Evidence map›Paper›PMID 37373570›Full record

ReviewJournal of clinical medicine2023

Awake or Sleeping? Maybe Both… A Review of Sleep-Related Dissociative States.

Maria Eduarda Sodré, Isabel Wießner, Muna Irfan, Carlos H Schenck, Sergio A Mota-Rolim

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Lucid Dreaming: Not Just Awareness, but Agency.Journal of sleep research · 2026
    Article
  4. Article
  5. A dream EEG and mentation database.Nature communications · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. 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

5 authors.

Maria Eduarda SodréMedical College, Potiguar University, Natal 59076-550, RN, Brazil.
Isabel WießnerBrain Institute, Federal University of Rio Grande do Norte, Natal 59078-970, RN, Brazil.ORCID 0000-0003-1653-2565
Muna IrfanDepartment of Neurology, University of Minnesota, Minneapolis, MN 55455, USA.
Carlos H SchenckDepartment of Neurology, University of Minnesota, Minneapolis, MN 55455, USA.
Sergio A Mota-RolimBrain Institute, Federal University of Rio Grande do Norte, Natal 59078-970, RN, Brazil.ORCID 0000-0003-0196-5421

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent studies have begun to understand sleep not only as a whole-brain process but also as a complex local phenomenon controlled by specific neurotransmitters that act in different neural networks, which is called "local sleep". Moreover, the basic states of human consciousness-wakefulness, sleep onset (N1), light sleep (N2), deep sleep (N3), and rapid eye movement (REM) sleep-can concurrently appear, which may result in different sleep-related dissociative states. In this article, we classify these sleep-related dissociative states into physiological, pathological, and altered states of consciousness. Physiological states are daydreaming, lucid dreaming, and false awakenings. Pathological states include sleep paralysis, sleepwalking, and REM sleep behavior disorder. Altered states are hypnosis, anesthesia, and psychedelics. We review the neurophysiology and phenomenology of these sleep-related dissociative states of consciousness and update them with recent studies. We conclude that these sleep-related dissociative states have a significant basic and clinical impact since their study contributes to the understanding of consciousness and the proper treatment of neuropsychiatric diseases.

Indexed as

anesthesiadaydreamingdissociative statesfalse awakeningshypnosislucid dreamingpsychedelicsREM sleep behavior disordersleep dissociationsleep paralysissleepwalking

Identifiers

PMID37373570
PMCPMC10299622

What OpenQuestion holds

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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.