Why Does Rem Sleep Occur? A Wake-Up Hypothesis1
Open accessAbstract
Brain activity differs in the various sleep stages and in conscious wakefulness. Awakening from sleep requires restoration of the complex nerve impulse patterns in neuronal network assemblies necessary to re-create and sustain conscious wakefulness. Herein I propose that the brain uses rapid eye movement (REM) to help wake itself up after it has had a sufficient amount of sleep. Evidence suggesting this hypothesis includes the facts that, (1) when first going to sleep, the brain plunges into Stage N3 (formerly called Stage IV), a deep abyss of sleep, and, as the night progresses, the sleep is punctuated by episodes of REM that become longer and more frequent toward morning, (2) conscious-like dreams are a reliable component of the REM state in which the dreamer is an active mental observer or agent in the dream, (3) the last awakening during a night's sleep usually occurs in a REM episode during or at the end of a dream, (4) both REM and awake consciousness seem to arise out of a similar brainstem ascending arousal system (5) N3 is a functionally perturbed state that eventually must be corrected so that embodied brain can direct adaptive behavior, and (6) cortico-fugal projections to brainstem arousal areas provide a way to trigger increased cortical activity in REM to progressively raise the sleeping brain to the threshold required for wakefulness. This paper shows how the hypothesis conforms to common experience and has substantial predictive and explanatory power regarding the phenomenology of sleep in terms of ontogeny, aging, phylogeny, abnormal/disease states, cognition, and behavioral physiology. That broad range of consistency is not matched by competing theories, which are summarized herein. Specific ways to test this wake-up hypothesis are suggested. Such research could lead to a better understanding of awake consciousness.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
NREM sleep is required for optimal wakefulness and cognitive function the following day.
“REM sleep occurs after slow-wave sleep and allows for emotional memory processing, while NREM sleep is required for optimal wakefulness and cognitive function the following day [19,20,21,22,23].”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [23]
The ‘Fitting Common Experience into the New Explanation’ section describes slow-wave sleep as serving restorative functions and suggests it is essential to consciousness. But the paper attributes preparation for the next day’s activity and cognition chiefly to REM sleep (Comparison with Competing Theories; Conclusion), not specifically to NREM sleep. The stronger claim that NREM is required for optimal wakefulness and cognitive function the following day is therefore not established by this source. (LLM, conf=0.84)
Experimental — accuracy not yet measuredREM sleep occurs after slow-wave sleep and allows for emotional memory processing.
“REM sleep occurs after slow-wave sleep and allows for emotional memory processing, while NREM sleep is required for optimal wakefulness and cognitive function the following day [19,20,21,22,23].”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [23]
The Abstract (page unavailable) says REM normally follows a long sequence of slow-wave sleep. The Conclusion (page unavailable) suggests REM may help consolidate certain memories, but does not identify emotional memories specifically; the paper's proposed primary function of REM is to help the brain recover from deep sleep. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
(2007) · Cited by 6,530 · see citing works
Buzsáki, G. (2006) · doi:10.1093/acprof:oso/9780195301069.001.0001 · Cited by 4,873 · see citing works
Aston-Jones, G., & Bloom, F. (1981) · The Journal of Neuroscience · doi:10.1523/jneurosci.01-08-00876.1981 · Cited by 1,960 · see citing works
Function of the thalamic reticular complex: the searchlight hypothesis
Crick, F. (1984) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.81.14.4586 · Cited by 1,651 · see citing works
Roffwarg, H. P., Muzio, J. N., & Dement, W. C. (1966) · Science · doi:10.1126/science.152.3722.604 · Cited by 1,559 · see citing works
Paxinos, G., & Jürgen, K. (2004) · Cited by 1,482 · see citing works
Brainstem Control of Wakefulness and Sleep
Steriade, M., & McCarley, R. W. (1990) · doi:10.1007/978-1-4757-4669-3 · Cited by 1,188 · see citing works
Functional neuroanatomy of human rapid-eye-movement sleep and dreaming
Maquet, P., Péters, J.-M., Aerts, J., Delfiore, G., Degueldre, C., Luxen, A., & Franck, G. (1996) · Nature · doi:10.1038/383163a0 · Cited by 1,168 · see citing works
Temporally structured replay of awake hippocampal ensemble activity during rapid eye movement sleep
Louie, K., & Wilson, M. A. (2001) · Neuron · doi:10.1016/s0896-6273(01)00186-6 · Cited by 1,148 · see citing works
Dreaming and the brain: toward a cognitive neuroscience of conscious states
Hobson, J. A., Pace-Schott, E. F., & Stickgold, R. (2000) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00003976 · Cited by 985 · cited 2× · see citing works
“(20) How can we explain why cognitive activity (“dreaming”) can occur in non-REM sleep, and it does not cause awakening (Hobson et al., 2000)?”
