Guide to Nature's Forces · Moon Phases and Sleep

Full Moon and Sleep: What Studies Show About the Moon's Influence on Your Night's Rest

Many people experience the nights around the full moon as more restless. Some laboratory studies support this, large datasets tend not to. In between lies a fascinating story about light, expectation and rhythm.

Moon phases and sleep Moonlight and melatonin Nocebo effect 26 study sources
SJ
Shukri JarmoukliPhysician, Integrative Medicine · ViveCura Berlin
ViveCura Blog › Guide to Nature's Forces › Full moon and sleep
My starting point

I take folk belief seriously. Not because it is always right. But because it often describes a real experience that nobody has neatly sorted out yet. Your restless night is real. The only open question is who or what causes it.

I bet you know this night. The room is brighter than usual, even though all the lamps are off. You turn onto your side, and your gaze gets caught on the window.

Then comes the sentence your grandmother may already have said: nobody sleeps well at full moon.

Maybe you grew up with that sentence. Maybe you have lived it often enough to stop doubting it. And maybe someone has already smiled at it.

I am not smiling. I am taking a closer look. Sleep research has actually asked this question, with sleep laboratories, EEG and tens of thousands of measured nights. The answers are surprising. And they are less straightforward than either camp would like.

What this article covers

  • What the widely cited 2013 Basel sleep laboratory study found
  • Why large datasets could not confirm the effect
  • How moonlight might influence sleep
  • Why the streetlight can be louder than the moon
  • What the nocebo effect has to do with full moon nights
  • Why some individuals might react more sensitively
  • The four KPNI lenses on a bright night
  • Three levers that can have more influence than the phase of the moon

A night many people know

A strip of light on the duvet

Imagine: it is just after midnight. Through the gap in the curtains, a bright strip of moonlight falls across your duvet. You look at the clock, then at the window.

“Tonight is going to be restless again. It's a full moon, after all.”

From that moment on, you lie there differently. You hear the fridge, the car outside, your own breathing. Every brief awakening feels like confirmation.

In the morning you feel shattered, and the explanation is already waiting. Yet this one scene holds three things: light falling into the room. An expectation that was there before you fell asleep. And a brain that listens more closely than usual on this particular night.

Which of these three factors tips the balance in your night cannot be read from a single experience. Coincidence in time is not yet proof, because correlation is not causation. That is exactly why it is worth looking at the studies.

The moon has been with us for as long as there have been humans. Calendars follow it, some people sow and harvest by it, and it lives on in our language. The English word “lunatic” goes back to the Latin “luna”. And in German we still call people who sleepwalk “mondsüchtig”, which literally means “addicted to the moon”.

This is not superstition born of naivety. It is the echo of a time when moonlight was the only light source that made activity at night possible at all. Anyone who was out at night back then was probably often out because of the moon.

Study story Review

In 2008 the chronobiologists Foster and Roenneberg summarised in Current Biology how the day, the seasons and the moon relate to human biology.

Their conclusion: the lunar cycle has shaped human culture, but solid evidence that the moon steers our biology was lacking.

For you that means: until a few years ago, sleep research regarded the full moon mainly as a topic for folklore.

Foster RG, Roenneberg T. Curr Biol 2008. DOI: 10.1016/j.cub.2008.07.003
Reframe

A folk belief is not a measurement error. It is an observation that has not been sorted out yet.

The question is not whether you are imagining something. The question is which part of your experience comes from the moon and which part comes from something else.

A second perspective

In the anthroposophic view of the human being, which also shapes my perspective, the rhythmic system of breathing and heartbeat forms the centre of the person. In that view, rhythm is regarded as a sustaining force for health.

From this point of view, the moon question becomes a question of rhythm. And unlike the moon, your rhythm is something you can help shape yourself.

And now you know why it is worth taking the question seriously instead of smiling it away.

2013: When the moon entered the sleep laboratory

Imagine you have spent years collecting sleep data for entirely different questions. People slept in the laboratory without a clock and without daylight. Nobody was thinking about the moon.

