The Oneiric Activity during and after the COVID-19 Total Lockdown in Italy: A Longitudinal Study

A growing body of evidence highlights that the COVID-19 pandemic affected oneiric activity.However, only a few studies have assessed the longitudinal changes in dream phenomenologyduring different phases of the pandemic, often focused on a limited number of dream variables. Theaim of the present study was to provide an exhaustive assessment of dream features during totallockdown (TL) and a post-lockdown (PL) period characterized by eased restrictive measures in Italy.We performed a longitudinal study using a web-based survey to collect demographic, COVID-19related, clinical, sleep, and dream data at TL and PL. Our final sample included 108 participants.The high frequency of poor sleep quality, anxiety, and depressive symptoms observed during TLremained stable at PL, while sleep latency (t = 4.09; p < 0.001) and PTSD-related disruptive nocturnalbehaviors (t = 5.68; p < 0.001) exhibited a reduction at PL. A PL decrease in time spent with digitalmedia was observed (t = 2.77; p = 0.007). We found a strong PL reduction in dream frequency(t = 5.49; p < 0.001), emotional load (t = 2.71; p = 0.008), vividness (t = 4.90; p < 0.001), bizarreness(t = 4.05; p < 0.001), length (t = 4.67; p < 0.001), and lucid dream frequency (t = 2.40; p = 0.018).Fear was the most frequently reported emotion in dreams at TL (26.9%) and PL (22.2%). Only thefrequency of specific lockdown-related dream contents exhibited a reduction at PL. These findingshighlight that the end of the home confinement had a strong impact on the oneiric activity, in thedirection of reduced dream frequency, intensity, and lockdown-related contents. The co-occurrenceof such changes with a decline in nocturnal PTSD-related symptoms, sleep latency, and time withdigital media suggests an influence of post-traumatic stress levels, lifestyle modifications, and sleeppattern on dream changes during different phases of the pandemic. The stable prevalence of fear indreams and the large frequency of poor sleep quality, depressive symptoms, and anxiety are probablyrelated to the persistence of many negative consequences of the pandemic. Overall, these results areconsistent with the continuity hypothesis of dreams.