Coherent 40-Hz oscillation characterizes dream state in humans.
Llinás, R., & Ribary, U. (1993) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.90.5.2078 · Cited by 962 · see citing works
New Insights into Neuron-Glia Communication
Fields, R. D., & Stevens, B. (2002) · Science · doi:10.1126/science.298.5593.556 · Cited by 947 · see citing works
The brain as a dream state generator: an activation-synthesis hypothesis of the dream process
Hobson, J. A., & McCarley, R. W. (1977) · American Journal of Psychiatry · doi:10.1176/ajp.134.12.1335 · Cited by 946 · see citing works
The AASM Manual for the Scoring of Sleep and Associated Events : Rules
Iber, C. (2007) · Medical Entomology and Zoology · Cited by 925 · see citing works
Foote, S. L., Aston-Jones, G., & Bloom, F. E. (1980) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.77.5.3033 · Cited by 857 · see citing works
Animal sleep: A review of sleep duration across phylogeny
Campbell, S. S., & Tobler, I. (1984) · Neuroscience & Biobehavioral Reviews · doi:10.1016/0149-7634(84)90054-x · Cited by 832 · see citing works
Analgesia from Electrical Stimulation in the Brainstem of the Rat
Mayer, D. J., Wolfle, T. L., Akil, H., Carder, B., & Liebeskind, J. C. (1971) · Science · doi:10.1126/science.174.4016.1351 · Cited by 773 · see citing works
Neural synchrony in cortical networks: history, concept and current status
Uhlhaas, P. (2009) · Frontiers in Integrative Neuroscience · doi:10.3389/neuro.07.017.2009 · Cited by 758 · see citing works
THE RETICULAR FORMATION REVISITED
Milan., I. C. M. D. (1959) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.1959.tb08839.x · Cited by 743 · see citing works
Cellular basis of EEG slow rhythms: a study of dynamic corticothalamic relationships
Contreras, D., & Steriade, M. (1995) · Journal of Neuroscience · doi:10.1523/jneurosci.15-01-00604.1995 · Cited by 700 · see citing works
The thalamic reticular nucleus: structure, function and concept
Pinault, D. (2004) · Brain Research Reviews · doi:10.1016/j.brainresrev.2004.04.008 · Cited by 683 · see citing works
Cortical projections to the red nucleus and the brain stem in the rhesus monkey
Kuypers, H. G. J. M., & Lawrence, D. G. (1967) · Brain Research · doi:10.1016/0006-8993(67)90004-2 · Cited by 680 · see citing works
Cirelli, C., & Tononi, G. (2008) · PLoS Biology · doi:10.1371/journal.pbio.0060216 · Cited by 646 · see citing works
REM sleep and dreaming: towards a theory of protoconsciousness
Hobson, J. A. (2009) · Nature Reviews Neuroscience · doi:10.1038/nrn2716 · Cited by 625 · see citing works
Some aspects of the organization of the thalamic reticular complex
Jones, E. G. (1975) · Journal of Comparative Neurology · doi:10.1002/cne.901620302 · Cited by 582 · see citing works
Dream reports from different stages of sleep