A team in Basel made use of exactly this situation. After the fact, they placed existing data side by side with the lunar calendar. Neither the participants nor the researchers knew about this later analysis while the measurements were being taken. Methodologically, that is an advantage: if you expect nothing, you cannot talk yourself into anything.

How I mark the evidence in this text
ClinicalRandomised studies in humans
HumanObservational studies, laboratory analyses, surveys and reviews in humans
In vivoAnimal studies under natural or semi-natural conditions
Study story Retrospective laboratory analysis

In 2013 Cajochen and colleagues from the Centre for Chronobiology at the Psychiatric Hospital of the University of Basel retrospectively analysed sleep data from tightly controlled laboratory studies according to the phase of the moon.

Around the full moon, EEG delta activity in deep sleep was 30 percent lower, falling asleep took 5 minutes longer, sleep was 20 minutes shorter, and the body's own melatonin levels were lower.

For you that means: for the first time it looked as if a lunar rhythm could influence sleep, and without any moonlight in the room.

Cajochen C, Altanay-Ekici S, Münch M, Frey S, Knoblauch V, Wirz-Justice A. Curr Biol 2013. DOI: 10.1016/j.cub.2013.06.029

Delta waves are the slow, large waves of deep sleep. Picture them as the swell on the open sea: calm, wide, regular. In this phase you are hardest to wake.

30%less EEG delta activity in deep sleep
5 minlonger to fall asleep
20 minshorter sleep duration

Basel laboratory analysis 2013: nights around the full moon compared with other phases of the moon.

A year later, other groups spoke up. Two of them also saw something unusual.

Study story Retrospective laboratory analysis, n=47

In 2014 Smith and colleagues from the University of Gothenburg used the same principle to examine the laboratory nights of 47 healthy young adults.

Around the full moon, sleep was 25 minutes shorter and the sleeping brain reacted more strongly to stimuli from the environment, while around the new moon REM sleep set in 30 minutes later.

For you that means: a second laboratory saw a similar trend but a different pattern in the details, and the authors explicitly pointed to individual sensitivity.

Smith M, Croy I, Persson Waye K. Curr Biol 2014. DOI: 10.1016/j.cub.2014.05.018
Study story Retrospective analysis, n=319

In 2014 Turányi and colleagues from Semmelweis University in Budapest analysed one polysomnography night each from 319 people who had been referred for a sleep assessment.

On full moon nights, median sleep efficiency was 74 instead of 82 percent, the proportion of deep sleep was 6 instead of 9 to 11 percent, and REM sleep began after 137 minutes instead of around 98.

For you that means: a full moon pattern also appeared in a clinical sample, although only 47 of the nights came from the full moon phase.

Turányi CZ, Rónai KZ, Zoller R, et al. Sleep Med 2014. DOI: 10.1016/j.sleep.2014.06.020
Study story Diary study, n=31

Back in 2006, Röösli and colleagues from the University of Bern had analysed the sleep diaries of 31 volunteers over six weeks that included two full moons.

Reported sleep duration was 6 hours 41 minutes at full moon and 7 hours at new moon, and in the morning the participants felt more tired at full moon.

For you that means: subjective experience also matched the folk belief, but the study was originally designed for an entirely different question.

Röösli M, Jüni P, Braun-Fahrländer C, Brinkhof MW, Low N, Egger M. J Sleep Res 2006. DOI: 10.1111/j.1365-2869.2006.00520.x
Reframe

A study is a beginning, not a verdict. Surprising findings in particular need a second and a third check before you arrange your life around them.

That is not scepticism towards your experience. It is respect for the question.

And now you know why the Basel study caused such a stir: it came from a laboratory where the moon should not really have stood a chance.

What happens when larger datasets run the numbers again

Do you know the feeling when an explanation finally fits? And then someone comes along and says: let's check that again with more data.

That is exactly what happened after 2013. And this is where the full moon story gets more complicated.

