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The Role of Sleep in Emotional Brain Function
Open accessAbstract
Rapidly emerging evidence continues to describe an intimate and causal relationship between sleep and emotional brain function. These findings are mirrored by long-standing clinical observations demonstrating that nearly all mood and anxiety disorders co-occur with one or more sleep abnormalities. This review aims to (a) provide a synthesis of recent findings describing the emotional brain and behavioral benefits triggered by sleep, and conversely, the detrimental impairments following a lack of sleep; (b) outline a proposed framework in which sleep, and specifically rapid-eye movement (REM) sleep, supports a process of affective brain homeostasis, optimally preparing the organism for next-day social and emotional functioning; and (c) describe how this hypothesized framework can explain the prevalent relationships between sleep and psychiatric disorders, with a particular focus on posttraumatic stress disorder and major depression.
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“Sleep promotes memory consolidation in many domains (Rasch and Born, 2013) and has consistently been shown to enhance consolidation of emotional memory albeit with mixed findings as to whether sleep preferentially augments emotional over neutral memories (reviewed in Goldstein and Walker, 2014;Hutchison and Rathore, 2015;Kahn et al., 2013;Pace-Schott, 2015;Palmer and Alfano, 2016;Tempesta et al.,”
From Physiological feelings (2019) · cites this paper as Goldstein and Walker, 2014
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“It is now well established that sleep is involved in the consolidation of memories, including emotional memories.9,10”
From Effects of Sleep after Experimental Trauma on Intrusive Emotional Memories. (2016) · cites this paper as [9]
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In the citing paper
“Our results are in line with studies and theoretical accounts proposing a role of sleep in the affective depotentiation of emotional memories.9,14,13,18,37”
From Effects of Sleep after Experimental Trauma on Intrusive Emotional Memories. (2016) · cites this paper as [9]
The cited source says what the claim attributes to it.
In the citing paper
“poor sleep is associated with symptoms of depression and anxiety (1–12)”
In the citing paper
“Healthy sleep is associated with normal emotion regulation [9, 10].”
From Sleep and REM sleep disturbance in the pathophysiology of PTSD: the role of extinction memory (2015) · cites this paper as [10]
In the citing paper
“And, as is the case for other forms of emotional memory [10], healthy sleep may be of ongoing, and cumulative importance in the consolidation of memory for both therapeutically induced and naturally learned extinction.”
From Sleep and REM sleep disturbance in the pathophysiology of PTSD: the role of extinction memory (2015) · cites this paper as [10]
In the citing paper
“Rapid eye movement (REM) sleep is associated with consolidation of emotional memory (reviewed in [8–10]), and REM sleep has been suggested to be the stage of sleep during which emotion is regulated [75].”
From Sleep and REM sleep disturbance in the pathophysiology of PTSD: the role of extinction memory (2015) · cites this paper as [10]
In the citing paper
“Sleep disruption may lead to fatigue [244, 245], executive deficits [246, 247], mood dysregulation [10], and psychosocial impairments [248]”
From Sleep and REM sleep disturbance in the pathophysiology of PTSD: the role of extinction memory (2015) · cites this paper as [10]
In the citing paper
“Disturbed sleep and sleep loss have been consistently linked to increased negative affect in adults (Goldstein & Walker, 2014).”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Goldstein & Walker, 2014
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“…earlier studies have proposed several mechanisms, including brain tissue injury induced by intermittent hypoxia or ischemia, and emotion- related network dysfunction caused by sleep disturbances and fragmented sleep (Goldstein & Walker, 2014; Rosenzweig et al., 2015; Sforza & Roche, 2012).”
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Volitional limbic neuromodulation exerts a beneficial clinical effect on Fibromyalgia
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InfluentialSelf-citationThe ameliorative effect of fluoxetine on neuroinflammation induced by sleep deprivation
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BackgroundRole of normal sleep and sleep apnea in human memory processing
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“associated with late-night sleep – a period that is well known to be rich in REM sleep.(84,85) Moreover, it has been shown that post-sleep emotional memory recall is significantly associated with the amount of REM sleep obtained, but not with total sleep time or time in any other sleep stage.”
