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Dream Content Alalysis at the Initiation of CPAP for Obstructive Sleep Apnea

Sînziana Lovin

Journal of Sleep Disorders & Therapy 2013 DOI: 10.4172/2167-0277.1000127 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 38
Population Patients diagnosed with Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) using complete overnight polysomnography
Duration Two consecutive nights (first night diagnostic PSG without CPAP, second night PSG with CPAP)
Topics Dreaming
Keywords Obstructive sleep apnea Dream Sleep system call Content measure theory Cardiology Anesthesia
Citations 3
Key findings CPAP therapy increases REM sleep, dream recall, and the quantity of dream content while reducing unpleasant dream content.

Abstract

Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) is a condition characterized by repeated episodes of airway obstruction during sleep, causing intermittent asphyxia and sleep fragmentation. The goal of this study was to assess dream content analysis before and during the first night of treatment for OSAHS using Continuous Positive Pressure (CPAP). We included 38 patients diagnosed using complete overnight polysomnography (PSG), who received CPAP therapy during a second night under PSG. Dream content (word count, thematic units, and emotional content) and the percent of REM sleep were analyzed after both nights. There was an increase in the percent of REM under CPAP (from 16,7% to 26,8%). There was an increase in the number of thematic units (1,36 without CPAP versus 1,82 under CPAP) and in the word count (30,52 without CPAP versus 45,22 under CPAP) and a change in the dream content (unpleasant content in 50% without CPAP versus 37,5% under CPAP). Under CPAP, more patients recalled their dreams than without CPAP (94,2% versus 57,9%). In conclusion, at the initiation of CPAP for OSAHS, there is a rebound of REM sleep associated with a quantitative increase in dream recall and a change in dream content.

Comparable studies

Other observational and cohort studies on dreaming, most cited first.

Study Year Design Participants
Lucid Dreaming: a State of Consciousness with Features of Both Waking and Non-Lucid Dreaming Student volunteers trained to become lucid and signal lucidity with horizontal eye... 2009 Observational study n = 6
Nightmare Prevalence, Nightmare Distress, and Self-Reported Psychological Disturbance Young adults with a mean age of 20 years 2002 Prospective observational study n = 116
Long-term effects of extreme situational stress on sleep and dreaming Survivors of traumatic events who complained of sleep disturbances, compared with... 1987 Case-control study n = 11
The relationship of nightmare frequency and nightmare distress to well‐being Adults who reported dreams 2004 Observational cohort n = 147
Dreaming in NREM Sleep: A High-Density EEG Study of Slow Waves and Spindles Healthy human subjects 2018 Observational cohort n = 14

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