Study story Reanalysis, three samples

In 2014 Cordi and colleagues from Zurich, Basel, Berlin and Munich rechecked the Basel findings using sleep EEG data from three large samples.

They could not confirm the results and also came across further null findings, most of them unpublished.

For you that means: striking lunar findings may have been more likely to be published than unremarkable ones, something researchers call the file drawer problem.

Cordi M, Ackermann S, Bes FW, et al. Curr Biol 2014. DOI: 10.1016/j.cub.2014.05.017

Imagine a drawer where all the studies that found nothing end up. Hardly anyone reads them. Only the exciting hits lie on the table. If you only look at the table, you see an effect that may not be one.

On top of that there is a statistical stumbling block. A thought experiment: if you test 20 independent measures at the usual five percent threshold, the probability of finding at least one chance hit is about two thirds. Sleep studies often measure many values at once. One British study, for example, examined 21 sleep parameters.

Study story Population study, n=2,125

In 2015 Haba-Rubio and colleagues from Lausanne University Hospital examined 2,125 adults in a population-based cohort with full polysomnography at home.

Measured sleep duration was 398 minutes at full moon, 402 minutes during the waxing and waning moon and 403 minutes at new moon, with no statistically meaningful difference, and sleep structure, EEG and cortisol did not differ either.

For you that means: a large everyday sample showed no relevant lunar effect, and the title of the study advises against blaming the moon for bad sleep.

Haba-Rubio J, Marques-Vidal P, Tobback N, et al. Sleep Med 2015. DOI: 10.1016/j.sleep.2015.08.002
Study story Population study, n=1,411

Smith and colleagues from Helmholtz Zentrum München followed 1,411 adolescents aged 14 to 17 with motion sensors and sleep diaries over a total of 8,832 days.

The moon phase was linked neither with time in bed nor with perceived sleep quality, and the trends that were found changed direction at random.

For you that means: in a large German sample, the pattern looked more like chance than like the moon.

Smith MP, Standl M, Schulz H, Heinrich J. J Sleep Res 2017. DOI: 10.1111/jsr.12472
Study story Cross-sectional, 12 countries, n=5,812

In 2016 Chaput and colleagues analysed data from 5,812 children aged 9 to 11 from twelve countries, measured with motion sensors around the clock.

At full moon the children slept on average about 5 minutes less than at new moon, which corresponds to around 1 percent of sleep duration.

For you that means: even when an effect is measurable, it can be so small that the authors themselves doubt its significance in everyday life.

Chaput JP, Weippert M, LeBlanc AG, et al. Front Pediatr 2016. DOI: 10.3389/fped.2016.00024

On top of that, there are findings that contradict each other. In Surrey, women slept less near the full moon, while in Uppsala it was rather men who showed changes. Sometimes the full moon itself stood out, sometimes the nights before it, sometimes the new moon. And in 795 Danish children it was even the other way round: around the full moon they slept two to four minutes longer.

StudyWho and howFinding on moon phase
Röösli 2006, Bern31 adults, sleep diary over six weeksEffect
Subjectively 19 minutes less sleep at full moon
Cajochen 2013, BaselVolunteers in the sleep laboratory without time cues, retrospective analysisEffect
30% less delta activity, 20 minutes less sleep
Smith 2014, Gothenburg47 young adults in the sleep laboratoryEffect
25 minutes less sleep around full moon
Turányi 2014, Budapest319 people from sleep diagnosticsEffect
Lower sleep efficiency, less deep sleep
Cordi 2014, Zurich and MunichThree large sleep EEG samplesNo effect
No confirmation, further null findings
Haba-Rubio 2015, Lausanne2,125 adults, polysomnography at homeNo effect
No significant difference
Della Monica 2015, Surrey205 healthy people in windowless laboratoriesMixed
No main effect, differences by sex
Sjödin 2015, Denmark795 children, motion sensorMixed
Slept 2 to 4 minutes longer around full moon
Chaput 2016, 12 countries5,812 children, motion sensorVery small
About 5 minutes shorter, around 1%
Smith 2017, Germany1,411 adolescents, sensor and diaryNo effect
No association, trends random
Casiraghi 2021, Argentina and Seattle98 Toba/Qom, 464 students, actigraphyEffect
Later and shorter in the nights before full moon
Benedict 2022, Uppsala852 adults, polysomnographyMixed
Shorter in the waxing phase, more pronounced in men

The larger the sample, the quieter the moon became. But quiet does not mean silent.

