Both neurobiological and cognitive psychological evidence suggests that dreams reflect the affective concerns and emotional balance of the dreamer. Moreover, there is increasing evidence for the thesis that dreams take part in the process of emotional regulation by creating narrative structures and new associations for memories with emotional and personal relevance and giving birth to a reduced emotional arousal or balanced mood state during post-dreaming wakefulness. As health means a state of complete physical, mental and social well-being, it is reasonable to assume that it is reflected in the quality of dream experiences. These theoretical considerations are exemplified by significant associations between dream emotions and health indexes emerging after the preliminary analysis of the Hungarostudy epidemiological database. Results suggest that items of the Dream Quality Questionnaire correlate with self-rated health, days spent on sick leave and most prominently with well-being. Negative dream emotions are negative predictors of health, while the opposite is true for positive ones. This effect is only partially explained by the illness intrusiveness index, the effect of dreams on daytime mood or well-being as measured by the well-being scale of the World Health Organization (WHO). Our results indicate that simple practical questions regarding habitual dream-affect, nightmares and nightterror-like symptoms convey information on the general mental and physical health of the subjects, which could be useful in medical practice.

Background and Objectives: Previous studies reported a high prevalence of nightmares and dream anxiety in Borderline Personality Disorder (BPD) and the severity of dream disturbances correlated with daytime symptoms of psychopathology. However, the majority of these results are based on retrospective questionnaire-based study designs, and hence the effect of recall biases (characteristic for BPD), could not be controlled. Therefore our aim was to replicate these findings using dream logs. Moreover, we aimed to examine the level of dream disturbances in connection with measures of emotional instability, and to explore the protective factors against dream disturbances. Methods: 23 subjects diagnosed with BPD, and 23 age and gender matched healthy controls were assessed using the Dream Quality Questionnaire, the Van Dream Anxiety Scale, as well as the Neuroticism, Assertiveness and Fantasy scales of the NEO-PI-R questionnaire. Additionally, subjects were asked to collect 5 dreams in the three-week study period and to rate the emotional and phenomenological qualities of the reported dreams using the categories of the Dream Quality Questionnaire. Results: Dream disturbances (nightmares, bad dreams, night terror-like symptoms, and dream anxiety) were more frequent in patients with BPD than in controls. Dream disturbances correlated positively with Neuroticism, while Fantasy proved to be a negative correlate of dream disturbances.

Early maternal separation is a particularly stressful experience. Current models of nightmare production emphasize negative emotionality as having a central role in determining dream affect. Our aim is to test the hypothesis that persons who experienced early maternal separation (before one year of age and lasting at least one month) report more frequent nightmare experiences and bad dreams as adults. In the frame of the Hungarostudy Epidemiological Panel, 5020 subjects were interviewed. Significant associations were found between early maternal separation and both frequent nightmare experience in adulthood and increased frequency of oppressive and bad dreams. Current depression scores fully mediated the association between early separation and nightmares, but not the association between early separation and negative dream affect. We interpret these findings as a trait-like enhancement of negative emotionality in adults who experienced early maternal separation. This enhancement influences the content of dreams and, when it takes the form of depression, also influences the frequency of nightmares.

The hypocretins (Hcrts, also known as orexins) are two peptides, both synthesized by a small group of neurons, most of which are in the lateral hypothalamic and perifornical regions of the hypothalamus. The hypothalamic Hcrt system directly and strongly innervates and potently excites noradrenergic, dopaminergic, serotonergic, histaminergic, and cholinergic neurons. Hcrt also has a major role in modulating the release of glutamate and other amino acid transmitters. Behavioral investigations have revealed that Hcrt neurons are maximally active in active waking. In rats, hypocretin neuronal activity is maximal during exploration and minimal during quiet waking and sleep. Degeneration of Hcrt neurons or genetic mutations that prevent the normal synthesis of Hcrt or of its receptors causes human and animal narcolepsy. Administration of Hcrt can reverse symptoms of narcolepsy in animals, may be effective in treating human narcolepsy, and may affect a broad range of motivated behaviors.The lateral hypothalamus (LH) has been implicated in wakefulness. One possibility is that it induces wakefulness by driving the basal forebrain (BF) wake-active neurons (Gerashchenko and Shiromani 2004). The activity of the BF wake-active neurons is hypothesized to release the sleep-inducing factor adenosine (AD), which begins to accumulate as wakefulness progresses. The AD is then hypothesized to inhibit the wake-active neurons (Strecker et al. 2000) and their silence allows the VLPO and median preoptic GABAergic sleep-active neurons to fire and sleep ensues. Here we measure AD levels in the BF and test the LH-BF circuit in Sprague-Dawley rats with lesions of the LH induced by hypocretin-2-saporin. 64 days after lesions the rats were implanted with sleep-recording electrodes and a guide cannula into the basal forebrain. Two weeks later, the rats were kept awake (gentle handling) for six hours (ZT 3-9) and microdialysis samples (5 mL) were collected hourly for 9 h (24 h after probe stabilization). AD levels were assessed using HPLC (see Murillo-Rodriguez et al. 2004 for details).Hypocretin-saporin ablated 95% of the hypocretin neurons with a resultant decline in CSF levels (-75% vs. control). AD levels increased with 6 h waking in saline control rats (n = 9), consistent with previous studies in cats (Strecker et al. 2000) and rats (Murillo-Rodriguez et al. 2004). However, in rats with LH lesions (n = 5) such an increase with waking did not occur. The homeostatic response to sleep loss was measured by conducting a rodent version of an MSLT where the rats were kept awake for 20 min and then allowed 20 min to sleep. This protocol was started at ZT2 and continued until lights were turned off. The lesioned rats were found to have more sleep during the 20 min sleep periods indicating a higher sleep drive in these rats.Previously, we (Gerashchenko et al. 2001) found that rats with LH lesions had increased sleep during the night, and here we found that they have increased sleep drive as measured by an MSLT. The increased sleep drive in thes...