Lucid Dreaming in Narcolepsy

People with narcolepsy are far more likely to experience lucid dreaming—being aware that they are dreaming while still asleep—than healthy individuals. In a case-control study, 77.4% of 53 narcolepsy patients reported having lucid dreams, compared to 49.1% of 53 controls, averaging 7.6 lucid dreams per month versus 0.3. During monitored naps, 7 of 12 narcoleptic frequent lucid dreamers (but none of 5 controls) successfully signaled from a lucid REM sleep state. Brain wave analysis showed lower delta, theta, and alpha power and reduced frontal coherence during lucid versus non-lucid REM sleep, along with longer REM duration. The findings suggest narcolepsy provides a useful model for studying lucid dreaming.

Study at a glance

Abstract

OBJECTIVE: To evaluate the frequency, determinants and sleep characteristics of lucid dreaming in narcolepsy. SETTINGS: University hospital sleep disorder unit. DESIGN: Case-control study. PARTICIPANTS: Consecutive patients with narcolepsy and healthy controls. METHODS: Participants were interviewed regarding the frequency and determinants of lucid dreaming. Twelve narcolepsy patients and 5 controls who self-identified as frequent lucid dreamers underwent nighttime and daytime sleep monitoring after being given instructions regarding how to give an eye signal when lucid. RESULTS: Compared to 53 healthy controls, the 53 narcolepsy patients reported more frequent dream recall, nightmares and recurrent dreams. Lucid dreaming was achieved by 77.4% of narcoleptic patients and 49.1% of controls (P < 0.05), with an average of 7.6±11 vs. 0.3±0.8 lucid dreams/ month (P < 0.0001). The frequency of cataplexy, hallucinations, sleep paralysis, dyssomnia, HLA positivity, and the severity of sleepiness were similar in narcolepsy with and without lucid dreaming. Seven of 12 narcoleptic (and 0 non-narcoleptic) lucid dreamers achieved lucid REM sleep across a total of 33 naps, including 14 episodes with eye signal. The delta power in the electrode average, in delta, theta, and alpha powers in C4, and coherences between frontal electrodes were lower in lucid than non-lucid REM sleep in spectral EEG analysis. The duration of REM sleep was longer, the REM sleep onset latency tended to be shorter, and the percentage of atonia tended to be higher in lucid vs. non-lucid REM sleep; the arousal index and REM density and amplitude were unchanged. CONCLUSION: Narcolepsy is a novel, easy model for studying lucid dreaming.