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Dreaming for two: A systematic review of mental sleep activity during pregnancy.

Serena Scarpelli, Valentina Alfonsi, Luigi De Gennaro, Maurizio Gorgoni

Neuroscience & Biobehavioral Reviews August 1, 2024 DOI: 10.1016/j.neubiorev.2024.105763 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review Peer reviewed
Population Pregnant women
Topics Dreaming
Keywords Continuity hypothesis Emotional regulation Mental sleep activity Nightmares Pregnancy Threat simulation theory
Key findings Pregnant women have abundant dreams and nightmares, often pregnancy-related, and high dream recall is linked to poor sleep quality.

Abstract

Changes in sleep and dreams are often observed during pregnancy. Dreaming may represent privileged access to the inner world of individuals, providing relevant information about their well-being. For this reason, a growing but heterogeneous literature has investigated dream experiences of pregnant women. The present paper aimed to systematically review the available evidence on the relationship between pregnancy and oneric activity, focusing on dream and nightmare frequency, dream contents, and emotional features. Moreover, dream changes between pre-partum and post-partum periods and the impact of previous pregnancy-related adverse events on dreaming have been summarized. Overall, 17 studies have been examined. The reviewed evidence suggests that women tend to have an abundant production of dreams and nightmares during pregnancy, and some results support the view that a high rate of dream recall is associated with poor sleep quality. Most studies have shown a high presence of pregnancy-related dream content, likely reflecting waking experiences and concerns. Additionally, dreaming may promote psychological preparation and activation of functional coping strategies to face life changes after childbirth.

Comparable studies

Other systematic reviews and meta-analyses on dreaming, most cited first.

Study Year Design Participants
Dreaming as mind wandering: evidence from functional neuroimaging and first-person content reports. 2013 Systematic review with meta-analytic comparison
Lucid dreaming incidence: A quality effects meta-analysis of 50 years of research 2016 Meta-analysis
The effectiveness of lucid dreaming therapy in patients with nightmares: A systematic review. Adults with chronic and recurring nightmares 2023 Systematic review
The relationships between insomnia, nightmares, and dreams: A systematic review Individuals without a concomitant psychopathology, including those with insomnia or... 2024 Systematic review
Psychosocial treatments for nightmares in adults and children: a systematic review 2023 Systematic review

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