Relation of dreams to waking concerns

To test that dreams are influenced by the pre-sleep waking emotional concerns of the sleeper and have an effect on waking adaptation, 20 depressed and 10 control subjects, who were all going through a divorce, were enrolled in a repeated measures study lasting 5 months. A Current Concerns test was administered on three occasions before nights when every REM period was interrupted to record recalled mental content. The degree of waking concern about the ex-spouse correlated significantly with the number of dreams in which the former partner appeared as a dream character. Those who were in remission at the follow-up evaluation had a higher percentage of well-developed dreams than those who remained depressed. Dreams of the former spouse reported by those in remission differed from those who remained depressed in the expression of dream affect and in the within-dream linkage among units of associated memory material. Dreams of the former spouse that are reported by those who are not in remission lack affect and connection to other memories.

[1]  A. Giuditta,et al.  The Role of Sleep in Memory Processing: the Sequential Hypothesis , 2003 .

[2]  M. Young,et al.  Role of REM sleep and dream affect in overnight mood regulation: a study of normal volunteers , 1998, Psychiatry Research.

[3]  M. Hamilton.  A RATING SCALE FOR DEPRESSION , 1960, Journal of neurology, neurosurgery, and psychiatry.

[4]  W. Coryell,et al.  Major depression in a nonclinical sample. Demographic and clinical risk factors for first onset. , 1992, Archives of general psychiatry.

[5]  M. Kryger,et al.  Principles and Practice of Sleep Medicine , 1989 .

[6]  D J Kupfer,et al.  REM latency: a psychobiologic marker for primary depressive disease. , 1976, Biological psychiatry.

[7]  Pierre Maquet,et al.  Sleep and brain plasticity , 2003 .

[8]  D. Blazer,et al.  The NIMH Epidemiologic Catchment Area program. Historical context, major objectives, and study population characteristics. , 1984, Archives of general psychiatry.

[9]  J. Gillin,et al.  Successful separation of depressed, normal, and insomniac subjects by EEG sleep data. , 1979, Archives of general psychiatry.

[10]  A. Giuditta,et al.  Learning and sleep: the sequential hypothesis. , 2001, Sleep medicine reviews.

[11]  Meir H. Kryger,et al.  Principles and Practice of Sleep Medicine, 4th Edition , 2005 .

[12]  R. Cartwright.  Dreams that work: The relation of dream incorporation to adaptation to stressful events. , 1991 .

[13]  M. Weissman.  Advances in psychiatric epidemiology: rates and risks for major depression. , 1987, American journal of public health.

[14]  P. Indursky,et al.  Change of mood during sleep and REM sleep variables. , 1998, International journal of psychiatry in clinical practice.

[15]  Kenneth S. Kendler,et al.  Toward a comprehensive developmental model for major depression in women. , 2002 .

[16]  M. Kramer.  The selective mood regulatory function of dreaming: An update and revision. , 1993 .

[17]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[18]  E. Baehr,et al.  REM sleep reduction, mood regulation and remission in untreated depression , 2003, Psychiatry Research.

[19]  A. Rush,et al.  Dream recall and major depression: A preliminary report. , 1995 .

[20]  R. Cartwright.  The nature and function of repetitive dreams: a survey and speculation. , 1979, Psychiatry.

[21]  R. Hoffmann,et al.  The Functions of Dreaming , 1993 .

[22]  R. Cartwright.  Rapid eye movement sleep characteristics during and after mood-disturbing events. , 1983, Archives of general psychiatry.

[23]  Beatriz Luna,et al.  Increased activation of anterior paralimbic and executive cortex from waking to rapid eye movement sleep in depression. , 2004, Archives of general psychiatry.

[24]  The Rem Sleep Window and Memory Processing , 2003 .

[25]  J. Winson.  Brain And Psyche: The Biology Of The Unconscious , 1985 .

[26]  R. Stickgold,et al.  Sleep, Learning, and Dreams: Off-line Memory Reprocessing , 2001, Science.

[27]  A. Rush,et al.  Sleep EEG and dexamethasone suppression test findings in outpatients with unipolar major depressive disorders. , 1982, Biological psychiatry.