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“12 34 56 78 90 () ;,: 12 34 56 78 90 (); ,: conditions, acts as a protective factor for emotional wellbeing, improves cognitive functioning, and is essential for learning and memory consolidation in both adults and children (e.g., Goldstein & Walker, 2014; Harvey, 2011; Mindell & Williamson, 2018).”
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“Thus, mood deterioration observed in MDD may be driven by excess REM sleep which impairs ACC/mPFC–amygdala emotional function (2).”
BackgroundInsomnia symptoms as a risk factor for cessation failure following smoking cessation treatment
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“2013), which in turn is associated with depressive symptoms (Goldstein and Walker 2014; Scott et al. 2006), is supported by theoretical frameworks and empirical work, the cross-sectional design of the study does not allow for establishing bidirectional, temporal associations of variables in the model.”
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“, the prefrontal lobe), which is responsible for emotional regulation and cognitive function (39).”
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“…reports of sleep quality are significantly related to amygdala reactivity as well as to reports of negative affect and stress, suggesting that self-perceived sleep quality may be an indicator of emotional processing efficacy during sleep (Goldstein & Walker, 2014; Prather, Bogdan, & Hariri, 2013).”
BackgroundTargeted memory reactivation in REM but not SWS selectively reduces arousal responses
Hutchison, I. C., Pezzoli, S., Tsimpanouli, M.-E., Abdellahi, M. E. A., Pobric, G., Hulleman, J., & Lewis, P. A. (2021) · Communications Biology · doi:10.1038/s42003-021-01854-3 · Cited by 48
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McCall, C. A., & Watson, N. F. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11020415 · Cited by 42
Sleep and Cognitive Performance From Teens To Old Age: More Is Not Better
Richards, A. L., Inslicht, S. S., Metzler, T. J., Mohlenhoff, B. S., Rao, M. N., O’Donovan, A., & Neylan, T. C. (2017) · SLEEP · doi:10.1093/sleep/zsw029 · Cited by 44
“Ample research has demonstrated that sleep is important for emotional processing and recalibration.(39) School-related cognitive performance, and solid judgment in the context of teen driving and substance use, for example, which are the types of cognitive performance outcomes most often examined in large-scale resear…”
BackgroundFeng, P., Becker, B., Zheng, Y., & Feng, T. (2017) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsx148 · Cited by 40
“Accumulating evidence suggests that SD increases the noradrenergic tone promoting an exaggerated and overgeneralized hyper-reactivity in the core nodes of the affective salience and arousal networks, including the amygdala and insula (Franzen et al., 2009; Goldstein-Piekarski et al., 2015; Goldstein et al., 2013; Gold…”
BackgroundInfluentialLight therapy with boxes or glasses to counteract effects of acute sleep deprivation
Comtet, H., Geoffroy, P. A., Frisk, M. K., Hubbard, J. T., Robin-Choteau, L., Calvel, L. Y., Hugueny, L., Viola, A., & Bourgin, P. (2019) · Scientific Reports · doi:10.1038/s41598-019-54311-x · Cited by 47
Theta-gamma coupling during REM sleep depends on breathing rate
Hammer, M., Schwale, C., Brankačk, J., Draguhn, A., & Tort, A. B. L. (2021) · SLEEP · doi:10.1093/sleep/zsab189 · Cited by 47
Sleep deprivation affects reactivity to positive but not negative stimuli
Pilcher, J. J., Callan, C., & Posey, J. L. (2015) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2015.05.003 · Cited by 43
“Studies suggest that sleep rapid-eye movement sleep support a basic homeostatic process that primes the individual for emotional functioning during the following wake period (Goldstein & Walker, 2014).”
BackgroundInfluentialThe influence of sleep on fear extinction in trauma-related disorders
Pace-Schott, E. F., Seo, J., & Bottary, R. M. (2022) · Neurobiology of Stress · doi:10.1016/j.ynstr.2022.100500 · Cited by 49
“safety learning (14, 15), and REM abnormalities reported in the early aftermath of trauma have been hypothesized to play a significant role in the development of PTSD (16-21).”
