Sleep and dream disturbances associated with dissociative experiences.

People who have more dissociative experiences during the day also tend to have more nightmares, lucid dreams, and beliefs in paranormal phenomena, and they take longer to fall asleep. The coherence and perspective of dreams—specifically how stable and first-person the dreamed self feels—predicts about 26% of the variation in dissociative symptoms. These findings suggest that REM sleep intruding into waking consciousness may contribute to some dissociative experiences. The results come from 219 volunteers who completed surveys including the Dissociative Experiences Scale, plus dream reports and sleep measures from a subgroup. The authors propose that dream content stability could be a useful indicator of dissociative tendencies and that treating nightmare distress might help reduce dissociation.

Study at a glance

Abstract

Some dissociative experiences may be related, in part, to REM intrusion into waking consciousness. If so, some aspects of dream content may be associated with daytime dissociative experiences. We tested the hypothesis that some types of dream content would predict daytime dissociative symptomology. As part of a longitudinal study of the impact of dreams on everyday behavior we administered a battery of survey instruments to 219 volunteers. Assessments included the Dissociative Experiences Scale (DES), along with other measures known to be related to either REM intrusion effects or dissociative experiences. We also collected dream reports and sleep measures across a two-week period from a subgroup of the individuals in the baseline group. Of this subgroup we analyzed two different subsamples; 24 individuals with dream recall for at least half the nights in the two-week period; and 30 individuals who wore the DREEM Headband which captured measures of sleep architecture. In addition to using multiple regression analyses to quantify associations between DES and REM intrusion and dream content variables we used a split half procedure to create high vs low DES groups and then compared groups across all measures. Participants in the high DES group evidenced significantly greater nightmare distress scores, REM Behavior Disorder scores, paranormal beliefs, lucid dreams, and sleep onset times. Validated measures of dreamed first person perspective and overall dream coherence in a time series significantly predicted overall DES score accounting for 26% of the variance in dissociation. Dream phenomenology and coherence of the dreamed self significantly predicts dissociative symptomology as an individual trait. REM intrusion may be one source of dissociative experiences. Attempts to ameliorate dissociative symptoms or to treat nightmare distress should consider the stability of dream content as a viable indicator of dissociative tendencies.