Reframe

No effect on average does not automatically mean: no effect in anyone.

An average can swallow a clear signal in a few people, just as a full hall drowns out a single whisper.

And now you know why the same question gets such different answers: it depends on how many people, how many nights and how many comparisons are in play at the same time.

Moonlight: the most plausible route into your bedroom

Do you remember a night without streetlights, in the mountains or by the sea? When the full moon rises there, it casts shadows. You can make out the path in front of you. Suddenly the night feels less like night.

For our ancestors this was more than romance. Moonlit evenings were probably a time for journeys, conversations and work outdoors. This is exactly where one of the most fascinating studies on the subject comes in.

Study story Field study with actigraphy

In 2021 Casiraghi and colleagues from the University of Washington measured the sleep of 98 members of Indigenous Toba/Qom communities in Argentina, some with and some without electricity, and of 464 students in Seattle.

Sleep began later and was shorter in the nights before the full moon, most clearly among the Toba/Qom three to five days before the full moon, and the effects were larger the less electric light was available.

For you that means: moonlight in the hours after dusk might have kept people awake in earlier times, and artificial light might imitate this ancient effect today.

Casiraghi L, Spiousas I, Dunster GP, et al. Sci Adv 2021. DOI: 10.1126/sciadv.abe0465

Why the nights before the full moon, of all nights? A look at the sky helps explain it.

Study story Cross-sectional, n=852

Benedict and colleagues from Uppsala University analysed one polysomnography night each from 852 adults aged 22 to 81.

In the waxing phase of the moon, participants slept less than in the waning phase, and in this phase men also had lower sleep efficiency and more time awake after falling asleep.

For you that means: the pattern fits the moonlight idea, but the authors themselves stress that no cause can be inferred from these cross-sectional data.

Benedict C, Franklin KA, Bukhari S, Ljunggren M, Lindberg E. Sci Total Environ 2022. DOI: 10.1016/j.scitotenv.2021.150222
Study story In vivo, starlings

In 2020 van Hasselt and colleagues from Groningen and Seewiesen used miniature EEG recorders to record the sleep of starlings in a large outdoor aviary, under natural light and natural temperature.

On full moon nights, the birds got around two hours less NREM sleep.

For you that means: under the open sky, moonlight can markedly change the sleep of animals, while in a darkened bedroom the starting point is quite different.

van Hasselt SJ, Rusche M, Vyssotski AL, Verhulst S, Rattenborg NC, Meerlo P. Curr Biol 2020. DOI: 10.1016/j.cub.2020.02.052
Reframe

The moon may once have helped shape our sleep, outdoors, by the fire, without electricity.

Today our lamps compete with it. They extend the day every evening, in a way that once only a bright moon could.

And now you know why the nights before the full moon in particular might stand out: that is when the moon is in the evening sky, exactly at the time when you are meant to be getting tired.

Why the streetlight can be louder than the moon

Try a small experiment tonight. Switch off the light, wait two minutes and look around. What is still glowing? The charging light, the alarm clock, the strip under the door, the streetlight outside the window?

Many people are surprised by how bright their night is. Our eyes adapt so well that we hardly notice. The body clock, however, can still register it.

Your retina contains special cells that do not see but measure brightness. They report to your body clock whether it is day or night. I describe how this system works in detail in the article on morning light and the body clock. What matters most to these cells is how bright it is, for how long and at what time of day.

Study story Laboratory study, n=55

In 2019 Phillips and colleagues from Monash University in Melbourne exposed a total of 55 young adults to different light intensities between 10 and 2,000 lux for five hours in the evening.

