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Dream disturbed sleep in insomnia and narcolepsy
Abstract
Both patients with narcolepsy and insomnia frequently present clinically with nocturnal sleep disrupted by disturbing dreams. Polysomnographic correlates of these reports are unclear. In this study, 24 patients with psychophysiological insomnia and 16 patients with narcolepsy were compared on selected polysomnographic and self-reported typical dream characteristics. As a group, patients with narcolepsy showed more frightening, recurrent dreams and shorter rapid eye movement (REM) segments when compared with patients with insomnia. However, within the narcolepsy group, there were few correlations between typical dream characteristics and any measure of REM segment length or REM density. In the insomnia group, shorter REM segments and higher REM density were related to typically more vivid, frightening, and disrupted dreaming. We speculate that the mechanisms of disturbed dream recall may be different in insomnia and narcolepsy.
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Narcolepsy emphasized the emotional items of REM dreams as a result of the compromised neurobiological system underlying cognitive-emotional functions.
“Some authors stated that narcolepsy emphasized the emotional items of their REM dreams as results of the compromised neurobiological system underling the cognitive-emotional functions (Lee et al., 1993).”
From The Functional Role of Dreaming in Emotional Processes (2019) · cites this paper as Lee et al., 1993
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The reinterpretation of dreams: An evolutionary hypothesis of the function of dreaming
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“Interestingly, altered REM sleep mentation including vivid dreams has been frequently reported in PI patients (Lee et al., 1993; Ohayon et al., 1997).”
BackgroundThe Functional Role of Dreaming in Emotional Processes
Scarpelli, S., Bartolacci, C., D'Atri, A., Gorgoni, M., & De Gennaro, L. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00459 · Cited by 190
“Some authors stated that narcolepsy emphasized the emotional items of their REM dreams as results of the compromised neurobiological system underling the cognitiveemotional functions (Lee et al., 1993).”
BackgroundDreams in patients with sleep disorders
Schredl, M. (2009) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2008.06.002 · Cited by 100
Night‐time sleep and daytime sleepiness in narcolepsy
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“Researchers also report periodic limb movements, sleep apnoea, frightening dreams and REM sleep behaviour disorder (Guilleminault et al. 1978; Wittig et al. 1983; Thorpy and Goswami 1990; Lee et al. 1993).”
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Dream content in patients with narcolepsy: preliminary findings
Schredl, M. (1998) · Dreaming · doi:10.1023/b:drem.0000005900.63728.a7 · Cited by 33
“The dreams of people with narcolepsy have been described as vivid and often disturbing (Nixon, Pierce, Lester & Matthis, 1964; Passouant & Cadilhac, 1967; Roth & Bruhova, 1969; Lee, Bliwise, Labret-Bories, Guilleminault, & Dement, 1993 ), although Krishnan et al. (1984) reported that recurrent positive dreams (i.e., d…”
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Cipolli, C., Bellucci, C., Mattarozzi, K., Mazzetti, M., Tuozzi, G., & Plazzi, G. (2008) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2008.07.012 · Cited by 27
Dreaming in patients with sleep disorders: A multicenter study
der DGSM:, A. T., Schredl, M., Binder, R., Feldmann, S., Göder, R., Hoppe, J., Schmitt, J., Schweitzer, M., Specht, M., & Steinig, J. (2012) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-012-0552-2 · Cited by 26
“The dreams of patients with narcolepsy have been described as vivid and often disturbing [13, 20] as well as more bizarre [23].”
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“How often do you have a night full of intense, vivid dreams? 1–5 Dreams/nightmares [17] 10.”
Self-citationBassetti, C. L., Bischof, M., & Valko, P. O. (2007) · Springer eBooks · doi:10.1007/88-470-0550-7_15 · Cited by 10
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“It is now known that, compared with insomnia patients, patients with narcolepsy report more frightening, recurrent dreams (Lee et al, 1993).”
Nocturnal Aspects of Narcolepsy with Cataplexy
Lee, H. (2008) · Journal of Korean Sleep Research Society · doi:10.13078/jksrs.08002 · Cited by 5
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Neuere Modellvorstellungen zu Ätiologie und Pathophysiologie der psychophysiologischen Insomnie
Sobanski, T., Feige, B., & Riemann, D. W. (1999) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-999-0031-6 · Cited by 3
Internal consistency of the University of Michigan RBD Questionnaire
Bliwise, D. L., Scullin, M. K., & Factor, S. A. (2014) · Journal of Neurology · doi:10.1007/s00415-014-7392-x · Cited by 3
“001) collected from a separate questionnaire given to the patients [4, 5].”
BackgroundSelf-citationDreams in Patients with Sleep Disorders
Schredl, M. (2011) · Elsevier eBooks · doi:10.1016/b978-1-4160-6645-3.00052-9 · Cited by 3
Dreams in Patients with Narcolepsy
Schredl, M. (2008) · Springer eBooks · doi:10.1007/978-1-4419-0854-4_12 · Cited by 2
Wamsley, E. J. (2016) · Springer eBooks · doi:10.1007/978-3-319-23739-8_18 · Cited by 2
Nightmares and Dream Disturbances
Arnulf, I. (2016) · Elsevier eBooks · doi:10.1016/b978-0-323-24288-2.00104-5 · Cited by 4
Lee, H. (2008)
Fakultät, P., Psychologie, L. F. P., & Lukesch, H. (2005)
The distinctive characteristics of REM sleep and dreams in narcolepsy
Scarpelli, S., & Gennaro, L. D. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-30004-2.00020-1
Il sogno: un punto di vista neurologico
Bassetti, C. L., Bischof, M., & Valko, P. O. (2007) · Springer eBooks · doi:10.1007/978-88-470-0659-1_15
Metadata
- Authors
- HIE LEE, J., BLIWISE, D. L., LEBRET-BORIES, E., GUILLEMINAULT, C., & DEMENT, W. C.
- Affiliations
- Emory University (US)
- Venue
- The Journal of Nervous and Mental Disease
- Published
- 1993-05
- Volume
- 181
- Issue
- 5
- Pages
- 320-324
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2028678641
- Cited by
- 36
- References
- 0
- Citations by year
- 2025: 1 · 2019: 2 · 2018: 2 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 0.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01ag006066-05, 5r01ag010643-09)
- National Institute on Aging (AG00164, AG10643, AG-06066)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Clinical Neurology › Restless Legs Syndrome Research
- Keywords
- insomnia, narcolepsy, dream recall, REM sleep, REM density, dream vividness, dream content, polysomnography
- MeSH terms
- Adult, Aged, Diagnosis, Differential, Dreams, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Narcolepsy, Surveys and Questionnaires, Mental Recall, Sleep, REM, Polysomnography
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