Evidence map›Paper›PMID 41875080›Full record

ArticlePLoS biology2026

Immersive NREM2 dreaming preserves subjective sleep depth against declining sleep pressure.

Adriana Michalak, Davide Marzoli, Francesco Pietrogiacomi, Damiana Bergamo, Valentina Elce, Bianca Pedreschi, Giorgia Mosca, Alessandro Navari, Michele Emdin, Emiliano Ricciardi and 2 more

Abstract read
In one paragraph

Article in PLoS biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Adriana MichalakMoMiLab Research Unit, IMT School for Advanced Studies Lucca, Lucca, Italy.
Davide MarzoliMoMiLab Research Unit, IMT School for Advanced Studies Lucca, Lucca, Italy.
Francesco PietrogiacomiMoMiLab Research Unit, IMT School for Advanced Studies Lucca, Lucca, Italy.
Damiana BergamoMoMiLab Research Unit, IMT School for Advanced Studies Lucca, Lucca, Italy.
Valentina ElceMoMiLab Research Unit, IMT School for Advanced Studies Lucca, Lucca, Italy.
Bianca PedreschiMoMiLab Research Unit, IMT School for Advanced Studies Lucca, Lucca, Italy.
Giorgia MoscaMoMiLab Research Unit, IMT School for Advanced Studies Lucca, Lucca, Italy.
Alessandro NavariCardiovascular Medicine Department, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Michele EmdinCardiovascular Medicine Department, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Emiliano RicciardiMoMiLab Research Unit, IMT School for Advanced Studies Lucca, Lucca, Italy.
Giacomo HandjarasMoMiLab Research Unit, IMT School for Advanced Studies Lucca, Lucca, Italy.
Giulio BernardiMoMiLab Research Unit, IMT School for Advanced Studies Lucca, Lucca, Italy.ORCID https://orcid.org/0000-0003-4045-7075

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perceived sleep depth is a key determinant of subjective sleep quality, traditionally thought to reflect unconsciousness and reduced cortical activation. Here, we combined high-density EEG with a serial awakening paradigm during NREM2 (N2) sleep in healthy human participants to examine its neural and experiential correlates. As expected, deeper sleep was associated with reduced cortical activation, reflected in a lower high-to-low frequency power ratio. Yet, this relationship weakened in the presence of dreaming, indicating that immersive conscious experiences may counteract the impact of cortical activation on perceived depth. Indeed, perceived sleep depth was lowest during minimal forms of awareness characterized by a mere sense of presence, and highest during immersive dreaming or deep unconsciousness. Across the night, physiological sleep pressure and subjective sleepiness declined, but perceived sleep depth rose alongside increasing dream immersiveness. These findings challenge the view that the feeling of deep sleep arises solely from reduced brain activity and suggest instead that immersive dreaming may help sustain the subjective experience of deep sleep as homeostatic pressure wanes.

Indexed as

DreamsSleepSleep StagesAdultElectroencephalographyFemaleHumansMaleSleep, Slow-WaveWakefulnessYoung Adult

Identifiers

PMID41875080
PMCPMC13012497

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Registered trials

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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.