Wisconsin Institute for Sleep and Consciousness, University of Wisconsin-Madison, Madison, WI, USA.
Brain Institute, Physiology Department and Onofre Lopes University Hospital - Federal University of Rio Grande do Norte, Natal, Brazil.
Neurosci Biobehav Rev. 2019 May;100:305-323. doi: 10.1016/j.neubiorev.2019.03.008. Epub 2019 Mar 14.
Lucid dreaming refers to the phenomenon of becoming aware of the fact that one is dreaming during ongoing sleep. Despite having been physiologically validated for decades, the neurobiology of lucid dreaming is still incompletely characterized. Here we review the neuroscientific literature on lucid dreaming, including electroencephalographic, neuroimaging, brain lesion, pharmacological and brain stimulation studies. Electroencephalographic studies of lucid dreaming are mostly underpowered and show mixed results. Neuroimaging data is scant but preliminary results suggest that prefrontal and parietal regions are involved in lucid dreaming. A focus of research is also to develop methods to induce lucid dreams. Combining training in mental set with cholinergic stimulation has shown promising results, while it remains unclear whether electrical brain stimulation could be used to induce lucid dreams. Finally, we discuss strategies to measure lucid dreaming, including best-practice procedures for the sleep laboratory. Lucid dreaming has clinical and scientific applications, and shows emerging potential as a methodology in the cognitive neuroscience of consciousness. Further research with larger sample sizes and refined methodology is needed.
清醒梦是指在睡眠过程中意识到自己正在做梦的现象。尽管清醒梦已经在生理学上得到了几十年的验证,但它的神经生物学机制仍未完全被描述。在这里,我们回顾了关于清醒梦的神经科学文献,包括脑电图、神经影像学、脑损伤、药理学和脑刺激研究。清醒梦的脑电图研究大多没有足够的样本量,结果也不一致。神经影像学数据很少,但初步结果表明,额叶和顶叶区域与清醒梦有关。研究的一个重点也是开发诱导清醒梦的方法。将心理定势训练与胆碱能刺激相结合已经显示出了有前景的结果,而电刺激大脑是否可以用来诱导清醒梦仍然不清楚。最后,我们讨论了测量清醒梦的策略,包括睡眠实验室的最佳实践程序。清醒梦具有临床和科学应用,并且作为意识认知神经科学的一种方法,显示出了新兴的潜力。需要进行更多具有更大样本量和更精细方法的研究。