Evidence map›Paper›PMID 34588830›Full record

ArticleNature and science of sleep2021

How our Dreams Changed During the COVID-19 Pandemic: Effects and Correlates of Dream Recall Frequency - a Multinational Study on 19,355 Adults.

Eirin Fränkl, Serena Scarpelli, Michael R Nadorff, Bjørn Bjorvatn, Courtney J Bolstad, Ngan Yin Chan, Frances Chung, Yves Dauvilliers, Colin A Espie, Yuichi Inoue and 13 more

Open access · goldAbstract read
In one paragraph

Article in Nature and science of sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Lucid Dreaming: Not Just Awareness, but Agency.Journal of sleep research · 2026
    Article
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  14. Sleep During the COVID-19 Pandemic.Current psychiatry reports · 2022
    Review
  15. Review
  16. Review
  17. Dreaming during the COVID-19 pandemic: A narrative review.Neuroscience and biobehavioral reviews · 2022
    Review
  18. The Oneiric Activity during and after the COVID-19 Total Lockdown in Italy: A Longitudinal Study.International journal of environmental research and public health · 2022
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 19 institutions in 13 countries.

Eirin FränklInstitute for Consciousness and Dream Research, Vienna, Austria.
Serena ScarpelliDepartment of Psychology, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-9260-7111
Michael R NadorffMississippi State University, Mississippi State, MS, USA.
Bjørn BjorvatnDepartment of Global Public Health and Primary Care, University of Bergen, and Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0001-7051-745X
Courtney J BolstadMississippi State University, Mississippi State, MS, USA.ORCID 0000-0003-2297-2778
Ngan Yin ChanLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China.
Frances ChungDepartment of Anesthesiology and Pain Medicine, University Health Network, University of Toronto, Toronto, Canada.
Yves DauvilliersSleep-Wake Disorders Center, Department of Neurology, Gui-de-Chauliac Hospital, Institute for Neurosciences of Montpellier INM, INSERM, University of Montpellier, Montpellier, France.
Colin A EspieSleep and Circadian Neuroscience Institute, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Yuichi InoueDepartment of Somnology, Tokyo Medical University, Tokyo, Japan.
Damien LegerUniversité de Paris, VIFASOM (EA 7331 Vigilance Fatigue, Sommeil et Santé Publique), Paris, France.ORCID 0000-0003-1168-480X
Tainá MacêdoDepartment of Psychology, Federal University of Rio Grande do Norte, Natal, Brazil.ORCID 0000-0003-1474-4329
Kentaro MatsuiDepartment of Clinical Laboratory and Department of Sleep-Wake Disorders, National Center of Neurology and Psychiatry National Institute of Mental Health, Kodaira, Japan.ORCID 0000-0003-4538-5381
Ilona MerikantoSleep Well Research Program, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Charles M MorinÉcole de Psychologie, Centre d'étude des troubles du sommeil, Centre de recherche CERVO/Brain Research Center, Université Laval, Québec, Canada.
Sérgio Mota-RolimBrain Institute, Physiology and Behavior Department, and Onofre Lopes University Hospital, Federal University of Rio Grande do Norte, Natal, Brazil.
Markku PartinenHelsinki Sleep Clinic, Terveystalo Healthcare, Helsinki, Finland.
Thomas PenzelSleep Medicine Center, Charité Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0002-4304-0112
Giuseppe PlazziIRCCS, Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.ORCID 0000-0002-1051-0472
Mariusz SieminskiDepartment of Emergency Medicine, Medical University of Gdansk, Gdansk, Poland.ORCID 0000-0001-8219-2912
Yun Kwok WingLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China.ORCID 0000-0002-5745-5474
Luigi De GennaroDepartment of Psychology, Sapienza University of Rome, Rome, Italy.ORCID 0000-0003-3613-6631
Brigitte HolzingerInstitute for Consciousness and Dream Research, Vienna, Austria.ORCID 0000-0001-5385-4091
Chinese University of Hong Kong · HKMedical University of Vienna · ATUniversidade Federal do Rio Grande do Norte · BRUniversity of Helsinki · FIAssistance Publique – Hôpitaux de Paris · FRBaylor College of Medicine · USCharité - Universitätsmedizin Berlin · DEFondazione Santa Lucia · ITGdańsk Medical University · PLHaukeland University Hospital · NOInserm · FRInstitut Universitaire en Santé Mentale de Québec · CAJohn Radcliffe Hospital · GBMississippi State University · USNational Center of Neurology and Psychiatry · JPSapienza University of Rome · ITTokyo Medical University · JPUniversity Health Network · CAUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMany have reported odd dreams during the pandemic. Given that dreams are associated with mental health, understanding these changes could provide crucial information about wellbeing during the pandemic. This study explored associations between COVID-19 and dream recall frequency (DRF), and related social, health, and mental health factors.

methodsWe conducted a cross-sectional web survey of 19,355 individuals in 14 countries from May to July 2020. We collected data on COVID-19, mental health, sleep and DRF during the pandemic. We performed McNemar Tests to compare low (<3 nights per week) and high DRF (≥3 nights per week) before and during COVID-19 and to evaluate changes in sleep variables segmented by DRF. Chi-square tests were conducted to compare characteristics between low and high DRF. Logistic regression analyses were conducted to examine associations between various independent variables and DRF.

resultsReports of high DRF during the pandemic were higher than before the pandemic (P<0.001). Female gender (aOR=1.25, 95% CI 1.10-1.41), nightmares (aOR=4.22, 95% CI 3.45-5.17), sleep talking (aOR= 2.36, 1.73-3.23), sleep maintenance problems (aOR=1.34, 95% CI 1.15-1.56), symptoms of REM sleep behavior disorder (RBD; aOR=1.24, 95% CI 1.09-1.41) and repeated disturbing thoughts (posttraumatic stress disorder (PTSD) symptoms) were associated with high DRF. Age group 55-64 years (aOR=0.69, 95% CI 0.58-0.83) reported less high DRF than younger participants. Unadjusted OR showed associations between depression, anxiety, and DRF; however, in adjusted regression depression (aOR= 0.71, 0.59-0.86) and anxiety (aOR=0.79, 95% CI 0.66-0.94) were negatively associated with high DRF. CONCLUSION AND RELEVANCE: DRF was higher than pre-pandemic levels across four continents. DRF was associated with gender and parasomnias like nightmares and RBD symptoms, sleep maintenance problems, PTSD symptoms and negatively associated with depression and anxiety. The results implicate that COVID-19 is reflected in our dreams as an expression of the emotional intensity of the pandemic.

Indexed as

collective threatmental healthparasomniasleepsleep disorder

Identifiers

PMID34588830
PMCPMC8473566
OpenAlexW3201168046

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.