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Examined 25 dream reports of individuals in Palliative Care Unit. Content analysis of dream reports supports hypothesis that continuity exists between dreaming and waking experience. Results did not indicate that themes of death and aggression, negative emotion, or infant and child characters were more prevalent among the dying. (Author/NB)

This research examined the relationship between cortical activation, defined by electroencephalographic (EEG) measures, and the ability to recall dreams following awakenings from Stage 2 sleep. Period-analyzed EEG data from 40 subjects were examined for the preawakening, postawakening, and preawakening-to-post-awakening time intervals. Recall differed from nonrecall at the postawakening and preawakening-to-postawakening periods on measures of muscle activity and time spent in the sigma (12-16 Hz) frequency band. There were no distinctions in recall ability on EEG hemispheric asymmetry measures. Generally, the findings do not support the hypothesis linking increased recall ability to increases in cortical activation prior to awakening. However, the recall groups depicted a different pattern of arousal in their transition from sleep to wakefulness.

Purpose: Sleep disturbances can lead to the onset and relapse of psychiatric disorders. However, the age at which this relationship begins and the role of sleep disturbances in the trajectory to the onset of a psychiatric disorder are still not fully understood. The purpose of this study was to explore, based on self- and parental-reports of mood symptoms, subjective and objective sleep in young children who are at risk of developing a psychiatric disorder but who have not yet met diagnostic criteria., Patients and Methods: Twenty-one children (eleven girls) between the ages of 8 and 11 (mean age = 9.7 years, standard deviation = 1.1 years) were dichotomized into low mood (LM) and not low mood (NLM) groups based on scoring below or above the median threshold score on at least two of the following questionnaires: the Child Depressive Rating Scale (CDRS), Weinberg Screening Affective Scale (WSAS), and Quick Inventory of Depressive Symptomatology (QIDS). The children completed sleep diaries and underwent two nights (for adaptation and baseline) of polysomnography. Sleep stages and sleep microarchitecture (alpha, sigma, beta, and delta) in the first half of the night, were analyzed., Results: Self-reported sleep disturbance accounted for 72% of the variance (F[3, 20] = 15, P < 0.005) of the Weinberg Screening Affective Scale in LM children. LM children had fewer arousals at night, but awakened earlier than NLM children. Regardless of mood, girls had more sleep disturbance, as well as lower alpha, beta, and delta power in the first half of the night, compared to boys. Girls with LM had shorter sleep times and a lower percentage of rapid eye movement sleep., Conclusions: Girls with and without LM, and without a clinical diagnosis of depression, showed more sleep disturbances than boys of the same age. Sleep disturbances evident early in life and in LM girls may reflect greater risk for future sleep or psychiatric disorders.