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42 - REM sleep and emotion regulation

from Section VI - Disturbance in the REM sleep-generating mechanism

Published online by Cambridge University Press:  07 September 2011

Martin Desseilles
Affiliation:
University of Geneva
Virginie Sterpenich
Affiliation:
University of Geneva
Thien Thanh Dang-Vu
Affiliation:
Harvard Medical School
Sophie Schwartz
Affiliation:
University of Geneva
Birendra N. Mallick
Affiliation:
Jawaharlal Nehru University
S. R. Pandi-Perumal
Affiliation:
Somnogen Canada Inc, Toronto
Robert W. McCarley
Affiliation:
Harvard University, Massachusetts
Adrian R. Morrison
Affiliation:
University of Pennsylvania
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Summary

Summary

Despite substantial research focusing on the interaction between sleep and cognition, especially memory, the impact of sleep and sleep loss on affective and emotional regulation has comparatively attracted much less attention. This might be surprising considering that nearly all psychiatric and neurological disorders with impaired mood express co-occurring abnormalities of sleep, and that many sleep disorders are accompanied by mood disturbances, thus suggesting an intimate relationship between sleep and emotion. Yet, recent studies evaluating subjective as well as objective measures of mood and affect, combined with insights from clinical observations and neuroimaging research, offer new evidence for the emerging role of sleep in regulating emotional brain function. In this chapter, we review clinical and neuroimaging data that support the existence of such complex interactions between sleep and emotion regulation. We report that (1) sleep disorders are frequently associated with affective symptoms; (2) patients with mood disorders often present with sleep disturbances; (3) sleep deprivation may transitorily alleviate depressive symptoms; (4) dream experiences may be highly emotional; (5) brain regions involved in emotion processing and regulation, such as the limbic (e.g., amygdala, anterior cingulate cortex) and ventromedial prefrontal regions, are strongly activated during REM sleep; (6) subjective mood assessments exhibit a circadian modulation. New data also show that some hypothalamic neuropeptides (hypocretin/orexin) play a dual role in the stabilization of sleep–wake states and on mesolimbic dopamine activity, with significant effects on neural plasticity related to emotional learning, reward processing, and addiction. Together, these seemingly disparate observations converge to indicate a physiological interplay between sleep–wake and emotional brain functions serving the modulation, the preparation, and the optimization of waking behavior.

Type
Chapter
Information
Rapid Eye Movement Sleep
Regulation and Function
, pp. 427 - 436
Publisher: Cambridge University Press
Print publication year: 2011

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