Contradictory findings on how the full moon affect our sleep

A Swiss research study conducted last year showed that the full moon affects sleep. The findings demonstrated that people average 20 minutes less sleep, take five minutes longer to fall asleep and experience 30 minutes more of REM sleep, during which most dreaming is believed to occur.

Different outcome

Numerous studies through the years have attempted to prove or disprove the hypothesis that lunar phases affect human sleep. But results have been hard to repeat. A group of researchers at the famed Max Planck Institute and elsewhere analyzed data from more than 1,000 people and 26,000 nights of sleep, only to find no correlation.

International researchers are being urged to publish their results in hopes of getting to the bottom of the question. Michael Smith and his co-researchers at Sahlgrenska Academy have analyzed data generated by a previous sleep study and compared them with the lunar cycle.

20 minutes less sleep

Based on a study of 47 healthy 18-30 year-olds and published in Current Biology, the results support the theory that a correlation exists.

“Our study generated findings similar to the Swiss project,” Michael Smith says. “Subjects slept an average of 20 minutes less and had more trouble falling asleep during the full moon phase. However, the greatest impact on REM sleep appeared to be during the new moon.”

More susceptible brain

The retrospective study by the Gothenburg researchers suggests that the brain is more susceptible to external disturbances when the moon is full.

“The purpose of our original study was to examine the way that noise disturbs sleep,” Mr. Smith continues. “Re-analysis of our data showed that sensitivity, measured as reactivity of the cerebral cortex, is greatest during the full moon.”

Greater cortical reactivity was found in both women and men, whereas only men had more trouble falling asleep and slept less when the moon was full. Skeptics warn that both age and gender differences may be a source of error, not to mention more subtle factors such as physical condition and exposure to light during the day.

Need for more studies

Though fully aware of the issues, Mr. Smith is not prepared to dismiss the results of the Gothenburg study.

“The rooms in our sleep laboratories do not have any windows,” he says. “So the effect we found cannot be attributable to increased nocturnal light during full moon. Thus, there may be a built-in biological clock that is affected by the moon, similar to the one that regulates the circadian rhythm. But all this is mere speculation – additionally, more highly controlled studies that target these mechanisms are needed before more definitive conclusions can be drawn.”

The article Human sleep and cortical reactivity are influenced by lunar phase is published in Current Biology.

Does the moon affect our sleep?

Popular beliefs about the influence of the moon on humans widely exist. Many people report sleeplessness around the time of full moon. In contrast to earlier studies, scientists from the Max Planck Institute of Psychiatry in Munich did not observe any correlation between human sleep and the lunar phases. The researchers analyzed preexisting data of a large cohort of volunteers and their sleep nights. Further identification of mostly unpublished null findings suggests that the conflicting results of previous studies might be due to a publication bias.

For centuries, people have believed that the moon cycle influences human health, behavior and physiology. Folklore mainly links the full moon with sleeplessness. But what about the scientific background?

Several studies searched in re-analyses of pre-existing datasets on human sleep for a lunar effect, although the results were quite varying and the effects on sleep have rarely been assessed with objective measures, such as a sleep EEG. In some studies women appeared more affected by the moon phase, in others men. Two analyses of datasets from 2013 and 2014, each including between 30 and 50 volunteers, agreed on shorter total sleep duration in the nights around full moon. However, both studies came to conflicting results in other variables. For example, in one analysis the beginning of the REM-sleep phase in which we mainly dream was delayed around new moon, whereas the other study observed the longest delay around full moon.

To overcome the problem of possible chance findings in small study samples, scientists now analyzed the sleep data of overall 1,265 volunteers during 2,097 nights. “Investigating this large cohort of test persons and sleep nights, we were unable to replicate previous findings,” states Martin Dresler, neuroscientist at the Max Planck Institute of Psychiatry in Munich, Germany, and the Donders Institute for Brain, Cognition and Behaviour in Nijmegen, Netherlands. “We could not observe a statistical relevant correlation between human sleep and the lunar phases.” Further, his team identified several unpublished null findings including cumulative analyses of more than 20,000 sleep nights, which suggest that the conflicting results might be an example of a publication bias (i.e. the file drawer problem).

The file drawer problem describes the phenomenon, that many studies may be conducted but never reported – they remain in the file drawer. One much-discussed publication bias in science, medicine and pharmacy is the tendency to report experimental results that are positive or show a significant finding and to omit results that are negative or inconclusive.

Up to now, the influence of the lunar cycle on human sleep was investigated in re-analyses of earlier studies which originally followed different purposes. “To overcome the obvious limitations of retrospective data analysis, carefully controlled studies specifically designed for the test of lunar cycle effects on sleep in large samples are required for a definite answer,” comments Dresler.