Foulkes, W. D. (1962) · The Journal of Abnormal and Social Psychology · doi:10.1037/h0040431 · Cited by 563 · see citing works
Visual Discrimination Task Improvement: A Multi-Step Process Occurring During Sleep
Stickgold, R., Whidbee, D., Schirmer, B., Patel, V., & Hobson, J. A. (2000) · Journal of Cognitive Neuroscience · doi:10.1162/089892900562075 · Cited by 560 · see citing works
Nielsen, T. A. (2000) · Behavioral and Brain Sciences · doi:10.1017/s0140525x0000399x · Cited by 521 · see citing works
Consciousness and the brainstem
Parvizi, J. (2001) · Cognition · doi:10.1016/s0010-0277(00)00127-x · Cited by 503 · see citing works
Forebrain activation in REM sleep: an FDG PET study
Nofzinger, E. A., Mintun, M. A., Wiseman, M., Kupfer, D. J., & Moore, R. Y. (1997) · Brain Research · doi:10.1016/s0006-8993(97)00807-x · Cited by 501 · see citing works
Marrosu, F., Portas, C., Mascia, M. S., Casu, M. A., Fà, M., Giagheddu, M., Imperato, A., & Gessa, G. L. (1995) · Brain Research · doi:10.1016/0006-8993(94)01399-3 · Cited by 480 · see citing works
Schiff, N. D. (2008) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1417.029 · Cited by 463 · see citing works
EEG sleep patterns as a function of normal and pathological aging in man
Feinberg, I., Koresko, R. L., & Heller, N. (1967) · Journal of Psychiatric Research · doi:10.1016/0022-3956(67)90027-1 · Cited by 457 · see citing works
Lucid dreaming: a state of consciousness with features of both waking and non-lucid dreaming
Voss, U., Holzmann, R., Tuin, I., & Hobson, A. J. (2009) · Sleep · doi:10.1093/sleep/32.9.1191 · Cited by 445 · see citing works
The occurence of low voltage, fast, electroencephalogram patterns during behavioral sleep in the cat
Dement, W. C. (1958) · Electroencephalography and Clinical Neurophysiology · doi:10.1016/0013-4694(58)90037-3 · Cited by 445 · see citing works
Paying attention to the thalamic reticular nucleus
Guillery, R. W., Feig, S. L., & Lozsádi, D. A. (1998) · Trends in Neurosciences · doi:10.1016/s0166-2236(97)01157-0 · Cited by 409 · see citing works
Steriade, M., Contreras, D., Amzica, F., & Timofeev, I. (1996) · The Journal of Neuroscience · doi:10.1523/jneurosci.16-08-02788.1996 · Cited by 404 · see citing works
Sleep selectively enhances memory expected to be of future relevance
Wilhelm, I., Diekelmann, S., Molzow, I., Ayoub, A., Mölle, M., & Born, J. (2011) · The Journal of Neuroscience · doi:10.1523/jneurosci.3575-10.2011 · Cited by 397 · see citing works
Neuronal activity during the sleep-waking cycle
Steriade, M., & Hobson, J. A. (1976) · Progress in Neurobiology · doi:10.1016/0301-0082(76)90013-7 · Cited by 386 · see citing works
Theta and gamma coordination of hippocampal networks during waking and rapid eye movement sleep.
