is aware they are dreaming and can sometimes control dream content. Therefore, one hypothesis is that lucid dreams may be more continuous with waking life...

0927 Shining Light on Nightmare Treatment: Expert Panel Recommendations for Cognitive Behavioral Therapy for Nightmares

Sleep April 20, 2024 Kristi E. Pruiksma, Katherine E Miller, Joanne L. Davis et al.

Few providers are trained to deliver Cognitive Behavioral Therapy for Nightmares (CBT-N) despite the impact of nightmares on physical and mental health. Reduced access to treatment is partially due to limited training opportunities. Web-based training resources are valuable because they are easily accessible, are cost-efficient, and can be reviewed by providers as needed. This presentation...

0693 Polysomnographic Features of Sleep Paralysis

Sleep April 20, 2024 Arezou Heshmati

Abstract Introduction We report the electroencephalography (EEG) changes observed in a case of sleep paralysis. Methods We present the case of a 15-year-old boy with recurrent isolated sleep paralysis. As part of the diagnostic evaluation, the patient underwent overnight polysomnography (PSG) and subsequently, a multiple sleep latency test (MSLT). During the MSLT, the patient experienced sleep...

0008 Wake Onset Variability Effect on Functional Connectivity in the Default Mode Network

Sleep April 20, 2024 David Negelspach, Anna Alkozei, Alisa Huskey et al.

Abstract: Introduction: Decoupling patterns of sleep and wake from underlying circadian oscillations is associated with poor sleep health. While this has been studied with respect to shift work, it is unclear if minor variations in normative sleep/wake patterns affect the restoration of cognitive function during sleep intervals while controlling for total sleep time. It is commonplace to adhere...

1175 Alternative Treatment for REM-Sleep Behavior Disorder

Sleep April 20, 2024 Matthew Ballenberger, Brian B. Koo

Rapid Eye Movement (REM) Sleep Behavior Disorder (RBD) is a parasomnia occurring during REM sleep, characterized by loss of normal REM sleep atonia and dream enactment behaviors. The majority of patients diagnosed with idiopathic RBD will develop an alpha-synucleinopathy neurodegenerative disease, which can complicate the treatment of RBD. First-line treatment with high-dose melatonin or...

1043 Prevalence of Sleep Paralysis in Medical Students Across India- a Cross Sectional Study

Sleep April 20, 2024 Urmil Shah, Kumar Abhishek, Rushikesh Shukla et al.

Sleep paralysis is a condition that has been on the rise in recent years, occurring during the pre or post sleep stages. While there is no known direct cause of sleep paralysis, studies have shown a number of potential causes, including poor quality of sleep, alcohol use, exposure to stressful events, anxiety disorders, and a family history of the illness. The purpose of this study was to...

1177 The Patient Who Never Stopped Dreaming

Sleep April 20, 2024 Shalini Gupta, A. Avidan

Sleep-related hallucination (SRH) is a parasomnia that may be encountered in the form of altered dream mentation in α-synucleinopathies, particularly in the setting of dementia with Lewy bodies (DLB). Visual hallucinations (VH) are complex, well-formed, episodes that represent a core diagnostic criterion for DLB. We report a patient who presented with REM sleep behavior disorder (RBD), VH, and...

Short-Term Stability and Night-to-Night Variability of Sleep Parameters in Nightmares Comorbid with Chronic Insomnia Disorder Across Multiple Nights of Polysomnography.

Sleep February 1, 2024 C. Paquet, K. Lenker, S. Calhoun et al.

STUDY OBJECTIVES The purpose of this study was to examine the degree of short-term stability of polysomnographic (PSG) measured sleep parameters and the overall differences between individuals with comorbid nightmares and insomnia compared to those with chronic insomnia disorder alone or good sleeping controls across four nights in the sleep lab. METHODS A total of 142 good sleeping controls,...