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Arousal in Nocturnal Consciousness: How Dream- and Sleep-Experiences May Inform Us of Poor Sleep Quality, Stress, and Psychopathology.

Nirit Soffer-Dudek

Frontiers in Psychology May 10, 2017 DOI: 10.3389/fpsyg.2017.00733 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Qualitative Peer reviewed
Measures Iowa Sleep Experiences Survey (ISES)
Topics Dreaming
Keywords Psychopathology Distress Nightmares Sleep quality Sleep experiences Sleep-wake disorders Hypnagogic hallucinations
Key findings Argues that "general sleep experiences"—a factor comprising nightmares, vivid or recurrent dreams, hypnagogic hallucinations, and confusional arousals—are strongly related to psychological distress and should be viewed as a sleep disturbance. Proposes these experiences reflect involuntary intrusions of wakefulness into sleep, possibly stemming from thin boundaries between consciousness states or from dissociation, and contends that the intrusive versus controlled quality of unusual dreaming may explain why general sleep experiences relate to psychopathology while lucid dreams relate to resilience.

Abstract

The term "sleep experiences," coined by Watson (2001), denotes an array of unusual nocturnal consciousness phenomena; for example, nightmares, vivid or recurrent dreams, hypnagogic hallucinations, dreams of falling or flying, confusional arousals, and lucid dreams. Excluding the latter, these experiences reflect a single factor of atypical oneiric cognitions ("general sleep experiences"). The current study is an opinionated mini-review on the associations of this factor-measured with the Iowa sleep experiences survey (ISES, Watson, 2001)-with psychopathological symptoms and stress. Findings support a strong relation between psychological distress and general sleep experiences. It is suggested that that they should be viewed as a sleep disturbance; they seem to represent involuntary intrusions of wakefulness into sleep, resulting in aroused sleep. These intrusions may stem from excessively thin boundaries between consciousness states (e.g., "transliminality"), or, conversely, they may follow an attempt at disconnecting mental elements (e.g., dissociation), which paradoxically results in a "rebound effect." The extent to which unusual dreaming is experienced as intrusive, rather than controlled, may explain why general sleep experiences are related to psychopathology, whereas lucid dreams are related to psychological resilience. In conclusion, the exploration of the interplay between psychopathology and sleep should be expanded from focusing almost exclusively on quantitative aspects (e.g., sleep efficiency, latency) to including qualitative conscious experiences which may reflect poor sleep quality. Taking into account nocturnal consciousness-including unusual dreaming and permeable sleep-wake boundaries-may unveil rich information on night-time emotional states and broaden our definition of poor sleep quality.

Comparable studies

Other narrative reviews on dreaming, most cited first.

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