Montgomery, S. M., Sirota, A., & Buzsaki, G. (2008) · Journal of Neuroscience · doi:10.1523/jneurosci.1227-08.2008 · Cited by 371 · see citing works
Changes in the Sleep and Waking EEGs of Nondemented and Demented Elderly Subjects
Prinz, P. N., Peskind, E. R., VITALIANO, P. P., Raskind, M. A., Eisdorfer, C., ZEMCUZNIKOV, H. N., & Gerber, C. J. (1982) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1982.tb01279.x · Cited by 367 · see citing works
Ion Channels in Vertebrate Glia
Barres, B. A., Chun, L. L. Y., & Corey, D. P. (1990) · Annual Review of Neuroscience · doi:10.1146/annurev.ne.13.030190.002301 · Cited by 355 · see citing works
Arousal--Revisiting the Reticular Activating System
Steriade, M. (1996) · Science · doi:10.1126/science.272.5259.225 · Cited by 350 · see citing works
Jacobs, B. L., Wise, W. D., & Taylor, K. M. (1974) · Brain Research · doi:10.1016/0006-8993(74)90433-8 · Cited by 335 · see citing works
Functional Coupling between Neurons and Glia
Alvarez, V. A., García-Hernández, F., Williams, J. T., & Bockstaele, E. J. V. (2000) · Journal of Neuroscience · doi:10.1523/jneurosci.20-11-04091.2000 · Cited by 327 · see citing works
Steriade, M., & Glenn, L. L. (1982) · Journal of Neurophysiology · doi:10.1152/jn.1982.48.2.352 · Cited by 325 · see citing works
Sleep-Dependent θ Oscillations in the Human Hippocampus and Neocortex
Cantero, J. L., Atienza, M., Stickgold, R., Kahana, M. J., Madsen, J. R., & Kocsis, B. (2003) · The Journal of Neuroscience · doi:10.1523/jneurosci.23-34-10897.2003 · Cited by 312 · see citing works
Sleep States in Premature Infants
Parmelee, A. H., Wenner, W. H., Akiyama, Y., Schultz, M. A., & Stern, E. (1967) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.1967.tb02212.x · Cited by 264 · see citing works
Replaying the game: hypnagogic images in normals and amnesics
Stickgold, R., Malia, A., Maguire, D., Roddenberry, D., & O'Connor, M. (2000) · Science · doi:10.1126/science.290.5490.350 · Cited by 261 · see citing works
A SIMPLE STUDY OF AWARENESS AND DREAMING DURING ANAESTHESIA
Brice, D., Hetherington, R., & Utting, J. (1970) · British Journal of Anaesthesia · doi:10.1093/bja/42.6.535 · Cited by 253 · see citing works
Datta, S., & Siwek, D. F. (2002) · Journal of Neuroscience Research · doi:10.1002/jnr.10405 · Cited by 235 · see citing works
Corticofugal fibres to the brain-stem reticular formation; an experimental study in the cat.
Rossi, G., & Brodal, A. (1956) · PubMed · Cited by 221 · see citing works
Stage 4 Sleep: Influence of Time Course Variables
Webb, W. B., & Agnew, H. W. (1971) · Science · doi:10.1126/science.174.4016.1354 · Cited by 215 · see citing works
Cholinergic–Monoaminergic Interactions in the Brain
(1978) · Elsevier eBooks · doi:10.1016/b978-0-12-147850-6.x5001-6 · Cited by 206 · see citing works
Brainstem control of the events of rem sleep
Vertes, R. P. (1984) · Progress in Neurobiology · doi:10.1016/0301-0082(84)90020-0 · Cited by 187 · see citing works
Steriade, M., Oakson, G., & Ropert, N. (1982) · Experimental Brain Research · doi:10.1007/bf00238096 · Cited by 185 · see citing works
PROJECTIONS FROM CORTEX TO CEPHALIC BRAIN STEM (RETICULAR FORMATION) IN MONKEY