On the group average, just under 25 lux was enough to suppress melatonin production by half, while for the most sensitive person this threshold was 6 lux and for the least sensitive 350 lux.

For you that means: in biological terms, the same night can be far brighter for one person than for another.

Phillips AJK, Vidafar P, Burns AC, et al. Proc Natl Acad Sci U S A 2019. DOI: 10.1073/pnas.1901824116
Study story Laboratory analysis, n=116

In 2011 Gooley and colleagues from Boston compared the melatonin profiles of 116 healthy adults aged 18 to 30 under room light below 200 lux and under dim light below 3 lux during the eight hours before bedtime.

Room light delayed the rise in melatonin in 99 percent of participants and shortened the nightly melatonin phase by about 90 minutes.

For you that means: the ordinary living room lamp is a louder signal for your body clock than you probably think.

Gooley JJ, Chamberlain K, Smith KA, et al. J Clin Endocrinol Metab 2011. DOI: 10.1210/jc.2010-2098
Study story Randomised, n=23

In 2016 Cho and colleagues from Korea University in Seoul had healthy young men sleep one night in the dark and another night under dim light of 5 or 10 lux.

The dim light went along with more time awake after falling asleep, more light sleep and more REM sleep.

For you that means: even a light source you barely notice can shift the architecture of your sleep.

Cho CH, Lee HJ, Yoon HK, et al. Chronobiol Int 2016. DOI: 10.3109/07420528.2015.1108980
Study story Cross-sectional, n=19,136

In 2016 Ohayon and Milesi linked satellite data on outdoor lighting at night with the reports of 19,136 adults in the United States.

People living in brighter areas went to bed later, slept less, were sleepier during the day and were less satisfied with their own sleep.

For you that means: the streetlight outside your window shines every night, the full moon only on a few.

Ohayon MM, Milesi C. Sleep 2016. DOI: 10.5665/sleep.5860

Incidentally, Casiraghi and colleagues noted themselves that light pollution in Seattle was higher than their full moon measurements in the rural communities of Argentina. In a big city, the moon is often just one light source among many.

Put into practice If moonlight influences your sleep, it does so through the eye and through how alert you are in the evening. The same applies to streetlight, hallway light, standby lights and screens. A heavy curtain covers all of these sources at once.
Reframe

Perhaps the full moon is less the disturber than the witness. It makes visible how bright our nights have become.

If you close the gap in the curtains, you close it to the moon and to the streetlight at the same time.

And now you know why the curtain can matter more for your sleep than the lunar calendar.

The nocebo effect: when expectation comes to bed with you

May I ask you an uncomfortable question? How often have you slept badly when there was no full moon, and forgotten it again by the next day?

Those nights never make it into the statistics in your head. The full moon night, by contrast, gets a headline. In psychology this is called confirmation bias: we mainly notice and remember what fits our expectation.

What nocebo means You know placebo: something good happens because you expect something good. The nocebo effect is the flip side. Negative expectations can intensify symptoms or help bring them about, and the brain and body can respond measurably in the process. Colloca and Barsky gave an overview of this in 2020 in the New England Journal of Medicine. DOI: 10.1056/NEJMra1907805
Study story Online survey, n=1,815

In 2026, of all people, it was Cajochen, whose Basel laboratory analysis had sparked the debate in 2013, who asked 1,815 people online what disturbs their sleep.

At 36 percent, the moon was the most frequently named environmental factor, ahead of outdoor temperature and noise, and those who followed the phases of the moon named it considerably more often.

For you that means: complaints about the moon only peaked in the week after the full moon, which the author interprets, at least in part, as a result of expectation and attribution after the fact.

Cajochen C. Clocks Sleep 2026. DOI: 10.3390/clockssleep8020036

One fascinating detail: at 73 percent, rumination was the most common personal disruptor in this survey. Whether someone blamed the moon, however, did not depend on it. One possible interpretation: the moon is a visible scapegoat, the stream of thoughts in your head is not.

