Nightmare sufferers show atypical emotional semantic associations and prolonged REM sleep-dependent emotional priming.

Study Objectives: The objective of this study was to investigate whether nightmare (NM) sufferers exhibit an abnormal network of emotional semantic associations as measured by a recently developed, rapid eye movement (REM) sleep-sensitive, associational breadth (AB) task.

Design: NM sufferers were compared to healthy controls (CTL) for their performance on an emotional AB task containing positive and negative cue words both before and after a nap with REM sleep. AB was assessed in both a priming condition, where cue words were explicitly memorized before sleep, and a non-priming condition, where cue words were not memorized.