French, J. D., Hernández-Pen, R., & Livingston, R. B. (1955) · Journal of Neurophysiology · doi:10.1152/jn.1955.18.1.74 · Cited by 184 · see citing works
Children's dreaming and the development of consciousness
Foulkes, D. (1999) · Choice Reviews Online · doi:10.5860/choice.36-6569 · Cited by 179 · see citing works
Hypothalamic regulation of sleep and arousal
McGinty, D. (2003) · Frontiers in bioscience · doi:10.2741/1159 · Cited by 178 · see citing works
Functional Organization of the Somatosensory Cortical Layer 6 Feedback to the Thalamus
Lam, Y., & Sherman, S. M. (2009) · Cerebral Cortex · doi:10.1093/cercor/bhp077 · Cited by 147 · see citing works
Gamma EEG dynamics in neocortex and hippocampus during human wakefulness and sleep
Cantero, J. L., Atienza, M., Madsen, J. R., & Stickgold, R. (2004) · NeuroImage · doi:10.1016/j.neuroimage.2004.03.014 · Cited by 143 · see citing works
CORTICOFUGAL PROJECTIONS TO THE BRAIN STEM
Jasper, H. H. (1952) · Archives of Neurology And Psychiatry · doi:10.1001/archneurpsyc.1952.02320140023003 · Cited by 135 · see citing works
Rauchs, G., Feyers, D., Landeau, B., Bastin, C., Luxen, A., Maquet, P., & Collette, F. (2011) · The Journal of Neuroscience · doi:10.1523/jneurosci.3972-10.2011 · Cited by 121 · see citing works
Steriade, M. (1993) · Current Opinion in Neurobiology · doi:10.1016/0959-4388(93)90064-6 · Cited by 121 · see citing works
Neuronal activity in the peribrachial area: Relationship to behavioral state control
Datta, S. (1995) · Neuroscience & Biobehavioral Reviews · doi:10.1016/0149-7634(94)00043-z · Cited by 115 · see citing works
Cortical unit activity in sleep and waking
Hobson, J. A., & McCarley, R. W. (1971) · Electroencephalography and Clinical Neurophysiology · doi:10.1016/0013-4694(71)90271-9 · Cited by 113 · see citing works
Unihemispheric slow-wave sleep in the Amazonian dolphin, Inia geoffrensis
Mukhametov, L. M. (1987) · Neuroscience Letters · doi:10.1016/0304-3940(87)90684-7 · Cited by 109 · see citing works
Sleep in schizophrenia: A polysomnographic study on drug-naive patients
Lauer, C. (1997) · Neuropsychopharmacology · doi:10.1016/s0893-133x(96)00159-5 · Cited by 107 · see citing works
Focal Stimulation of the Thalamic Reticular Nucleus Induces Focal Gamma Waves in Cortex
MacDonald, K. D., Fifkova´, E., Jones, M. S., & Barth, D. S. (1998) · Journal of Neurophysiology · doi:10.1152/jn.1998.79.1.474 · Cited by 95 · see citing works
Gentet, L. J., & Ulrich, D. (2003) · The Journal of Physiology · doi:10.1113/jphysiol.2002.032730 · Cited by 90 · see citing works
Relationship between sleep and eye state in Cetaceans and Pinnipeds.
Lyamin, O. I., Mukhametov, L. M., & Siegel, J. M. (2004) · PubMed · Cited by 78 · see citing works
Hart, E. (1991) · PubMed · Cited by 76 · see citing works
Jacobs, B. L., & Jones, B. E. (1978) · Elsevier eBooks · doi:10.1016/b978-0-12-147850-6.50019-2 · Cited by 73 · see citing works
(1991) · Cited by 70 · see citing works
Eccles, J. C. (1984) · Cerebral cortex · doi:10.1007/978-1-4615-6610-6_1 · Cited by 66 · see citing works
Distribution of REM latency in depression.
