Sleep paralysis (SP) is characterized by the incapacity to perform voluntary movements during sleep/wake transitions and could bring great discomfort. During SP, Out-of-Body Experiences (OBEs) can occur however, they are pleasant in comparison with other SP hallucinations.Moreover, there is evidence suggesting that OBEs can be induced using behavioral techniques similar to Lucid Dreaming induction. Here, we design an online survey to study the predominant and specific emotions during SP and/or OBE events as well as the somatosensory perceptions that preceded their occurrence. The sample (N=329, 122 males, 226 females, 1 other) was divided into experimental groups depending on the presence/absence of OBE, capacity to induce (or not) OBEs and perception/no-perception of the SP. We showed that more positive emotions were associated with OBEs and more negative emotions were associated with SP episodes, and for those who claim the ability to induce OBEs, positive emotions were more frequent in their episodes. We found that subjects perceived auditory, tactile, and visual sensations before SP episodes, and we proposed that these could be an "aura" of SP.Furthermore, subjects that had OBEs but had never felt the SP, perceived tactile and visual sensations to the same extent as subjects with OBEs that felt the SP, suggesting that they are having the OBE before being able to perceive the SP. Therefore, we proposed that the "aura" recognition could be used under controlled conditions for OBE induction in SP patients to diminish the negative symptoms associated with SP episodes.
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Significance StatementSleep paralysis (SP) is a condition where a person is paralyzed during sleep/wake transitions, which could bring great discomfort, and disturbs sleep quality. During SP, Out-of-Body Experiences (OBEs) can occur. However, they are pleasant in comparison with other SP hallucinations. OBEs refer to the sensation of being "outside" the physical body and perceiving the world from this outside perspective. They can occur spontaneously, or it can be induced during SP episodes. Here we study the experienced emotions during SP/OBE events as well as the somatosensory perceptions that occur before these SP/OBE events. We proposed that somatosensory sensations are an aura of SP, and their recognition could be used for OBE induction to diminish the negative symptoms associated with SP episodes.