{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T12:35:03Z","timestamp":1790512503851,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,8,3]],"date-time":"2020-08-03T00:00:00Z","timestamp":1596412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The objective of the present study was to confirm the link between spontaneous smiling and active sleep in newborns, and to identify the role of the cortex in the generation of spontaneous smiles. A total of 12 healthy newborns born at term and three infants with major congenital abnormalities (two with hydranencephaly and one with a left hemispherectomy) were evaluated by video and polysomnography during a 3\u2010hr sleep period. Smiles were graded and their association with isolated rapid eye movements and grouped rapid eye movements was analysed. In all, 383 smiles were recorded of which 377 occurred during active sleep. Smiles were shown to be significantly associated with active sleep (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.0001) and with grouped rapid eye movements (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.0001). Bilateral smiles were more frequent than asymmetrical smiles. Among asymmetrical smiles, left\u2010sided smiles were more frequent than right\u2010sided smiles (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.0001). Maternal stimulation during active sleep did not increase smiles. Smiling was absent during active sleep only in the infant with total hydranencephaly in whom nearly all cortical tissue was absent. In conclusion, smiling occurs in healthy newborns, almost exclusively in active sleep and is associated with grouped rapid eye movements. In infants with major congenital abnormalities, smiling is abolished only when nearly all of the cerebral cortex is absent. These results support the hypothesis of the role of active sleep in the stimulation of neuronal circuits responsible for spontaneous smiling and emphasise the importance of cortical areas in newborn smiling.<\/jats:p>","DOI":"10.1111\/jsr.13129","type":"journal-article","created":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T01:44:39Z","timestamp":1596505479000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A video polysomnographic study of spontaneous smiling during sleep in newborns"],"prefix":"10.1111","volume":"30","author":[{"given":"Marie\u2010Jos\u00e8phe","family":"Challamel","sequence":"first","affiliation":[{"name":"Integrative Physiology of Brain Arousal System CRNL INSERM\u2010U1028 University Lyon1 Lyon France"},{"name":"Pediatric Sleep Unit Department of Pediatric Epilepsy, Sleep and Neurological Functional Explorations Women's Mother's Children's Hospital Hospices Civils de Lyon University of Lyon 1 Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Hartley","sequence":"additional","affiliation":[{"name":"Sleep Unit Physiology Department AP\u2010HP Raymond Poincar\u00e9 Hospital Versailles\u2010St Quentin en Yvelines University Garches France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Debilly","sequence":"additional","affiliation":[{"name":"Integrative Physiology of Brain Arousal System CRNL INSERM\u2010U1028 University Lyon1 Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saadi","family":"Lahlou","sequence":"additional","affiliation":[{"name":"Department of Psychological and Behavioural Science London School of Economics and Political Science London UK"},{"name":"Director Paris Institute for Advanced Study Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6079-9166","authenticated-orcid":false,"given":"Patricia","family":"Franco","sequence":"additional","affiliation":[{"name":"Integrative Physiology of Brain Arousal System CRNL INSERM\u2010U1028 University Lyon1 Lyon France"},{"name":"Pediatric Sleep Unit Department of Pediatric Epilepsy, Sleep and Neurological Functional Explorations Women's Mother's Children's Hospital Hospices Civils de Lyon University of Lyon 1 Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/ncomms8884"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.24957"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cub.2013.08.055"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2015.12.002"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.infbeh.2011.04.001"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/dev.21054"},{"key":"e_1_2_9_8_1","first-page":"290","volume-title":"Sleep","author":"Challamel M.","year":"1985"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12814"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.180.4082.205"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0006-8993(89)90570-2"},{"issue":"34","key":"e_1_2_9_12_1","first-page":"417","article-title":"A new perspective on neonatal smiling: Differences between the judgments of expert coders and naive observers","volume":"2011","author":"Dondi M.","year":"2007","journal-title":"Infant Behavior and Development"},{"key":"e_1_2_9_13_1","unstructured":"Duchenne de Boulogne G.B.(1990)M\u00e9canisme de la physionomie humaine. 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