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Sleep and emotions - Wikipedia
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class="vector-toc-numb">3.1</span> <span>Dreams after Stress</span> </div> </a> <ul id="toc-Dreams_after_Stress-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Circadian_Rhythm_and_Emotions" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Circadian_Rhythm_and_Emotions"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Circadian Rhythm and Emotions</span> </div> </a> <ul id="toc-Circadian_Rhythm_and_Emotions-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-References" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#References"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>References</span> </div> </a> <ul id="toc-References-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" 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height="231" class="mw-file-element" data-file-width="213" data-file-height="231" /></a><figcaption></figcaption></figure> <p><a href="/wiki/Emotion" title="Emotion">Emotions</a> play a key role in overall <a href="/wiki/Mental_health" title="Mental health">mental health</a>,<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> and <a href="/wiki/Sleep" title="Sleep">sleep</a> plays a crucial role in maintaining the optimal <a href="/wiki/Homeostasis" title="Homeostasis">homeostasis</a> of emotional functioning.<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> Deficient sleep, both in the form of <a href="/wiki/Sleep_deprivation" title="Sleep deprivation">sleep deprivation</a> and restriction, adversely impacts emotion generation, <a href="/wiki/Emotional_self-regulation" title="Emotional self-regulation">emotion regulation</a>, and <a href="/wiki/Emotional_expression" title="Emotional expression">emotional expression</a>.<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup> </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Models_of_sleep_loss_and_emotional_reactivity">Models of sleep loss and emotional reactivity</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Sleep_and_emotions&action=edit&section=1" title="Edit section: Models of sleep loss and emotional reactivity"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Scientists offer two explanations for the effects of sleep loss on emotions. One explanation is that sleep loss causes <a href="/wiki/Disinhibition" title="Disinhibition">disinhibition</a> of emotional brain regions, leading to an overall increase in emotional intensity<sup id="cite_ref-:0_5-0" class="reference"><a href="#cite_note-:0-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup> (also referred to as Dysregulation Model). The other explanation describes how sleep loss causes an increase in <a href="/wiki/Fatigue_(medical)" class="mw-redirect" title="Fatigue (medical)">fatigue</a> and sleepiness, coupled with an overall decrease in energy and arousal, leading to an overall decrease in emotional intensity<sup id="cite_ref-:1_6-0" class="reference"><a href="#cite_note-:1-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup> (also referred to as Fatigue Model). </p> <div class="mw-heading mw-heading3"><h3 id="The_dysregulation_model">The dysregulation model</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Sleep_and_emotions&action=edit&section=2" title="Edit section: The dysregulation model"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The dysregulation model is supported by neuroanatomical, physiological, and subjective self-report studies. Emotional brain regions (e.g. the <a href="/wiki/Amygdala" title="Amygdala">amygdala</a>) have shown 60% greater reactivity to emotionally negative photographs following one night of sleep deprivation, as measured by <a href="/wiki/Functional_magnetic_resonance_imaging" title="Functional magnetic resonance imaging">functional magnetic resonance imaging</a>.<sup id="cite_ref-:0_5-1" class="reference"><a href="#cite_note-:0-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup> Five days of sleep restriction (four hour sleep opportunity per night) caused a decrease in connectivity with cortical brain regions involved in the regulation of the amygdala.<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> Pupil diameter was shown to increase significantly in response to negative photographs following sleep deprivation.<sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup> When exposed to positive stimuli, sleep deprived participants showed amplified emotional reactivity throughout various <a href="/wiki/Midbrain" title="Midbrain">midbrain</a>, <a href="/wiki/Striatum" title="Striatum">striatal</a>, <a href="/wiki/Limbic_system" title="Limbic system">limbic</a>, and <a href="/wiki/Visual_cortex" title="Visual cortex">visual processing brain regions</a>.<sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> One night of sleep deprivation caused participants to judge neutral images more negatively than non sleep deprived participants.<sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup> One night of sleep loss also caused increased impulsivity to negative stimuli.<sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="The_fatigue_model">The fatigue model</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Sleep_and_emotions&action=edit&section=3" title="Edit section: The fatigue model"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The fatigue-model is supported by subjective self-report and physiological studies. Arousal, as measured by <a href="/wiki/Electroencephalography" title="Electroencephalography">electroencephalograph</a> (EEG), decreases as sleep loss increases,<sup id="cite_ref-:1_6-1" class="reference"><a href="#cite_note-:1-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup> leading to a decrease in the desire to perform and exert effort. Short-term sleep loss is associated with blunting in the recognition of negative and positive <a href="/wiki/Facial_expression" title="Facial expression">facial expressions</a>.<sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> Various forms of emotional expression, including facial and vocal expression, are adversely affected by sleep loss. Following one night of sleep deprivation, participants show decreased facial expressiveness in response to positive stimuli,<sup id="cite_ref-:3_13-0" class="reference"><a href="#cite_note-:3-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup> as well as decreased vocal expression of positive emotion.<sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup> Sleep deprivation slows the generation of facial reactions in response to emotional faces.<sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup> One to two nights of sleep loss in healthy adults is associated with a decrease in the generated intensity of positive <a href="/wiki/Mood_(psychology)" title="Mood (psychology)">moods</a> (i.e. <a href="/wiki/Happiness" title="Happiness">happiness</a> and activation), as well as an increase in the generated intensity of negative moods (i.e. <a href="/wiki/Anger" title="Anger">anger</a>, <a href="/wiki/Depression_(mood)" title="Depression (mood)">depression</a>, <a href="/wiki/Fear" title="Fear">fear</a>, and <a href="/wiki/Fatigue_(medical)" class="mw-redirect" title="Fatigue (medical)">fatigue</a>). Long-term chronic exposure to insufficient sleep is associated with a decline in <a href="/wiki/Optimism" title="Optimism">optimism</a> and sociability, and an increase in subjective experiences of sleepiness and fatigue.<sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">[</span>16<span class="cite-bracket">]</span></a></sup> Furthermore, sleep restricted to five hours a night over the course of a week causes significant increases in self-reports of subjective mood disturbance and sleepiness.<sup id="cite_ref-17" class="reference"><a href="#cite_note-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Sleep,_emotions,_and_psychiatric_ailments"><span id="Sleep.2C_emotions.2C_and_psychiatric_ailments"></span>Sleep, emotions, and psychiatric ailments</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Sleep_and_emotions&action=edit&section=4" title="Edit section: Sleep, emotions, and psychiatric ailments"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Deficient sleep patterns are prominent in many psychiatric ailments.<sup id="cite_ref-18" class="reference"><a href="#cite_note-18"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Insomnia" title="Insomnia">Insomnia</a> increases the risk of a <a href="/wiki/Major_depressive_episode" title="Major depressive episode">depressive episode</a>, sleep deprivation influences the onset of <a href="/wiki/Hypomania" title="Hypomania">hypomania</a>, and sleep disturbance contributes to the maintenance of <a href="/wiki/Mood_disorder" title="Mood disorder">mood disorders</a>.<sup id="cite_ref-:2_19-0" class="reference"><a href="#cite_note-:2-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> Amongst manic <a href="/wiki/Bipolar_disorder" title="Bipolar disorder">bipolar</a> patients, sleep loss may act as a trigger in the onset of a <a href="/wiki/Mania" title="Mania">manic episode</a>.<sup id="cite_ref-20" class="reference"><a href="#cite_note-20"><span class="cite-bracket">[</span>20<span class="cite-bracket">]</span></a></sup>  </p><p>Sleep patterns are affected by behavioral and emotional disorders, and aspects of emotional and cognitive well-being are influenced by sleep patterns.