Insomnia and REM sleep instability

Author:

Feige Bernd12ORCID,Benz Fee12ORCID,Dressle Raphael J.12ORCID,Riemann Dieter12

Affiliation:

1. Department of Psychiatry and Psychotherapy, Section of Clinical Psychology and Psychophysiology Medical Center – University of Freiburg Freiburg Germany

2. Faculty of Medicine University of Freiburg Freiburg Germany

Abstract

SummaryIn this narrative review, we give an overview of the concept of rapid eye movement sleep instability and its reported implications in the context of insomnia. The term rapid eye movement sleep instability was coined to describe the observation of a modified rapid eye movement quality in insomnia, characterized by an increased tendency of perceiving rapid eye movement sleep as wake, a small but consistent rapid eye movement sleep reduction and an increased rapid eye movement sleep arousal index. Current research highlights relationships that are transdiagnostic in nature, corresponding to the known interaction of insomnia with many psychiatric disorders, and showing relationships to chronic stress and anxiety disorders.

Publisher

Wiley

Subject

Behavioral Neuroscience,Cognitive Neuroscience,General Medicine

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