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Francesca Siclari

8 papers in the library · 166 citations · publishing 2016-2025

Papers

Consciousness and cortical responsiveness: a within-state study during non-rapid eye movement sleep

Scientific Reports August 5, 2016 Jaakko O. Nieminen, Olivia Gosseries, Marcello Massimini et al. 60 citations

During non-rapid eye movement (NREM) sleep, the brain's response to transcranial magnetic stimulation (TMS) differs depending on whether the person is conscious (dreaming) or not. When subjects reported no conscious experience upon awakening, TMS evoked a larger negative deflection and a shorter phase-locked response compared to when they reported a dream. The amplitude of the negative deflection—a hallmark of neuronal bistability—was inversely correlated with the length of the dream report. These findings suggest that variations in the level of consciousness within the same physiological state are associated with changes in underlying cortical bistability.

Shared EEG correlates between non-REM parasomnia experiences and dreams.

Nature communications May 9, 2024 Jacinthe Cataldi, Aurélie M Stephan, José Haba-Rubio et al. 32 citations

Incomplete awakenings from non-rapid eye movement sleep can produce sleepwalking and related behaviors, which sometimes involve conscious experience and later recall. Using high-density EEG and immediate interviews, the authors found that conscious experiences during these episodes (56% of cases) were preceded by high-amplitude slow waves in anterior brain regions and activation in posterior regions, patterns similar to those seen in dreaming. Recall of the experience (56% of cases) was linked to higher EEG activation in the right medial temporal area before movement. No conscious experience occurred in 19% of episodes, and no recall in 25%. These findings suggest that the brain activity underlying parasomnia experiences resembles that of dreams, pointing to core processes for sleep consciousness.

Cross-participant prediction of vigilance stages through the combined use of wPLI and wSMI EEG functional connectivity metrics.

Sleep May 14, 2021 Laura Sophie Imperatori, Jacinthe Cataldi, Monica Betta et al. 30 citations

Functional connectivity metrics, which describe how brain regions interact, can reveal differences across stages of sleep and wakefulness that power-based analyses alone may miss. Analyzing overnight sleep and resting-state wakefulness recordings from 24 healthy adults, the study found that combining power features with two connectivity measures—weighted Phase Lag Index (wPLI) and weighted Symbolic Mutual Information (wSMI)—improved the accuracy of classifying four vigilance stages (wakefulness, NREM-N2, NREM-N3, and REM sleep) compared to using any single feature type. Delta-band connectivity (0.5–4 Hz) was most important across all classifications, suggesting slow waves play a role in consciousness and sensory disconnection.

DREAM: A Dream EEG and Mentation database

May 16, 2023 William Wong, Kátia C. Andrade, Thomas Andrillon et al. 21 citations preprint

A new open-access database, DREAM, combines sleep magneto/electroencephalography (M/EEG) recordings with standardized dream reports to enable large-scale neurocognitive research on dreaming. The initial release includes 20 datasets from 561 participants and 2649 awakenings, each with at least 20 seconds of high-frequency M/EEG data and a classification of the subject's experience. Analyses demonstrate that features extracted from EEG can predict whether a person reports having had a conscious experience during both REM and NREM sleep. The database aims to overcome the limitations of small sample sizes and methodological variability in dream research, allowing new questions to be addressed at a scale unattainable by individual labs.

Consciousness in non-REM-parasomnia episodes.

Journal of sleep research February 1, 2025 Francesca Siclari 11 citations

Non-REM sleep parasomnias like sleepwalking and sleep terrors involve a variable spectrum of consciousness, not just automatic or unconscious behavior. In interviews with 35 adult patients, consciousness during episodes ranged from minimal or absent (frequently or always present in 36%) to preserved conscious experiences with delusional thinking (65%), hallucinations (53%), impaired insight (77%), negative emotions (75%), and variable amnesia (30%). Patients described feeling as if they were in a dream while awake, a state termed "awake dreaming." Surroundings could be perceived realistically, misinterpreted, or entirely hallucinated, depending on the delusion. These findings suggest that consciousness, amnesia, and sensory disconnection during episodes are graded and variable, and full-fledged experiences share core features of dreams, offering a model for studying consciousness and sensory disconnection.

A dream EEG and mentation database.

Nature communications August 13, 2025 William Wong, Rubén Herzog, Kátia Cristine Andrade et al. 10 citations

A new open database, the DREAM database, combines standardized sleep magneto/electroencephalography (M/EEG) recordings with dream reports from 505 participants across 20 datasets, totaling 2,643 awakenings. Each awakening includes at least 20 seconds of high-resolution sleep EEG (≥100 Hz, ≥2 electrodes) and a classification of the sleeper's reported experience. Analyses showed that reports of conscious experiences during sleep can be predicted from objective EEG features in both REM and NREM sleep. The database aims to overcome limitations of small sample sizes and methodological variability in dream research, enabling larger-scale investigations of the neurocognitive basis of dreaming.

Multisensory integration in Peripersonal Space indexes consciousness states in sleep and disorders of consciousness

bioRxiv Preprint Server October 25, 2024 Tommaso Bertoni, Giulia Ricci, Jane Jöhr et al. 1 citation preprint

Conscious experience includes not only awareness of external objects but also a sense of the embodied self, which relies on integrating multisensory stimuli near the body, a process involving the Peripersonal Space (PPS) system. Using high-density EEG in awake participants, a neural marker of PPS—high-beta oscillations in centroparietal regions during audiotactile integration near versus far from the body—was identified. This marker persisted during dreaming and waking conscious states but was absent during dreamless, unconscious states. In patients with disorders of consciousness, the same index predicted behavioral measures of consciousness and clinical outcome, suggesting that multisensory integration within PPS is tightly linked to conscious experience.

Consciousness in Non-REM-parasomnia episodes

bioRxiv Preprint Server June 2, 2024 Francesca Siclari 1 citation preprint

Non-REM parasomnias like sleepwalking are not uniformly unconscious or automatic. Interviews with 35 adult patients revealed a graded spectrum of consciousness during episodes. While 36% of patients frequently or always experienced minimal consciousness with automatic behaviors, 65% reported preserved conscious experiences with delusional thinking, often about impending danger. Hallucinations occurred in 53%, impaired insight in 77%, negative emotions in 75%, and pronounced amnesia in 30%. Patients described the state as 'awake dreaming,' where surroundings were either realistically perceived, misinterpreted, or entirely hallucinated. The findings indicate that consciousness and sensory disconnection in these disorders are variable and can resemble dreaming, offering a model for studying consciousness and sleep-related sensory disconnection.