<sup id="cite_ref-21" class="reference"><a href="#cite_note-21"><span class="cite-bracket">[</span>21<span class="cite-bracket">]</span></a></sup> Scientists have examined the effects of deficient sleep patterns on emotion regulation in individuals diagnosed with <a href="/wiki/Mental_disorder" title="Mental disorder">mental disorders</a> ( e.g. depression and <a href="/wiki/Anxiety" title="Anxiety">anxiety</a>),<sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">[</span>22<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Borderline_personality_disorder" title="Borderline personality disorder">borderline personality disorder</a>, bipolar disorder,<sup id="cite_ref-:2_19-1" class="reference"><a href="#cite_note-:2-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> and <a href="/wiki/Panic_disorder" title="Panic disorder">panic disorder</a>.<sup id="cite_ref-:4_23-0" class="reference"><a href="#cite_note-:4-23"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup> Methods typically include observational, subjective, behavioral, and physiological measures of emotional functioning.<sup id="cite_ref-:5_24-0" class="reference"><a href="#cite_note-:5-24"><span class="cite-bracket">[</span>24<span class="cite-bracket">]</span></a></sup> </p><p>Emotion regulation difficulties are associated with greater symptoms of depression, anxiety,<sup id="cite_ref-25" class="reference"><a href="#cite_note-25"><span class="cite-bracket">[</span>25<span class="cite-bracket">]</span></a></sup> and borderline personality, that worsen with poor sleep patterns. <a href="/wiki/Heart_rate_variability" title="Heart rate variability">Heart rate variability</a> (HRV) is described as the time interval between heartbeats, and is linked to emotion regulation capacity,<sup id="cite_ref-26" class="reference"><a href="#cite_note-26"><span class="cite-bracket">[</span>26<span class="cite-bracket">]</span></a></sup> with higher resting HRV is associated with greater emotion regulation capacity, and lower resting HRV is associated with low emotion regulation capacity.<sup id="cite_ref-27" class="reference"><a href="#cite_note-27"><span class="cite-bracket">[</span>27<span class="cite-bracket">]</span></a></sup> Physiological data suggests that HRV is negatively affected by sleep loss,<sup id="cite_ref-:5_24-1" class="reference"><a href="#cite_note-:5-24"><span class="cite-bracket">[</span>24<span class="cite-bracket">]</span></a></sup> as seen in panic disorder patients with poor sleep quality who display increased <a href="/wiki/Cognitive_inhibition" title="Cognitive inhibition">cognitive inhibition</a> due to reduced HRV.<sup id="cite_ref-:4_23-1" class="reference"><a href="#cite_note-:4-23"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup> Emotion dysregulation has also been shown to play a role in the maintenance of <a href="/wiki/Generalized_anxiety_disorder" title="Generalized anxiety disorder">generalized anxiety disorder</a>,<sup id="cite_ref-28" class="reference"><a href="#cite_note-28"><span class="cite-bracket">[</span>28<span class="cite-bracket">]</span></a></sup> panic disorder,<sup id="cite_ref-29" class="reference"><a href="#cite_note-29"><span class="cite-bracket">[</span>29<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Obsessive%E2%80%93compulsive_disorder" title="Obsessive–compulsive disorder">obsessive-compulsive disorder</a>,<sup id="cite_ref-30" class="reference"><a href="#cite_note-30"><span class="cite-bracket">[</span>30<span class="cite-bracket">]</span></a></sup> and <a href="/wiki/Posttraumatic_stress_disorder" class="mw-redirect" title="Posttraumatic stress disorder">posttraumatic stress disorder</a>.<sup id="cite_ref-31" class="reference"><a href="#cite_note-31"><span class="cite-bracket">[</span>31<span class="cite-bracket">]</span></a></sup> Overall deficient sleep plays a role in dampening emotions in clinical populations already susceptible to emotion dysregulation, as well as maintaining various psychiatric conditions through contributing to emotion dysfunction.<sup id="cite_ref-32" class="reference"><a href="#cite_note-32"><span class="cite-bracket">[</span>32<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Children_and_emotional_Development">Children and emotional Development</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Sleep_and_emotions&action=edit&section=5" title="Edit section: Children and emotional Development"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Several important emotional characteristics that develop in childhood have been linked to sleep quality and duration, for example approachability, adaptability and attachment.