BackgroundSleep, Sleep Disorders, and Mental Health: A Narrative Review
Howarth, N. E., & Miller, M. A. (2024) · Heart and Mind · doi:10.4103/hm.hm-d-24-00030 · Cited by 52
Jiang, P., Scarpa, J. R., Fitzpatrick, K., Losic, B., Gao, V., Hao, K., Summa, K. C., Yang, H. S., Zhang, B., Allada, R., et al. (2015) · Cell Reports · doi:10.1016/j.celrep.2015.04.003 · Cited by 40
Seo, J., Pace-Schott, E. F., Milad, M. R., Song, H., & Germain, A. (2020) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2020.09.013 · Cited by 42
Hysing, M., Heradstveit, O., Harvey, A. G., Nilsen, S. A., Bøe, T., & Sivertsen, B. (2020) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-020-01676-4 · Cited by 46
Poon, K., Ho, M. S. H., Tai, A. P.-L., Leung, M.-K., Chan, M., & Lau, W. K. (2024) · Scientific Reports · doi:10.1038/s41598-024-56688-w · Cited by 44
“Nevertheless, sleep is an important brain function for memory consolidation, brain reactivity, and emotional regulation 71,72 .”
BackgroundAbdali, N., Nobahar, M., & Ghorbani, R. (2019) · Qatar medical journal · doi:10.5339/qmj.2019.15 · Cited by 40
“Another study reviewed the effects of sleep on brain function, indicating the adverse effects of sleep deprivation on brain performance, information processing, and emotional memories.(22) Weber et al.”
BackgroundWirth, M. D., Jessup, A., Turner‐McGrievy, G. M., Shivappa, N., Hurley, T. G., & Hébert, J. R. (2020) · SLEEP · doi:10.1093/sleep/zsaa093 · Cited by 41
Sampasa-Kanyinga, H., Chaput, J.-P., Goldfield, G. S., Janssen, I., Wang, J., Hamilton, H. A., Ferro, M. A., & Colman, I. (2021) · The Canadian Journal of Psychiatry · doi:10.1177/0706743720970863 · Cited by 39
“Short sleep duration affects brain activity and neurochemicals that regulate mood and thinking.(50) It is associated with greater stress reactivity within the hypothalamic–pituitary–adrenal axis, thus increasing the risk of psychopathological disorder.”
BackgroundZerón-Rugerio, M. F., Hernáez, Á., Cambras, T., & Izquierdo-Pulido, M. (2021) · Appetite · doi:10.1016/j.appet.2021.105899 · Cited by 45
Updating memories of unwanted emotions during human sleep
Xia, T., Yao, Z., Guo, X., Liu, J., Chen, D., Liu, Q., Paller, K. A., & Hu, X. (2022) · Current Biology · doi:10.1016/j.cub.2022.12.004 · Cited by 48
Mikoteit, T., Brand, S., Eckert, A., Holsboer-Trachsler, E., & Beck, J. (2019) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2018.12.020 · Cited by 39
Insomnia and REM sleep instability
Feige, B., Benz, F., Dressle, R. J., & Riemann, D. W. (2023) · Journal of Sleep Research · doi:10.1111/jsr.14032 · Cited by 42
Causal Mediation in the Development of Painful Temporomandibular Disorder
Sanders, A. E., Akinkugbe, A. A., Fillingim, R. B., Ohrbach, R. K., Greenspan, J. D., Maixner, W. D., Bair, E., & Slade, G. D. (2016) · Journal of Pain · doi:10.1016/j.jpain.2016.12.003 · Cited by 40
Liu, Y., Niu, L., Liu, X., Cheng, C., & Le, W. (2021) · Neuroscience Bulletin · doi:10.1007/s12264-021-00711-x · Cited by 39
Harvey, A. G. (2022) · SLEEP · doi:10.1093/sleep/zsac026 · Cited by 41
Moen, F., Vatn, M., Olsen, M., Haugan, J. A., & Skalická, V. (2022) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2021.697535 · Cited by 42
Haws, J. K., Brockdorf, A. N., Gratz, K. L., Messman, T. L., Tull, M. T., & DiLillo, D. (2022) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2022.102536 · Cited by 38
Lueke, N. A., & Assar, A. (2022) · Journal of American College Health · doi:10.1080/07448481.2022.2068350 · Cited by 51
“8 Indeed, the aforementioned alterations in brain networks support the prevalent relationships observed between poor sleep and amplification of perceived stress, 8–11 and psychiatric disorders such as depression.”