Coble, P. A., Kupfer, D. J., & Shaw, D. H. (1981) · PubMed · Cited by 61 · see citing works
REM sleep suppression induced by selective monoamine oxidase inhibitors
Cohen, R. M., Pickar, D., Garnett, D., Lipper, S., Gillin, J. C., & Murphy, D. L. (1982) · Psychopharmacology · doi:10.1007/bf00432251 · Cited by 58 · see citing works
Steriade, M., Kitsikis, A., & Oakson, G. (1978) · SLEEP · doi:10.1093/sleep/1.4.339 · Cited by 56 · see citing works
Dreaming and the brain: Toward a cognitive neuroscience of conscious states
Hobson, J. A., Pace‐Schott, E. F., & Stickgold, R. (2001) · Cambridge University Press eBooks · doi:10.1017/cbo9780511615511.003 · Cited by 56 · see citing works
A neural mechanism of sleep and wakefulness
Sakai, K., & Crochet, S. (2003) · Sleep and Biological Rhythms · doi:10.1046/j.1446-9235.2003.00004.x · Cited by 50 · see citing works
A life-sustaining function for REM sleep: A theory
Vertes, R. P. (1986) · Neuroscience & Biobehavioral Reviews · doi:10.1016/0149-7634(86)90002-3 · Cited by 47 · see citing works
Function of the Thalamic Reticular Complex: The Searchlight Hypothesis
Crick, F. (2003) · The MIT Press eBooks · doi:10.7551/mitpress/2834.003.0023 · Cited by 46 · see citing works
Cantero, J. L., Atienza, M., Salas, R. M., & Dominguez-Marin, E. (2002) · Journal of Neuroscience · doi:10.1523/jneurosci.22-11-04702.2002 · Cited by 38 · see citing works
Evrard, A., & Ropert, N. (2009) · Journal of Neuroscience · doi:10.1523/jneurosci.1671-09.2009 · Cited by 37 · see citing works
Nielsen, T. (2000) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00974028 · Cited by 36 · see citing works
Overdose of Tricyclic Anti-Depressants and Deductions Concerning their Cerebral Action
LEWIS, S. A., & Oswald, I. (1969) · The British Journal of Psychiatry · doi:10.1192/bjp.115.529.1403 · Cited by 35 · see citing works
Prudom, A. E., & Klemm, W. R. (1973) · Physiology & Behavior · doi:10.1016/0031-9384(73)90310-7 · Cited by 32 · see citing works
Self-citationAscending and descending excitatory influences in the brain stem reticulum: A re-examination
Klemm, W. R. (1972) · Brain Research · doi:10.1016/0006-8993(72)90753-6 · Cited by 31 · see citing works
Self-citationNielsen, T. (2001) · Cambridge University Press eBooks · doi:10.1017/cbo9780511615511.005 · Cited by 30 · see citing works
Sleep and Paradoxical Sleep in Ruminants.
Klemm, W. R. (1966) · Experimental Biology and Medicine · doi:10.3181/00379727-121-30850 · Cited by 21 · see citing works
Self-citationLangheim, F. J. P., Murphy, M., Riedner, B. A., & Tononi, G. (2011) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2011.00911.x · Cited by 20 · see citing works
Schwab, K., Groh, T., Schwab, M., & Witte, H. (2009) · Chaos An Interdisciplinary Journal of Nonlinear Science · doi:10.1063/1.3100546 · Cited by 18 · see citing works
The origin of brainstem afferents of the paramedian pontine reticular formation in the cat
Leichnetz, G. R., Gonzalo‐Ruiz, A., DeSalles, A. A. F., & Hayes, R. L. (1987) · Brain Research · doi:10.1016/0006-8993(87)90951-6 · Cited by 18 · see citing works
Be caught napping: you're doing more than resting your eyes
Maquet, P., Peigneux, P., Laureys, S., & Smith, C. T. (2002) · Nature Neuroscience · doi:10.1038/nn0702-618 · Cited by 16 · see citing works
Klemm, W. R. (2011) · Springer eBooks · doi:10.1007/978-94-007-1097-9 · Cited by 12 · see citing works
Self-citationGamma EEG dynamics in neocortex and hippocampus during human wakefulness and sleep
Cantero, J. L. (2004) · NeuroImage · doi:10.1016/s1053-8119(04)00168-5 · Cited by 8 · see citing works
Bremer, F., & Terzuolo, C. A. (1953) · PubMed · Cited by 7 · see citing works
Atoms of Mind: The "Ghost in the Machine" Materializes
