Lifetime prevalence and characteristics of sleep paralysis in Italian university students population.
Costanza Colombo, Nicola Cellini
Sleep Medicine October 1, 2024 DOI: 10.1016/j.sleep.2024.08.013 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Cross-sectional survey Peer reviewed |
|---|---|
| Sample size | 432 |
| Population | Italian students |
| Topics | Anxiety |
| Keywords | Chronotype Sleep paralysis Sleep quality |
| Key findings | 37.5% of Italian students reported at least one lifetime sleep paralysis episode, and those with SP had higher anxiety, worse sleep quality, and were more likely to be evening chronotypes. |
Abstract
Sleep paralysis (SP) is a REM-related parasomnia, characterized by the inability to perform voluntary movements. It is a relatively widespread phenomenon in the general population and, although usually not dangerous, it is experienced with intense fear. The current study aims to evaluate the lifetime prevalence and characteristics of SP in the Italian student population. The study was conducted online, through an online battery of questionnaires. We used the Unusual Sleep Experience Questionnaire to investigate the prevalence of the disorder and the typical characteristics, metacognitive beliefs on the episodes, and previous distress factors. We also collected information about anxiety and depression symptomatology, sleep quality, and circadian preferences. Four hundred and thirty-two participants (333 F, 22.8 ± 2.57 y) took part in the study and 37.5 % of them reported having experienced at least one SP episode in their lifetime. On a physiological level, the most common features were the inability to speak followed by a tingling sensation and the inability to open the eyes, consistent with REM muscle atonia. Cognitive features during episodes include the perception of a presence in the room, followed by the fear of dying. Participants who reported SP had higher anxiety and worse sleep quality, and were more associated with evening chronotypes compared to non-SP responders. Our results show that SP is generally widespread in Italian students, in line with the prevalence reported in previous studies. Further studies could investigate the effects of suggested therapies to decrease the number of episodes of the disorder, especially in those who experience it recurrently.
Comparable studies
Other cross-sectional and survey studies on anxiety, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Psychological flexibility mediates the relations between acute psychedelic effects and subjective decreases in depression and anxiety. International sample of people who reported having used a psychedelic | 2020 | Cross-sectional survey | n = 985 |
| The Challenging Experience Questionnaire: Characterization of challenging experiences with psilocybin mushrooms Internet survey respondents reporting challenging experiences with psilocybin | 2016 | Questionnaire development and validation | |
| Psychedelics and Mental Health: A Population Study Adult population in the United States | 2013 | Cross-sectional survey | n = 130,152 |
| Ecstasy/MDMA attributed problems reported by novice, moderate and heavy recreational users Ecstasy users who participated in a WWW study of recreational drug use | 2002 | Cross-sectional survey | n = 282 |
| 5-methoxy-N,N-dimethyltryptamine (5-MeO-DMT) used in a naturalistic group setting is associated with unintended improvements in depression and anxiety. Adults who used 5-MeO-DMT in a group setting with structured procedures | 2019 | Cross-sectional survey | n = 362 |
Citations in the library
Cited by 7
- Pooled Prevalence of Sleep Paralysis in South Asian Countries: A Systematic Review and Meta-Analysis. Sleep Medicine September 1, 2026
- Association between sleep paralysis and anxiety: a systematic review and meta-analysis. Journal of Clinical Sleep Medicine September 10, 2026
- Prisoners of the Body: The Link Between Interoception and Sleep Paralysis. Journal of Sleep Research June 12, 2026
- [Prevalence and phenomenology of sleep paralysis in medical students]. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova 2026
- Sleep Paralysis Among Higher Education Students: A Possible Role of Antidepressant and Recreational Stimulant Use. Medicina (Kaunas, Lithuania) October 15, 2025
and 2 more in the library
Cites 25
- A systematic review of variables associated with sleep paralysis Sleep Medicine Reviews June 8, 2017
- Are sleep paralysis and false awakenings different from REM sleep and from lucid REM sleep? A spectral EEG analysis. Journal of Clinical Sleep Medicine April 1, 2021
- One Explanatory Basis for the Discrepancy of Reported Prevalences of Sleep Paralysis among Healthy Respondents Perceptual and Motor Skills December 1, 1993
- Could sleep paralysis be pleasant? Journal of Sleep Research June 1, 2021
- Spontaneous and induced out-of-body experiences during sleep paralysis: Emotions, "AURA" recognition, and clinical implications. Journal of Sleep Research February 1, 2023
and 20 more in the library