BackgroundInfluentialDevine, J. K., & Wolf, J. M. (2016) · Journal of Sleep Research · doi:10.1111/jsr.12369 · Cited by 36
Riera-Sampol, A., Bennasar-Veny, M., Tauler, P., Nafría, M., Colom, M., & Aguilo, A. (2021) · Nutrients · doi:10.3390/nu13020585 · Cited by 36
“Insomnia increases the risk of developing depression and negatively affects the disease’s trajectory, and it is associated with higher suicide rates [5].”
BackgroundLerner, I., Lupkin, S. M., Sinha, N., Tsai, A., & Gluck, M. A. (2017) · Journal of Neuroscience · doi:10.1523/jneurosci.0578-17.2017 · Cited by 38
“…strength of the formed association between the CS and US, it may be influenced by both one’s individual level of stress (reflected in SCR) and by the NE-modulated sensitivity levels in the amygdala (affected by REM sleep according to the REM recalibration hypothesis; Goldstein and Walker, 2014).”
BackgroundInfluentialEffects of early morning nap sleep on associative memory for neutral and emotional stimuli
Sopp, M. R., Michael, T., & Mecklinger, A. (2018) · Brain Research · doi:10.1016/j.brainres.2018.06.020 · Cited by 33
Bajaj, S., Blair, K. S., Schwartz, A., Dobbertin, M. D., & Blair, J. (2020) · PLoS ONE · doi:10.1371/journal.pone.0243527 · Cited by 37
“Moreover, sleep disorders may also reduce the body’s affective response to effectively respond to stressors [71, 72].”
BackgroundPrimeau, M. M., Gershon, A., Talbot, L. S., Cotto, I., Lotspeich, L. J., Hardan, A. Y., Hallmayer, J. F., & O'Hara, R. M. (2016) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.5584 · Cited by 35
Veilleux, J. C. (2022) · Clinical Psychological Science · doi:10.1177/21677026221118327 · Cited by 44
“This is supported by research suggesting that people feel negative emotions more intensely after sleep deprivation (Goldstein & Walker, 2014) or when socially excluded (Kross et al., 2007).”
BackgroundAlzueta, E., & Baker, F. C. (2023) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2023.06.003 · Cited by 49
Kirov, R., Brand, S., Banaschewski, T., & Rothenberger, A. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.02059 · Cited by 41
Baker, P. M., Mathis, V., Lecourtier, L., Simmons, S. C., Nugent, F. S., Hill, S., & Mizumori, S. J. Y. (2022) · Frontiers in Systems Neuroscience · doi:10.3389/fnsys.2022.826475 · Cited by 36
Cunningham, T. J., Stickgold, R., & Kensinger, E. A. (2022) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2022.910317 · Cited by 34
“As such, it has been suggested that sleep not only plays a critical part in the healthy processing of our day-to-day emotional experiences, but also of traumatic experiences as well (Walker and van Der Helm, 2009; Tempesta et al., 2010; van der Helm et al., 2011; Motomura et al., 2013; Stickgold and Walker, 2013; Cunn…”
BackgroundNeylan, T. C., Kessler, R. C., Ressler, K. J., Clifford, G. D., Beaudoin, F. L., An, X., Stevens, J. S., Zeng, D., Linnstaedt, S. D., Germine, L. T., et al. (2020) · SLEEP · doi:10.1093/sleep/zsaa200 · Cited by 36
“Sleep has been hypothesized to have a causal role in the pathogenesis of trauma-related disorders via effects on learning and memory, executive function, and emotion regulation [28].”