Study story Randomised, n=164

In 2014 Draganich and Erdal randomly told some of a total of 164 participants that they had had more or less REM sleep than average that night, regardless of how they had actually slept.

The assigned sleep quality predicted the results in an attention test and a verbal fluency test, whereas self-rated sleep quality did not.

For you that means: what you believe about your night can help shape your next day.

Draganich C, Erdal K. J Exp Psychol Learn Mem Cogn 2014. DOI: 10.1037/a0035546
Study story Randomised, n=63

In 2018 Gavriloff and colleagues from the University of Oxford gave a total of 63 people with insomnia fake feedback on their sleep each morning via a wrist sensor.

Those who were randomly given a poor rating felt less alert and more tired in the evening than the group with a good rating, even though none of the feedback was based on the real night.

For you that means: a gloomy forecast for the night can make itself felt during the day, whether it comes from the lunar calendar or from an app.

Gavriloff D, Sheaves B, Juss A, Espie CA, Miller CB, Kyle SD. J Sleep Res 2018. DOI: 10.1111/jsr.12726

What might be happening in the body: if you expect a bad night, you go to bed with heightened vigilance. Like a night watchman, the brain stays half on duty. Brief waking phases that you would otherwise have slept through get registered and judged. This is an explanatory model, not a measured result from the moon studies.

Incidentally, the same pattern can arise with sleep trackers when the number in the morning sets your mood. More on this in the article on sleep trackers and what they measure.

Reframe

Nocebo does not mean: you are imagining it. It means: expectations can help shape bodily processes.

And there is good news in that. Expectations can be changed, the phase of the moon cannot.

“I do not ask whether you believe in the moon. I ask what happens inside you when you see it. The answer often tells me more about your night than any calendar.”

Shukri Jarmoukli, Physician, Integrative Medicine, ViveCura Berlin

And now you know why a bad expectation can sometimes be half the bad night already.

The small group of sensitive people

Perhaps you are thinking now: that is all well and good, but I still notice it. Every month. Even without a calendar.

I do not want to brush that possibility aside. Because the data contain hints that people might differ in their sensitivity.

Study story Retrospective laboratory analysis, n=205

In 2015 Della Monica and colleagues from the Surrey Sleep Research Centre at the University of Surrey analysed the laboratory nights of 205 healthy adults in windowless sleep laboratories and examined 21 sleep parameters.

Overall they found no lunar effect, but in women total sleep, stage 4 deep sleep and REM sleep were lower near the full moon, while in men REM sleep increased around the full moon.

For you that means: if there is an effect, it may not affect everyone equally, although the authors themselves speak only of limited evidence.

Della Monica C, Atzori G, Dijk DJ. J Sleep Res 2015. DOI: 10.1111/jsr.12312
Study story Case series, n=17 and n=9

In bipolar disorder, the moon question is examined particularly closely: in 2018 Wehr described, in 17 people with very rapid mood changes, a synchrony between their mood cycles and the tidal cycles of the moon.

In 2022 Burgess and colleagues from the University of Michigan, by contrast, found no systematic group effect in nine people with bipolar disorder, and only two individuals repeatedly fell asleep later around the full moon.

For you that means: a lunar pattern might appear in individual people without applying to a whole group, but both studies are very small and more hypothesis than proof.

Wehr TA. Mol Psychiatry 2018. DOI: 10.1038/mp.2016.263 and Burgess HJ, Kagan D, Warshaw S, et al. Int J Bipolar Disord 2022. DOI: 10.1186/s40345-022-00282-4

This fits with what we know about light. In the Melbourne study, the light sensitivity of the body clock differed between the most and the least sensitive person by a factor of more than fifty. And the Gothenburg group around Smith also pointed to individual sensitivity in their lunar findings.

