Relationships between sleep paralysis and sleep quality: current insights

Dan Denis1,2 1Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA, USA; 2Department of Psychiatry, Harvard Medical School, Boston, MA, USA Abstract: Sleep paralysis is the unusual experience of waking up in the night without the ability to move. Currently little is known about...

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Main Author: Denis D
Format: Article
Language:English
Published: Dove Medical Press 2018-11-01
Series:Nature and Science of Sleep
Subjects:
Online Access:https://www.dovepress.com/relationships-between-sleep-paralysis-and-sleep-quality-current-insigh-peer-reviewed-article-NSS
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author Denis D
author_facet Denis D
author_sort Denis D
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description Dan Denis1,2 1Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA, USA; 2Department of Psychiatry, Harvard Medical School, Boston, MA, USA Abstract: Sleep paralysis is the unusual experience of waking up in the night without the ability to move. Currently little is known about the experience, despite the fact that the vast majority of episodes are associated with extreme fear and in a minority of cases can lead to clinically significant levels of distress. The aim of this work was to review the existing literature pertaining to the relationship sleep paralysis has to sleep more generally, measured both with subjective questionnaires and objective laboratory recordings. In terms of subjective sleep variables, worse sleep quality has been found in multiple studies to be associated with increased odds of sleep paralysis occurrence. In addition, insomnia symptoms (but not a diagnosed insomnia disorder) have also been found to predict sleep paralysis. Associations between sleep paralysis and other unusual and/or threatening sleep experiences such as nightmares, exploding head syndrome, and lucid dreaming have been reported. In terms of objective measurements, the limited literature to date shows sleep paralysis to be a “mixed” state of consciousness, combining elements of rapid eye movement sleep with elements of wakefulness. Future research needs to focus on longitudinal designs to disentangle the direction of effects and more typically employ a broader assessment of sleep paralysis that better captures associated features such as hallucinations, fear, and distress. Keywords: parasomnia, incubus, hypnagogic, hypnopompic
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spelling doaj.art-ef3aa0e1c2a647668e74d843c1ca327b2022-12-21T23:00:01ZengDove Medical PressNature and Science of Sleep1179-16082018-11-01Volume 1035536741997Relationships between sleep paralysis and sleep quality: current insightsDenis DDan Denis1,2 1Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA, USA; 2Department of Psychiatry, Harvard Medical School, Boston, MA, USA Abstract: Sleep paralysis is the unusual experience of waking up in the night without the ability to move. Currently little is known about the experience, despite the fact that the vast majority of episodes are associated with extreme fear and in a minority of cases can lead to clinically significant levels of distress. The aim of this work was to review the existing literature pertaining to the relationship sleep paralysis has to sleep more generally, measured both with subjective questionnaires and objective laboratory recordings. In terms of subjective sleep variables, worse sleep quality has been found in multiple studies to be associated with increased odds of sleep paralysis occurrence. In addition, insomnia symptoms (but not a diagnosed insomnia disorder) have also been found to predict sleep paralysis. Associations between sleep paralysis and other unusual and/or threatening sleep experiences such as nightmares, exploding head syndrome, and lucid dreaming have been reported. In terms of objective measurements, the limited literature to date shows sleep paralysis to be a “mixed” state of consciousness, combining elements of rapid eye movement sleep with elements of wakefulness. Future research needs to focus on longitudinal designs to disentangle the direction of effects and more typically employ a broader assessment of sleep paralysis that better captures associated features such as hallucinations, fear, and distress. Keywords: parasomnia, incubus, hypnagogic, hypnopompichttps://www.dovepress.com/relationships-between-sleep-paralysis-and-sleep-quality-current-insigh-peer-reviewed-article-NSSparasomniaincubushypnagogichypnopompic
spellingShingle Denis D
Relationships between sleep paralysis and sleep quality: current insights
Nature and Science of Sleep
parasomnia
incubus
hypnagogic
hypnopompic
title Relationships between sleep paralysis and sleep quality: current insights
title_full Relationships between sleep paralysis and sleep quality: current insights
title_fullStr Relationships between sleep paralysis and sleep quality: current insights
title_full_unstemmed Relationships between sleep paralysis and sleep quality: current insights
title_short Relationships between sleep paralysis and sleep quality: current insights
title_sort relationships between sleep paralysis and sleep quality current insights
topic parasomnia
incubus
hypnagogic
hypnopompic
url https://www.dovepress.com/relationships-between-sleep-paralysis-and-sleep-quality-current-insigh-peer-reviewed-article-NSS
work_keys_str_mv AT denisd relationshipsbetweensleepparalysisandsleepqualitycurrentinsights