Sleep Renormalizes Negative Emotional Generalization

Abstract

Overgeneralization of negative experiences, in which aversive responses spread to otherwise safe stimuli, often co-occurs with sleep disruption, and both are central features of anxiety and posttraumatic stress disorder (PTSD). Here, we show that sleep shifts emotional generalization away from the negative and toward the positive. Across three experiments combining behavior, fMRI, and sleep electrophysiology, participants learned to associate three faces with positive, negative, or neutral outcomes. Participants were tested using morphed faces that blended the original stimuli in varying proportions. Immediate generalization was assessed post-learning, and delayed generalization was assessed after overnight sleep or daytime wakefulness. Behaviorally, we found that sleep selectively promotes positive generalization, whereas prolonged daytime wakefulness favors generalization of the negative face. In the fMRI scanner, amygdala and limbic activity during outcome processing predicted stronger immediate generalization of the negative face, and subsequent shift from negative to positive face generalization that occurred only after sleep. Overnight sleep spindle activity, extracted from high-density sleep EEG, positively correlated both with positive face generalization and with the shift from negative to positive generalization following sleep. These findings reveal a potential neural mechanism by which sleep attenuates negative bias and enhances positive representations, suggesting a potential method to buffer against maladaptive generalization in anxiety and PTSD.