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Sleep

Does More REM Sleep Mean You're Less Anxious, or Is It the Other Way Around?

People who score higher on a standard anxiety measure don't get less REM sleep. In this data, they get more of it.

KM
Kate Maren Editor, KnowYourPrime
Evidence-graded · see the file
For information only. This is not medical advice, diagnosis, or treatment, and it cannot account for your own health history. A reading on a consumer device is not a clinical measurement. If a number worries you or you have symptoms, talk to a qualified healthcare provider. Full disclaimer.

Covers one study relating trait anxiety scores to wearable-measured sleep-stage proportions in a non-clinical adult population. Does not cover clinically diagnosed anxiety disorders, treatment effects, or night-to-night anxiety fluctuations.

If someone runs anxious as a general personality trait, it's easy to picture their sleep as worse across the board, lighter, more fragmented, less of the deep, restorative stages. Measuring actual sleep-stage proportions against a standard anxiety measure tells a more specific and less intuitive story. People with higher trait anxiety spent a larger share of their sleep in REM, not less, and a smaller share in light sleep, while deep sleep showed no relationship to anxiety at all.

The Direction Nobody Expects

The common mental picture of an anxious sleeper is someone whose sleep is thin and disrupted everywhere, not someone getting more of any particular stage. Researchers recorded sleep stages in 128 non-clinical adults recruited from a university setting, using Fitbit Charge 5 devices, while participants also completed a standard trait anxiety questionnaire (the STAI-T).

Higher trait anxiety scores correlated positively with the proportion of sleep spent in REM and negatively with the proportion spent in light sleep, deep sleep showed no relationship either way. Women in the sample scored higher on trait anxiety than men and also showed greater REM proportions, the same direction as the main finding. Participants 50 and older showed lower trait anxiety scores than younger participants. That part stands alone.

1 study
  • 128 non-clinical adults had sleep stages recorded via Fitbit Charge 5 alongside a standard trait anxiety questionnaire. Higher trait anxiety correlated positively with REM sleep proportion and negatively with light sleep proportion. Deep sleep was unrelated to anxiety scores. Women showed both higher trait anxiety and greater REM proportions than men, and participants 50 and older showed lower trait anxiety than younger participants.Observational study with a small polysomnography verification substudy · Mediano et al., Journal of Sleep Research, 2026

Why REM Might Move With Anxiety Instead of Against It

A correlation. Between a personality trait and sleep-stage proportions, nothing about which one drives the other. It doesn't establish that higher trait anxiety causes more REM sleep, that more REM sleep causes higher trait anxiety, or that either direction is mechanistically true rather than both being driven by something else entirely.

What REM sleep actually does for the brain is itself a live scientific question, and this finding adds a specific, measurable data point without resolving what the underlying mechanism might be. And it comes with the same accuracy caveats as any consumer sleep tracker, since that's what measured the sleep stages here too.

What This Study Doesn't Establish

This was a non-clinical, university-recruited sample of 128 adults, with sleep measured on a consumer wearable rather than full polysomnography for the whole group, which leaves some real gaps.

This study measured trait anxiety in a non-clinical, university-recruited sample of 128 adults using Fitbit Charge 5 devices, with a polysomnography check on only 6 participants. It doesn't establish whether the same pattern holds in people with diagnosed anxiety disorders, or whether wearable sleep-stage estimates are accurate enough on their own to detect this relationship reliably in an individual.

Common questions

Does this mean REM sleep causes anxiety?

No. This study found a correlation between trait anxiety scores and REM sleep proportion. It doesn't establish that either one causes the other.

What about deep sleep and anxiety?

Deep sleep showed no relationship to trait anxiety scores in this study, only REM and light sleep did.

Did age or sex explain the finding?

Women in this sample had both higher trait anxiety and greater REM proportions than men, and older participants had lower anxiety scores than younger ones, but the study reported the REM and light sleep correlations with anxiety directly rather than attributing them entirely to age or sex.

Can my sleep tracker tell me if I'm anxious based on my REM percentage?

This finding comes from a group-level correlation in a research sample, not a validated way to read anxiety off an individual's sleep-stage data.