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Sleep contributes to emotional memory consolidation and emotion regulation. Insomnia disorder (ID) is characterized by persistent sleep disturbance as well as rapid eye movement (REM) sleep abnormalities and often precedes or develops in parallel with PTSD and anxiety disorders. Here, we explore the impact of chronic poor sleep and sleep immediately following fear conditioning and extinction learning on preservation of extinction memories.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty-four ID age- and sex-matched to 24 healthy, good sleeper controls (GS) completed up to 2 weeks of habitual sleep monitoring with daily sleep\u2013wake diaries and actigraphy, and then participated in a two-session fear conditioning, extinction learning and extinction recall procedure. Fear Conditioning and Extinction Learning occurred during session 1, followed by Extinction Recall approximately 24 hours later. Skin-conductance responses (SCR) and shock expectancies were recorded throughout all experimental phases to evaluate associative learning and memory. Overnight sleep between sessions 1 and 2 was recorded using ambulatory polysomnography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>ID showed greater physiological reactivity during Fear Conditioning. REM sleep physiology was associated with poorer extinction memory in ID but better extinction memory in GS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>REM sleep physiology may differentially support emotional memory retention and expression in ID and GS. In the former, REM may enhance retention of fear memories, while in the later, REM may enhance the expression of extinction memories.<\/jats:p><\/jats:sec>","DOI":"10.1093\/sleep\/zsaa007","type":"journal-article","created":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T06:05:25Z","timestamp":1580277925000},"source":"Crossref","is-referenced-by-count":54,"title":["Fear extinction memory is negatively associated with REM sleep in insomnia disorder"],"prefix":"10.1093","volume":"43","author":[{"given":"Ryan","family":"Bottary","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA"},{"name":"Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA"},{"name":"Department of Psychology and Neuroscience, Boston College, Chestnut Hill, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeehye","family":"Seo","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA"},{"name":"Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA"},{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Daffre","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA"},{"name":"Athinoula A. 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Martinos Center for Biomedical Imaging, Charlestown, MA"},{"name":"Center for Systems Neuroscience, Boston University, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantin","family":"Kopotiyenko","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarrod P","family":"Dominguez","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Gannon","sequence":"first","affiliation":[{"name":"Department of Neurology, Massachusetts General Hospital, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha B","family":"Lasko","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA"},{"name":"Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA"},{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittainy","family":"Roth","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed R","family":"Milad","sequence":"first","affiliation":[{"name":"Department of Psychiatry, New York University, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward F","family":"Pace-Schott","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA"},{"name":"Athinoula A. 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