Unveiling the subconscious: How sexual dreams reflect and intensify mental problems

Abstract

Background: Sexual dreams represent a largely underexplored domain of human experience, particularly concerning their prevalence, frequency, and potential relationship with mental health conditions. Understanding this interplay may provide insights into the psychological and physiological effects of dream content.

Aims: To investigate the prevalence, frequency, and impact of sexual dreams among individuals with and without mental health diagnoses and to evaluate the associations between sexual dream frequency, post-dream symptoms, and mental health status.

Materials & Methods: The SLEEP Study surveyed 301 female-identifying adults in the United States using an online questionnaire. The questionnaire assessed the frequency and content of sexual dreams, as well as post-dream symptoms such as anxiety, increased heart rate, and muscle tension. Logistic regression and Pearson correlation analyses were conducted to examine relationships between sexual dream frequency, mental health diagnoses, and post-dream symptoms.

Results: 99.67% of participants reported experiencing sexual dreams, with 45.2% identifying them as frequent. A significant association was observed between frequent sexual dreams and mental health diagnoses (OR = 1.83, p = 0.018). While post-dream symptoms such as anxiety and physical tension were common, their correlations with mental health treatment were weak and not statistically significant (p = 0.061).

Discussion: The findings suggest that frequent sexual dreams may serve as a psychological stress indicator, particularly in individuals with mental health conditions. However, the weak correlation between post-dream symptoms and mental health treatment highlights the need for further investigation into the mechanisms underlying these associations.

Conclusion: Frequent sexual dreams could provide valuable insights into psychological stress and mental health. Incorporating dream patterns into mental health assessments may enhance clinical understanding and interventions. Further research involving diverse populations and experimental methodologies is required to these relationships and their broader implications.

Keywords

dream frequency / mental health / psychological stress / sexual dreams / sleep patterns

References

[1] Egom EEA. Dreamscapes: Unlocking the Spiritual Messages of Dreams: From Science to Spirit: A Doctor’s Guide to the Secrets of Your Sleeping Mind. Harmony Health Physical and Spiritual Wellness Center “marketed as” Harmony Care; 2024.

[2] Favero M, Ross DR. Complementary dreams: a window to the subconscious processes of countertransference and subjectivity. Am J Psychother. 2002; 56(2): 211-224. https://doi.org/10.1176/appi.psychotherapy.2002.56.2.211

[3] Gamwell L. Dreams 1900-2000: Science, Art, and the Unconscious Mind. Cornell University Press; 2000.

[4] Das KK. Consciousness and its relation with subconscious mind: the mystery probed. 2021.

[5] Paulson S, Barrett D, Bulkeley K, Naiman R. Dreaming: a gateway to the unconscious? Ann N Y Acad Sci. 2017; 1406(1): 28-45. https://doi.org/10.1111/nyas.13389

[6] Nielsen TA, Zadra AL, Simard V, et al. The typical dreams of Canadian university students. Dreaming. 2003; 13(4): 211-235. https://doi.org/10.1023/b:drem.0000003144.40929.0b

[7] Thomson R. Dream on: the logic of sexual practice. J Youth Stud. 2000; 3(4): 407-427. https://doi.org/10.1080/713684385

[8] Gray T, Dunn SM. Dreams, sexual. In: TK Shackelford, ed. Encyclopedia of Sexual Psychology and Behavior. Springer; 2022: 1-3.

[9] Dale A, Lortie-Lussier M, Wong C, De Koninck J. Dreams of Canadian students. J Cross Cult Psychol. 2016; 47(7): 941-955. https://doi.org/10.1177/0022022116655788

[10] Strøm SD. The Association Between Sexual Activity and Sexual Dreams in Norwegian Adults. NTNU; 2022.

[11] Rimsh A, Pietrowsky R. Dreams in anxiety disorders and anxiety. Int J Dream Res. 2020: 1-16.

