The role of sleep in emotional brain function

Annu Rev Clin Psychol. 2014:10:679-708. doi: 10.1146/annurev-clinpsy-032813-153716. Epub 2014 Jan 31.

Abstract

Rapidly emerging evidence continues to describe an intimate and causal relationship between sleep and emotional brain function. These findings are mirrored by long-standing clinical observations demonstrating that nearly all mood and anxiety disorders co-occur with one or more sleep abnormalities. This review aims to (a) provide a synthesis of recent findings describing the emotional brain and behavioral benefits triggered by sleep, and conversely, the detrimental impairments following a lack of sleep; (b) outline a proposed framework in which sleep, and specifically rapid-eye movement (REM) sleep, supports a process of affective brain homeostasis, optimally preparing the organism for next-day social and emotional functioning; and (c) describe how this hypothesized framework can explain the prevalent relationships between sleep and psychiatric disorders, with a particular focus on posttraumatic stress disorder and major depression.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Anxiety Disorders / physiopathology
  • Anxiety Disorders / psychology
  • Depressive Disorder, Major / physiopathology
  • Depressive Disorder, Major / psychology*
  • Humans
  • Mental Disorders / physiopathology
  • Mental Disorders / psychology
  • Mood Disorders / physiopathology
  • Mood Disorders / psychology
  • Sleep / physiology
  • Sleep Wake Disorders / physiopathology
  • Sleep Wake Disorders / psychology*
  • Sleep, REM / physiology*
  • Stress Disorders, Post-Traumatic / physiopathology
  • Stress Disorders, Post-Traumatic / psychology*