CoChat
Sign Up
Cited by 58Sleep and Wakefulness ResearchSleep and related disordersRestless Legs Syndrome Research

Emotional experience during rapid-eye-movement sleep in narcolepsy

Fosse, Roar, Stickgold, Robert, Hobson, J. Allan·2002·SLEEP
DOI 10.1093/sleep/25.7.724
Open this paper in CoChat — free account

Abstract

STUDY OBJECTIVES: To describe emotional experience during sleep-onset rapid-eye-movement [(REM) SOREM] sleep and nighttime REM in narcoleptic patients and to relate any differences in REM emotion to the more general abnormalities of this disorder. DESIGN: Awakenings were performed from SOREM (REM at the onset of daytime naps and nighttime sleep) and nighttime emergent (ascending) REM in 15 patients with narcolepsy and from nighttime REM in 9 normal healthy participants. Subjects rated the occurrence and intensity of discrete emotion types for each line in their REM-mentation reports. Fragmentation of REM was measured and related to emoton. SETTING: Subjects were studied in their own homes over 2 consecutive days and nights (3 nights for normals) and were monitored by ambulatory polysomnography. PARTICIPANTS: Fifteen patients with narcolepsy, aged 17 to 70 years (mean = 45.3) and 9 normal healthy subjects, aged 31 to 60 years (mean = 43.0). RESULTS: Emotions were found more often and were more intense in narcoleptic SOREM than in nighttime REM of either narcoleptic or normal subjects, with anxiety/fear exhibiting the strongest increase, followed by joy/elation. Comparing nighttime REM in narcoleptic and normal subjects, narcoleptics were found to have more intense feelings of anxiety/fear and of joy/elation but to have a less frequent experience of surprise and anger. Positive and negative emotions occurred in a balanced fashion in SOREM and nighttime REM in narcoleptic subjects. In the SOREM of narcoleptic patients, high levels of positive emotions, in particular of joy/elation, were associated with a less fragmented (more stable) REM sleep. CONCLUSION: The REM sleep of patients with narcolepsy affords a unique opportunity to study emotion and to analyze its psychophysiology. Narcolepsy intensifies REM-dream emotion, especially anxiety/fear and joy/elation, and this is most clearly seen during SOREM sleep. The changes in REM emotion of narcoleptic patients could reflect the effect of the fundamental pathology of this disorder upon neurobiologic systems that support cognitive-emotional functions.

Integrity signals

Registry

Crossref · 10.1093/sleep/25.7.724

Cites

19 of 19 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • DE included more anxiety/fear and more bizarre and vivid contents.

    “Specifically, it has been found that DE included more anxiety/fear and more bizarre and vivid contents (Fosse, 2000; Fosse et al., 2002).”

    From The Functional Role of Dreaming in Emotional Processes (2019) · cites this paper as Fosse et al., 2002

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Fosse, R., Stickgold, R., & Hobson, J. A.
Affiliations
Harvard University (US)
ORCID
Venue
SLEEP
Publisher
Oxford University Press (OUP)
Published
2002-10
Volume
25
Issue
7
Pages
724-732
ISSN
  • 0161-8105 (ISSN-L)
  • 1550-9109
DOI
10.1093/sleep/25.7.724
OpenAlex
W200873898
Cited by
58
References
19
Citations by year
2026: 1 · 2025: 4 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 1 · 2016: 5 · 2015: 4 · 2014: 3 · 2013: 1 · 2012: 1
FWCI
0.67
Type
journal article
Language
en
Open access
closed
Locations
  • SLEEP (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (MH-48832, R01MH048832)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Epidemiology › Restless Legs Syndrome Research
Keywords
narcolepsy, REM sleep, emotional experience, anxiety, joy, dream emotions, daytime napping
MeSH terms
Adolescent, Adult, Affect, Aged, Humans, Middle Aged, Narcolepsy, Sleep, REM

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review