[12] Lemyre A, Bastien C, Vallières A. Nightmares in mental disorders: a review. Dreaming. 2019; 29(2): 144-166. https://doi.org/10.1037/drm0000103

[13] Spoormaker VI, Schredl M, Van Den Bout J. Nightmares: from anxiety symptom to sleep disorder. Sleep Med Rev. 2006; 10(1): 19-31. https://doi.org/10.1016/j.smrv.2005.06.001

[14] Solomonova E, Picard-Deland C, Rapoport IL, et al. Stuck in a lockdown: dreams, bad dreams, nightmares, and their relationship to stress, depression and anxiety during the COVID-19 pandemic. PLoS One. 2021; 16(11):e0259040. https://doi.org/10.1371/journal.pone.0259040

[15] Pillar G, Malhotra A, Lavie P. Post-traumatic stress disorder and sleep—what a nightmare. Sleep Med Rev. 2000; 4(2): 183-200. https://doi.org/10.1053/smrv.1999.0095

[16] Wittmann L, Schredl M, Kramer M. Dreaming in posttraumatic stress disorder: a critical review of phenomenology, psychophysiology and treatment. Psychother Psychosom. 2006; 76(1): 25-39. https://doi.org/10.1159/000096362

[17] Gupta MA. Review of somatic symptoms in post-traumatic stress disorder. Int Rev Psychiatr. 2013; 25(1): 86-99. https://doi.org/10.3109/09540261.2012.736367

[18] Ivanenko A, Crabtree VM, rsquo LM, Brien GD. Sleep complaints and psychiatric symptoms in children evaluated at a pediatric mental health clinic. J Clin Sleep Med. 2006; 2: 42-48.

[19] Delage J-P, Côté J, Journault W-G, Lemyre A, Bastien CH. The relationships between insomnia, nightmares, and dreams: a systematic review. Sleep Med Rev. 2024; 75:101931. https://doi.org/10.1016/j.smrv.2024.101931

[20] Vandekerckhove M, Cluydts R. The emotional brain and sleep: an intimate relationship. Sleep Med Rev. 2010; 14(4): 219-226. https://doi.org/10.1016/j.smrv.2010.01.002

[21] Bušková J, Miletínová E, Králová R, et al. Parasomnias in pregnancy. Brain Sci. 2023; 13(2):357. https://doi.org/10.3390/brainsci13020357

[22] Cappadona R, De Giorgi A, Di Simone E, et al. Sleep, dreams, nightmares, and sex-related differences: a narrative review. Eur Rev Med Pharmacol Sci. 2021; 25: 3054-3065. https://doi.org/10.26355/eurrev_202104_25559

[23] Connor JP, Stjepanović D, Budney AJ, Le Foll B, Hall WD. Clinical management of cannabis withdrawal. Addiction. 2022; 117(7): 2075-2095. https://doi.org/10.1111/add.15743

[24] de Macêdo TCF, Ferreira GH, de Almondes KM, Kirov R, Mota-Rolim SA. My dream, my rules: can lucid dreaming treat nightmares? Front Psychol. 2019; 10:2618. https://doi.org/10.3389/fpsyg.2019.02618

[25] Gazerani P. Nightmares in migraine: a focused review. Behav Sci. 2021; 11(9):122. https://doi.org/10.3390/bs11090122

[26] Morin CM, Bjorvatn B, Chung F, et al. Insomnia, anxiety, and depression during the COVID-19 pandemic: an international collaborative study. Sleep Med. 2021; 87: 38-45. https://doi.org/10.1016/j.sleep.2021.07.035

[27] Ollila HM, Sinnott-Armstrong N, Kantojärvi K, et al. Nightmares share genetic risk factors with sleep and psychiatric traits. Transl Psychiatry. 2024; 14(1): 123. https://doi.org/10.1038/s41398-023-02637-6

[28] Picard-Deland C, Nielsen T, Carr M. Dreaming of the sleep lab. PLoS One. 2021; 16(10):e0257738. https://doi.org/10.1371/journal.pone.0257738

[29] Riemann D, Dressle RJ, Benz F, et al. Chronic insomnia, REM sleep instability and emotional dysregulation: a pathway to anxiety and depression? J Sleep Res. 2024:e14252. https://doi.org/10.1111/jsr.14252

[30] Zhang LG, Cheng LF, Wang TT, et al. Chain mediating effect of insomnia, depression, and anxiety on the relationship between nightmares and cognitive deficits in adolescents. J Affect Disord. 2023; 322: 2-8. https://doi.org/10.1016/j.jad.2022.10.047