BackgroundPace-Schott, E. F., & Picchioni, D. (2016) · Elsevier eBooks · doi:10.1016/b978-0-323-24288-2.00051-9 · Cited by 37
Short, N. A., Raines, A. M., Oglesby, M. E., Zvolensky, M. J., & Schmidt, N. B. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.04.069 · Cited by 33
“There are several pathways through which sleep disturbances such as insomnia are thought to impact PTSS, including cognitive impairment, emotional disturbances, and impaired processing of emotional memories due to sleep loss (Goldstein and Walker, 2014; Walker, 2009).”
BackgroundSleep Moderates the Association Between Response Inhibition and Self-Regulation in Early Childhood
Schumacher, A. M., Miller, A. L., Watamura, S. E., Kurth, S., Lassonde, J. M., & LeBourgeois, M. K. (2016) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2016.1204921 · Cited by 41
Ontogeny of Sleep and Its Functions in Infancy, Childhood, and Adolescence
Grigg-Damberger, M. M. (2016) · Springer eBooks · doi:10.1007/978-3-319-28640-2_1 · Cited by 34
“(fMRI) [ 111 ].”
BackgroundSleep Preserves Physiological Arousal in Emotional Memory
Ashton, J. E., Harrington, M. O., Guttesen, A. Á. V., Smith, A. K., & Cairney, S. A. (2019) · Scientific Reports · doi:10.1038/s41598-019-42478-2 · Cited by 37
Short, N. A., Boffa, J. W., Wissemann, K., & Schmidt, N. B. (2019) · Journal of Sleep Research · doi:10.1111/jsr.12909 · Cited by 33
“This may reflect a growing line of research indicating that sleep is crucial for the processing of emotional memories (Goldstein & Walker, 2014).”
BackgroundAnxiolytic Effect of Increased NREM Sleep after Acute Social Defeat Stress in Mice
Feng, X., Zhao, H., Shao, Y., Lou, H., Zhu, L., Duan, S., & Yu, Y. (2020) · Neuroscience Bulletin · doi:10.1007/s12264-020-00473-y · Cited by 33
Ghilotti, F., Bellocco, R., Lagerros, Y. T., Thorson, A. E., Theorell‐Haglöw, J., Åkerstedt, T., & Lindberg, E. (2020) · Journal of Sleep Research · doi:10.1111/jsr.13093 · Cited by 34
“Recently, it has been found that REM sleep is involved in the resetting of emotions and memory consolidation (Goldstein & Walker, 2014; Xia & Storm, 2017).”
Background
Metadata
- Authors
- Goldstein, A. N., & Walker, M. P.
- Affiliations
- Helen Wills Neuroscience Institute, University of California, Berkeley, California 94720-1650;
- University of California, Berkeley (US)
- ORCID
- Walker, Matthew P.
- Venue
- Annual Review of Clinical Psychology
- Publisher
- Annual Reviews
- Published
- 2014-03-28
- Volume
- 10
- Issue
- 1
- Pages
- 679-708
- ISSN
- 1548-5943 (ISSN-L)
- 1548-5951
- PMC
- PMC4286245
- OpenAlex
- W2120192703
- Cited by
- 1,052
- References
- 151
- Citations by year
- 2026: 139 · 2025: 155 · 2024: 113 · 2023: 101 · 2022: 134 · 2021: 88 · 2020: 81 · 2019: 71 · 2018: 52 · 2017: 35 · 2016: 36 · 2015: 36 · 2014: 7
- FWCI
- 3.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annual Review of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (R01AG031164)
- National Institute of Mental Health (R01MH093537, F31MH094075)
- National Institute on Drug Abuse (R21DA031939)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep, REM sleep, mood disorders, anxiety disorders, sleep deprivation, post-traumatic stress disorder, major depressive disorder
- MeSH terms
- Anxiety Disorders, Mental Disorders, Major Depressive Disorder, Humans, Sleep, Sleep Wake Disorders, Sleep, REM, Stress Disorders, Post-Traumatic, Mood Disorders
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