Klemm, W. R. (2012) · Medical Entomology and Zoology · Cited by 5 · see citing works
Self-citationStolerman, I. P., & Price, L. H. (2015) · Springer eBooks · doi:10.1007/978-3-642-36172-2_200632 · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 9
- Bremer F. Terzuolo C. (1953). Interaction de l'écorce cérébrale et de la formation réticularée du tronc cerebral dans le mechanism de l'éveil et du maintien de l'activité vigile. J. Physiol. Pathol. Gén. 45, 56– 57 13062134
- Dement W. C. Mitler M. M. (1974). “An introduction to sleep,” in Basic Sleep Mechanisms, eds Petre-Quadens O. Schlag J. D. (New York: Academic Press), 271– 296
- Evarts E. V. (1967). “Unit activity in sleep and wakefulness,” in The Neurosciences – A Study Program, eds Quarton G. C. Melnechuk T. Schmitt F. O. (New York: Rockefeller University Press), 545– 556
- Klemm W. R. (1990a). “The behavioral readiness response,” in Brainstem Mechanisms of Behavior, eds Klemm W. R. Vertes R. P. (New York: John Wiley and Sons), 105– 145
- Petre-Quadens O. (1974). “Sleep in the human newborn,” in Basic Sleep Mechanisms, eds Petre-Quadens O. Schlag J. D. (New York: Academic Press), 355– 376
- Sakai K. (1980). “Some anatomical and physiological properties of ponto-mesencephalic tegmental neurons with special reference to PGO waves and postural atonia during paradoxical sleep,” in The Reticular Formation Revisited, eds Hobson J. A. Brazier M. A. B. (New York: Raven Press), 427– 447
- Vertes R. P. (1990). “Brainstem mechanisms of slow-wave sleep and REM sleep,” in Brainstem Mechanisms of Behavior, eds Klemm W. R. Vertes R. P. (New York: Wiley and Sons), 535– 584
- Weitzman E. (1972). “Periodicity in sleep and waking states,” in The Sleeping Brain. Perspectives in the Brain Sciences, Vol. 1, ed. Chase M. H. (Los Angeles: University of California), 193– 238
- Yingling C. D. Skinner J. E. (1977). “Gating of thalamic input to cerebral cortex by nucleus reticularis thalami,” in Prog. Clin. Neurophysiol., Vol. 1, Attention, Voluntary Contraction and Event-related Cerebral Potentials, ed. Desmedt J. E. (Basel: Karger), 70– 96
Cited by
Sorted by citations
Brain Connectivity Analysis: A Short Survey
Lang, E. W., Tomé, A. M., Keck, I. R., Górriz, J. M., & Puntonet, C. G. (2012) · Computational Intelligence and Neuroscience · doi:10.1155/2012/412512 · Cited by 168 · see citing works
Feige, B., Nanovska, S., Baglioni, C., Bier, B., Cabrera, L., Diemers, S., Quellmalz, M., Siegel, M., Xeni, I., Szentkirályi, A., et al. (2018) · SLEEP · doi:10.1093/sleep/zsy032 · Cited by 80 · see citing works
REM Sleep: An Unknown Indicator of Sleep Quality
Barbato, G. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182412976 · Cited by 79 · see citing works
Hambrecht‐Wiedbusch, V. S., Li, D., & Mashour, G. A. (2017) · Anesthesiology · doi:10.1097/aln.0000000000001512 · Cited by 64 · see citing works
Event-related potentials in insomnia reflect altered perception of sleep
Feige, B., Baglioni, C., Boehm, P., Heinrich, A., Trumm, S., Benz, F., Nissen, C., Domschke, K., Frase, L., & Riemann, D. W. (2021) · SLEEP · doi:10.1093/sleep/zsab137 · Cited by 34 · see citing works
Solheim, B., Langsrud, K., Kallestad, H., Engstrøm, M., Bjorvatn, B., & Sand, T. (2018) · Sleep Medicine · doi:10.1016/j.sleep.2018.03.001 · Cited by 18 · see citing works
Houldin, E., Fang, Z., Ray, L. B., Owen, A. M., & Fogel, S. M. (2018) · SLEEP · doi:10.1093/sleep/zsy235 · Cited by 18 · see citing works
Haskell, B., Eiler, A., & Essien, H. (2025) · Arthroscopy Sports Medicine and Rehabilitation · doi:10.1016/j.asmr.2025.101077 · Cited by 16 · see citing works
Barone, D. A., & Krieger, A. C. (2015) · AIMS neuroscience · doi:10.3934/neuroscience.2015.2.71 · Cited by 18 · see citing works