[31] Gan Y, Wang R, Wang X, et al. Whose sexual dream experiences are more intense? An exploratory study on the relationship between personality traits and sexual dreams. Dreaming. 2024. https://doi.org/10.1037/drm0000289

[32] Curci A, Rimé B. Dreams, emotions, and social sharing of dreams. Cognit Emot. 2008; 22(1): 155-167. https://doi.org/10.1080/02699930701274102

[33] Fisher S, Lewis KE, Bartle I, Ghosal R, Davies L, Blagrove M. Emotional content of dreams in obstructive sleep apnea hypopnea syndrome patients and sleepy snorers attending a sleep-disordered breathing clinic. J Clin Sleep Med. 2011; 7(01): 69-74. https://doi.org/10.5664/jcsm.28043

[34] Sikka P, Feilhauer D, Valli K, Revonsuo A. How You Measure is What You Get: Differences in Self-and External Ratings of Emotional Experiences in Home Dreams. University of Illinois Press; 2017: 367-384.

[35] Samson DR, Clerget A, Abbas N, et al. Evidence for an emotional adaptive function of dreams: a cross-cultural study. Sci Rep. 2023; 13(1):16530. https://doi.org/10.1038/s41598-023-43319-z

[36] Alkalame L, Ogden J, Clark JW, Porcheret K, Risbrough VB, Drummond SPA. The relationship between REM sleep prior to analogue trauma and intrusive memories. Sleep. 2024. https://doi.org/10.1093/sleep/zsae203

[37] Ansbjerg MB, Sandahl H, Baandrup L, Jennum P, Carlsson J. Sleep impairments in refugees diagnosed with post-traumatic stress disorder: a polysomnographic and self-report study. Eur J Psychotraumatol. 2023; 14(1):2185943. https://doi.org/10.1080/20008066.2023.2185943

[38] Clark JW, Daykin H, Metha JA, et al. Manipulation of rapid eye movement sleep via orexin and GABAA receptor modulators differentially affects fear extinction in mice: effect of stable versus disrupted circadian rhythm. Sleep. 2021; 44(9). https://doi.org/10.1093/sleep/zsab068

[39] Desai D, Momin A, Hirpara P, Jha H, Thaker R, Patel J. Exploring the role of circadian rhythms in sleep and recovery: a review article. Cureus. 2024; 16:e61568. https://doi.org/10.7759/cureus.61568

[40] Guo R, Wang Y, Yan R, et al. Rapid eye movement sleep engages melanin-concentrating hormone neurons to reduce cocaine seeking. Biol Psychiatry. 2022; 92(11): 880-894. https://doi.org/10.1016/j.biopsych.2022.06.006

[41] Keenan RJ, Daykin H, Metha J, et al. Orexin 2 receptor antagonism sex-dependently improves sleep/wakefulness and cognitive performance in tau transgenic mice. Br J Pharmacol. 2024; 181(1): 87-106. https://doi.org/10.1111/bph.16212

[42] Monari S, Guillot de Suduiraut I, Grosse J, et al. Blunted glucocorticoid responsiveness to stress causes behavioral and biological alterations that lead to posttraumatic stress disorder vulnerability. Biol Psychiatry. 2024; 95(8): 762-773. https://doi.org/10.1016/j.biopsych.2023.09.015

[43] Rosales-Lagarde A, Cubero-Rego L, Menéndez-Conde F, et al. Dissociation of arousal index between REM and NREM sleep in elderly adults with cognitive impairment, no dementia: a pilot study. J Alzheimers Dis. 2023; 95(2): 477-491. https://doi.org/10.3233/jad-230101

[44] Sauers SC, Toedebusch CD, Richardson R, et al. Chronotype is associated with sleep quality in older adults. medRxiv. 2023. https://doi.org/10.1101/2023.09.04.23294997

[45] Tsouklidis N, Tallaj N, Tallaj Y, Heindl SE. Lights out! The body needs sleep: electronic devices and sleep deficiency. Cureus. 2020; 12:e9292. https://doi.org/10.7759/cureus.9292

[46] Vethe D, Drews HJ, Scott J, et al. Evening light environments can be designed to consolidate and increase the duration of REM-sleep. Sci Rep. 2022; 12(1):8719. https://doi.org/10.1038/s41598-022-12408-w