<sup id="cite_ref-33" class="reference"><a href="#cite_note-33"><span class="cite-bracket">[</span>33<span class="cite-bracket">]</span></a></sup> Sleep disruption has been argued to play a role in crying frequency. Crying was interpreted as an early form of a behavioral dysregulation and has therefore been linked to emotion regulation.<sup id="cite_ref-34" class="reference"><a href="#cite_note-34"><span class="cite-bracket">[</span>34<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Dreaming_as_a_Mood-Regulation_System">Dreaming as a Mood-Regulation System</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Sleep_and_emotions&action=edit&section=6" title="Edit section: Dreaming as a Mood-Regulation System"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>It is hypothesized that dreaming might be a way of improving mood in non-clinical populations.<sup id="cite_ref-35" class="reference"><a href="#cite_note-35"><span class="cite-bracket">[</span>35<span class="cite-bracket">]</span></a></sup> The evidence for this phenomenon has been collected from home dream reports in psychotherapy and from laboratory dreams collected after waking a participant in a REM sleep phase.<sup id="cite_ref-36" class="reference"><a href="#cite_note-36"><span class="cite-bracket">[</span>36<span class="cite-bracket">]</span></a></sup> Adults often remember dreams which have a negative emotional component, whereby women recall more dreams than men and dream recall is associated with a higher level of anxiety and lighter sleep.<sup id="cite_ref-37" class="reference"><a href="#cite_note-37"><span class="cite-bracket">[</span>37<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Dreams_after_Stress">Dreams after Stress</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Sleep_and_emotions&action=edit&section=7" title="Edit section: Dreams after Stress"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In a study <sup id="cite_ref-38" class="reference"><a href="#cite_note-38"><span class="cite-bracket">[</span>38<span class="cite-bracket">]</span></a></sup> conducted with depressed and healthy adults and were able to show that in healthy subjects, dreaming was a way to positively influence mood and cope with stress at night. Dreams of depressed persons, however, might deteriorate their mood further. This study's interesting results are limited in generalizability due to the small sample and the lack of reported dreams by depressed patients. </p><p>Emotions are more apparent in stages of REM-sleep rather than other stages of sleep. <sup id="cite_ref-:6_39-0" class="reference"><a href="#cite_note-:6-39"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup> It was found that during REM-sleep negative emotions diminish.<sup id="cite_ref-:6_39-1" class="reference"><a href="#cite_note-:6-39"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup> After going through stages of REM-sleep, people with depression report feeling better, in a study done by Cartwright et al.<sup id="cite_ref-40" class="reference"><a href="#cite_note-40"><span class="cite-bracket">[</span>40<span class="cite-bracket">]</span></a></sup> Conversely, a theory proposed by Revonsuo<sup id="cite_ref-41" class="reference"><a href="#cite_note-41"><span class="cite-bracket">[</span>41<span class="cite-bracket">]</span></a></sup> states that when people experience negative emotions or negative events, when they sleep the REM-sleep replays such events, which is known as rehearsal.<sup id="cite_ref-:6_39-2" class="reference"><a href="#cite_note-:6-39"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup> During REM-sleep areas of the brain, the suborbital area, and the cortical area are responsible for emotion but also a suppression of arousing emotions are activated.<sup id="cite_ref-:6_39-3" class="reference"><a href="#cite_note-:6-39"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup> Scientists noticed a decrease in the hormone noradrenaline which is released into the body after a highly stimulating event.<sup id="cite_ref-:6_39-4" class="reference"><a href="#cite_note-:6-39"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup> People reported trouble falling asleep or sleeping consistently throughout the night when a stressful event was happening in their life, as observed by Åkerstedt.<sup id="cite_ref-42" class="reference"><a href="#cite_note-42"><span class="cite-bracket">[</span>42<span class="cite-bracket">]</span></a></sup> REM-sleep aids people with negative emotion or high stress.<sup id="cite_ref-:6_39-5" class="reference"><a href="#cite_note-:6-39"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Circadian_Rhythm_and_Emotions">Circadian Rhythm and Emotions</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Sleep_and_emotions&action=edit&section=8" title="Edit section: Circadian Rhythm and Emotions"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The circadian rhythm provides a person with a signal for when to sleep and when to wake up.