This paper reviews studies that have examined associations between unusual sleep experiences (including nightmares, vivid dreaming, narcolepsy symptoms, and complex nighttime behaviors) and dissociation and schizotypy. Using correlational studies and structural analyses, evidence is provided that unusual sleep experiences, dissociation, and schizotypy belong to a common domain. It is demonstrated that unusual sleep experiences show specificity to dissociation and schizotypy compared to other daytime symptoms (e.g., anxiety, depression, substance use) and other sleep disturbances (e.g., insomnia, lassitude/fatigue). The paper also outlines the methodological limitations of the existing evidence and makes suggestions for future research. Finally, three models for the overlap of daytime and nighttime symptoms are reviewed, including biological abnormalities, trauma, and personality traits. Although further research is needed, it is suggested that daytime and nighttime symptoms result from problems with sleep-wake state boundaries, which may be precipitated by stress or trauma. In addition, association between daytime and nighttime symptoms can be attributed to the higher order personality trait of Oddity.
Keywords dissociation; schizotypy; sleepPeople have long noted the phenotypic similarities between select nighttime experiences and daytime psychological symptoms, such nightmares and hallucinations. It is possible that phenotypically similar daytime and nighttime experiences are related, although this remains an empirical question. Specifically, it has been suggested that dissociation, schizotypy, and certain sleep experiences (i.e., nightmares, narcolepsy symptoms) belong to a domain that involves unusual cognitions and perceptions (Watson, 2001). Moreover, these daytime and nighttime experiences may share common processes under different contexts (e.g., walking around during the day versus lying in bed) (Butler, 2006;Watson, 2001), although the exact nature of these processes and whether they are due to biological or environmental factors is still uncertain.The purpose of this paper is to review evidence that certain sleep experiences, dissociation, and schizotypy represent a common domain with shared etiology. We begin by defining dissociation and schizotypy and outline the disorders and symptom dimensions that will be Correspondence should be sent to Erin Koffel,