Solheim, B., Langsrud, K., Kallestad, H., Olsen, A., Bjorvatn, B., & Sand, T. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2014.05.024 · Cited by 14 · see citing works
Theory of Mind: Towards an Evolutionary Theory
Tsoukalas, I. (2017) · Evolutionary Psychological Science · doi:10.1007/s40806-017-0112-x · Cited by 16 · see citing works
Mader, E. C., & Mader, A. C. L. (2016) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2016.05.025 · Cited by 11 · see citing works
The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review
Holland-Winkler, A. M., Greene, D. R., & Oberther, T. J. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13082169 · Cited by 9 · see citing works
Snoozing: an examination of a common method of waking
Mattingly, S. M., Martinez, G. J., Young, J., Cain, M. K., & Striegel, A. (2022) · SLEEP · doi:10.1093/sleep/zsac184 · Cited by 8 · see citing works
REM sleep vs exploratory wakefulness: Alternatives within adult ‘sleep debt’?
Horne, J. (2019) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2019.101252 · Cited by 7 · see citing works
In Search of a Good Night's Sleep
Leahy, L. G. (2017) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20170919-02 · Cited by 5 · see citing works
Assessing unconsciousness in livestock at slaughter
Verhoeven, M. (2016) · doi:10.18174/388582 · Cited by 5 · see citing works
Neurobiological Perspectives on Agency: Ten Axioms and Ten Propositions
Klemm, W. R. (2014) · Springer eBooks · doi:10.1007/978-3-319-10130-9_4 · Cited by 4 · see citing works
Self-citationAdams, G. J., & O’Brien, P. A. (2023) · Neurobiology of Sleep and Circadian Rhythms · doi:10.1016/j.nbscr.2023.100100 · Cited by 1 · see citing works
Health effects of noise and air pollution : empirical investigations
Beghelli, S. (2018) · Cited by 1 · see citing works
Electrodermal activity during napping and its relationship with performances on a reaction time task
Analbers, D. A. C. (2013)
Playing with reality: representing the baby
Hill, C. A. (2014) · Swinburne figshare (Swinburne University of Technology) · doi:10.25916/sut.26273812
Generating Timed Artificial Dream Action(TADA) as the Inverse Process of Freud
A., M. (2018) · International Journal of Computer Applications · doi:10.5120/ijca2018918131
(2016) · Elsevier eBooks · doi:10.1016/b978-0-12-805153-5.00015-8
How does the brain “know” when it has had enough sleep? A hypothesis
Balkin, T. J., & Braun, A. R. (2026) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2026.102230
The Sentinel Sleep Theory: Unweaving the biological function of REM sleep
Spinassi, R. (2026) · Sleep Medicine X · doi:10.1016/j.sleepx.2026.100186
Leong, W. B. (2015) · University of Birmingham Institutional Research Archive (University of Birmingham)
- Authors
- Klemm, W. R.
- Affiliations
- Texas A&M University (US)
- Corresponding author
- Klemm, W. R.
- ORCID
- Klemm, W. R.
- Venue
- Frontiers in Systems Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2011
- Volume
- 5
- Pages
- 73-73
- ISSN
- 1662-5137 (ISSN-L)
- PMC
- PMC3166790
- OpenAlex
- W2021499094
- Cited by
- 27
- References
- 92
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2019: 1 · 2018: 5 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 1 · 2012: 1
- FWCI
- 0.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Systems Neuroscience (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Philosophy and Theoretical Science
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- REM sleep, sleep stages, slow-wave sleep, dream consciousness, consciousness, sleep-wake transition, sleep disorders
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