<sup id="cite_ref-43" class="reference"><a href="#cite_note-43"><span class="cite-bracket">[</span>43<span class="cite-bracket">]</span></a></sup> If circadian rhythm and sleep-wake cycle are misaligned, this might lead to negative affect and emotional instability.<sup id="cite_ref-44" class="reference"><a href="#cite_note-44"><span class="cite-bracket">[</span>44<span class="cite-bracket">]</span></a></sup> It has been found that emotions vary depending on the circadian rhythm and the duration of how long one was awake.<sup id="cite_ref-45" class="reference"><a href="#cite_note-45"><span class="cite-bracket">[</span>45<span class="cite-bracket">]</span></a></sup> Circadian sleep-rhythm disorders like shift-work disorder or Jetlag-disorder have been found to similarly contribute to the Dysregulation of affect, with symptoms like irritability, anxiety, apathy and dysphoria.<sup id="cite_ref-46" class="reference"><a href="#cite_note-46"><span class="cite-bracket">[</span>46<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Sleep_and_emotions&action=edit&section=9" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text">Goldstein, A. N., & Walker, M. P. (2014). The Role of Sleep in Emotional Brain Function. <i>Annual Review of Clinical Psychology,</i> <i>10</i>(1), 679-708. <style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1146%2Fannurev-clinpsy-032813-153716">10.1146/annurev-clinpsy-032813-153716</a></span> </li> <li id="cite_note-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-2">^</a></b></span> <span class="reference-text">Dahl, R. E. (1996). The regulation of sleep and arousal: Development and psychopathology. <i>Development and Psychopathology,</i> <i>8</i>(01), 3. <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1017%2Fs0954579400006945">10.1017/s0954579400006945</a></span> </li> <li id="cite_note-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-3">^</a></b></span> <span class="reference-text">Gujar, N., Yoo, S., Hu, P., & Walker, M. P. (2011). Sleep deprivation amplifies reactivity of brain reward networks, biasing the appraisal of positive emotional experiences. <i>Journal of Neuroscience,</i> <i>31</i>(12), 4466-4474. <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1523%2Fjneurosci.3220-10.2011">10.1523/jneurosci.3220-10.2011</a></span> </li> <li id="cite_note-4"><span class="mw-cite-backlink"><b><a href="#cite_ref-4">^</a></b></span> <span class="reference-text">Palmer, C. A., & Alfano, C. A. (2016). Sleep and emotion regulation: An organizing, integrative review. <i>Sleep Medicine Reviews</i>.</span> </li> <li id="cite_note-:0-5"><span class="mw-cite-backlink">^ <a href="#cite_ref-:0_5-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-:0_5-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text">Yoo, S., Gujar, N., Hu, P., Jolesz, F. A., & Walker, M. P. (2007). The human emotional brain without sleep — a prefrontal amygdala disconnect. <i>Current Biology,</i> <i>17</i>(20).</span> </li> <li id="cite_note-:1-6"><span class="mw-cite-backlink">^ <a href="#cite_ref-:1_6-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-:1_6-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text">Engle-Friedman, M. (2014). The effects of sleep loss on capacity and effort. <i>Sleep Science,</i> <i>7</i>(4),213-224. <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.slsci.2014.11.001">10.1016/j.slsci.2014.11.001</a></span> </li> <li id="cite_note-7"><span class="mw-cite-backlink"><b><a href="#cite_ref-7">^</a></b></span> <span class="reference-text">Motomura, Y., Kitamura, S., Oba, K., Terasawa, Y., Enomoto, M., Katayose, Y., & Mishima, K. (2013). Sleep Debt Elicits Negative Emotional Reaction through Diminished Amygdala-Anterior Cingulate Functional Connectivity. <i>PLOS ONE,</i> <i>8</i>(2). <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1371%2Fjournal.pone.0056578">10.1371/journal.pone.0056578</a></span> </li> <li id="cite_note-8"><span class="mw-cite-backlink"><b><a href="#cite_ref-8">^</a></b></span> <span class="reference-text">Franzen, P. L., Buysse, D. J., Dahl, R. E., Thompson, W., & Siegle, G. J. (2009). Sleep deprivation alters pupillary reactivity to emotional stimuli in healthy young adults. <i>Biological Psychology,</i> <i>80</i>(3), 300-305. <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.biopsycho.2008.10.010">10.1016/j.biopsycho.2008.10.010</a></span> </li> <li id="cite_note-9"><span class="mw-cite-backlink"><b><a href="#cite_ref-9">^</a></b></span> <span class="reference-text">Gujar, N., Yoo, S., Hu, P., & Walker, M. P. (2011). 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