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Prisoners of the Body: The Link Between Interoception and Sleep Paralysis
Giuseppe Forte1, Danilo Giaccari1, Francesca Favieri2
1Department of Dynamic, Clinical Psychology and Health "Sapienza" University of Rome, Rome, Italy.
Journal of Sleep Research
|June 12, 2026
Summary
Sleep paralysis (SP) is a REM sleep parasomnia. This study found SP linked to insomnia and heightened body awareness, not anxiety, suggesting interoception
Area of Science:
- Neuroscience
- Sleep Medicine
- Psychology
Background:
- Sleep paralysis (SP) is a REM sleep parasomnia involving temporary motor paralysis and hallucinations during sleep transitions.
- While often linked to narcolepsy, isolated SP in healthy individuals provides insights into REM sleep physiology and consciousness.
- Previous research has not fully explored the role of interoception (body awareness) in the SP experience.
Purpose of the Study:
- To investigate the prevalence, phenomenology, and cognitive-emotional aspects of sleep paralysis in a healthy adult population.
- To explore the relationship between sleep paralysis and interoceptive sensitivity.
- To examine potential links between SP, sleep quality, anxiety, and insomnia symptoms.
Main Methods:
- A study involving 210 adults from the Italian population.
- Assessment of sleep paralysis prevalence, subjective experiences, and associated cognitive-emotional factors.
- Inclusion of interoception measures to assess body awareness and its influence on SP.
Main Results:
- Approximately one in four participants reported experiencing sleep paralysis.
- Common sensations included inability to move/speak, tingling, and sealed eyelids, often with vivid hallucinations and fear.
- Sleep paralysis was associated with insomnia symptoms and heightened interoceptive sensitivity, but not poorer sleep quality or chronic anxiety.
Conclusions:
- Sleep paralysis may arise from a dissociation between REM sleep atonia and preserved consciousness, influenced by interoceptive awareness.
- Heightened interoceptive sensitivity appears linked to the SP experience, suggesting a role for body awareness.
- Interoception presents a potential target for future research and interventions in parasomnias like sleep paralysis.
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