[47] Vuong V, Mellor A, Risbrough VB, Bei B, Drummond SPA. Protocol for a randomized controlled study examining the role of rapid eye movement sleep in fear-related mechanisms: rapid eye movement fragmentation and fear inhibition in adults with insomnia disorders before and after cognitive behavioral therapy for insomnia. Sleep Adv. 2023; 4(1):zpad030. https://doi.org/10.1093/sleepadvances/zpad030

[48] Scarpelli S, Bartolacci C, D'Atri A, Gorgoni M, De Gennaro L. The functional role of dreaming in emotional processes. Front Psychol. 2019; 10:459. https://doi.org/10.3389/fpsyg.2019.00459

[49] Dedic N, Dworak H, Zeni C, Rutigliano G, Howes OD. Therapeutic potential of TAAR1 agonists in schizophrenia: evidence from preclinical models and clinical studies. Int J Mol Sci. 2021; 22(24):13185. https://doi.org/10.3390/ijms222413185

[50] Ghossoub E, Geagea L, Kobeissy F, Talih F. Comparative effects of psychotropic medications on sleep architecture: a retrospective review of diagnostic polysomnography sleep parameters. Sleep Sci. 2021; 14: 236-244. https://doi.org/10.5935/1984-0063.20200071

[51] Kantor S, Lanigan M, Giggins L, et al. Ketamine supresses REM sleep and markedly increases EEG gamma oscillations in the Wistar Kyoto rat model of treatment-resistant depression. Behav Brain Res. 2023; 449:114473. https://doi.org/10.1016/j.bbr.2023.114473

[52] Matsuda Y, Ozawa N, Shinozaki T, et al. Chronic antidepressant treatment rescues abnormally reduced REM sleep theta power in socially defeated rats. Sci Rep. 2021; 11(1):16713. https://doi.org/10.1038/s41598-021-96094-0

[53] Meloni M, Figorilli M, Carta M, et al. Preliminary finding of a randomized, double-blind, placebo-controlled, crossover study to evaluate the safety and efficacy of 5-hydroxytryptophan on REM sleep behavior disorder in Parkinson's disease. Sleep Breath. 2022; 26(3): 1023-1031. https://doi.org/10.1007/s11325-021-02417-w

[54] Saadati N, Bananej M, Khakpai F, Zarrindast MR, Alibeik H. The effects of citalopram, SB-334867 and orexin-1, alone or in various combinations, on the anxiogenic-like effects of REM sleep deprivation in male mice. Behav Pharmacol. 2022; 33(8): 559-566. https://doi.org/10.1097/fbp.0000000000000703

[55] Saadati N, Bananej M, Khakpai F, Zarrindast MR, Alibeik H. Synergistic antidepressant effects of citalopram and SB-334867 in the REM sleep-deprived mice: possible role of BDNF. Pharmacol Biochem Behav. 2022; 219:173449. https://doi.org/10.1016/j.pbb.2022.173449

[56] Shahveisi K, Abdoli N, Farnia V, et al. REM sleep deprivation before extinction or reinstatement alters methamphetamine reward memory via D1-like dopamine receptors. Pharmacol Biochem Behav. 2022; 213:173319. https://doi.org/10.1016/j.pbb.2021.173319

[57] Soffer-Dudek N. Arousal in nocturnal consciousness: how dream-and sleep-experiences may inform us of poor sleep quality, stress, and psychopathology. Front Psychol. 2017; 8:733. https://doi.org/10.3389/fpsyg.2017.00733

[58] Breger L. Function of dreams. J Abnorm Psychol. 1967; 72(5, Pt.2): 1-28. https://doi.org/10.1037/h0025040

[59] Cartwright R, Agargun MY, Kirkby J, Friedman JK. Relation of dreams to waking concerns. Psychiatr Res. 2006; 141(3): 261-270. https://doi.org/10.1016/j.psychres.2005.05.013

[60] Samson-Daoust E, Julien S-H, Beaulieu-Prévost D, Zadra A. Predicting the affective tone of everyday dreams: a prospective study of state and trait variables. Sci Rep. 2019; 9(1):14780. https://doi.org/10.1038/s41598-019-50859-w

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