Mechanistically plausible, human studies still thin: it is quite conceivable that some individuals react more strongly to moonlight, to changes in alertness or to disruptions of their rhythm. Exactly who belongs to this group, and why, has not yet been clarified. Some researchers also discuss the moon's tidal forces as a possible timekeeper. That is a hypothesis, not yet established in humans.

Your fair self-experiment

  1. Keep a short sleep diary for two to three months: bedtime, estimated sleep duration and how rested you feel in the morning on a scale of 1 to 10.
  2. During this time, deliberately avoid looking at the lunar calendar and hide moon apps.
  3. Only at the end, lay the phases of the moon alongside your notes. That way you largely switch off your expectation, much like in a blinded study.
  4. If you then see a clear, recurring pattern, take it seriously. In that case, targeted darkness on those nights is all the more worthwhile.
Reframe

Being sensitive is not a weakness. It is information.

If you know what your own system reacts to, you can protect it more deliberately.

And now you know why I am telling you neither that you are imagining it nor that the moon is to blame: either would be more than the data can support.

Four lenses on a bright night

In clinical psychoneuroimmunology (KPNI) we look at the same question through four lenses. The full moon night shows particularly well how closely these systems are interwoven.

Nervous system

Smith and colleagues found a stronger response of the sleeping brain to stimuli from the environment around the full moon. Expectation and vigilance might lower this stimulus threshold even further. Imagine a night watchman who starts at every noise because he is expecting trouble tonight.

Hormonal system

Melatonin is the messenger of the biological night. In the Basel laboratory analysis it was lower around the full moon, but this has not been independently confirmed. What is well documented, by contrast, is that evening light can markedly suppress melatonin. For cortisol, the large Lausanne study found no differences between the phases of the moon.

Metabolism

Light during sleep is also a metabolic issue, as the study below shows. In Danish children, activity, a measure of insulin resistance and blood pressure fluctuated minimally around the full moon. The authors could not name a mechanism for this.

Immune system

There are no robust human studies on moon phases and the immune system. This is where the data end, and I do not want to fill the gap with guesses. That is part of being honest too.

Study story Controlled laboratory study

In 2022 Mason and colleagues from Northwestern University in Chicago had healthy adults sleep in the sleep laboratory under dim light below 3 lux or at 100 lux.

The bright night went along with a higher heart rate, lower heart rate variability and greater insulin resistance the next morning.

For you that means: light during sleep is not only a question of rest, it might also affect your heart and metabolism.

Mason IC, Grimaldi D, Reid KJ, et al. Proc Natl Acad Sci U S A 2022. DOI: 10.1073/pnas.2113290119

And now you know why, with full moon sleep problems, I ask about light, rhythm and expectation first and only then about the calendar.

Darkness and rhythm: what can have more influence than the phase of the moon

Here comes the good news. You cannot move the moon. But almost everything that plays a role in the studies is in your hands.

Not ten points, three. A rhythm changes through repetition, not through complexity.

1

Make your bedroom consistently dark

Close the gap in the curtains, use blackout blinds or an eye mask and cover glowing standby indicators. Leave your phone out of reach. Even faint light of 5 to 10 lux went along with more restless sleep in one study.

2

Keep your rhythm, even on bright nights

Get up at roughly the same time every day, at the weekend too, and get daylight in the morning. A steady anchor in the morning can give your body clock something to hold on to, especially when an evening is brighter than usual.

3

Decouple the night from the calendar

Do not judge the night before it begins. Put moon apps and sleep scores away before you fall asleep. If you lie awake for a long time, get up and do something calm in dim light until the tiredness comes back.

Study story Prospective cohort, n=60,977

In 2024 Windred and colleagues from Monash University analysed more than ten million hours of movement data from 60,977 people in the UK Biobank.

People who slept more regularly had a 20 to 48 percent lower risk of death in the following years, and regularity predicted that risk better than sleep duration did.

For you that means: a reliable rhythm might count for more in your health than the odd short night, even though an observational study cannot prove a cause.

Windred DP, Burns AC, Lane JM, et al. Sleep 2024. DOI: 10.1093/sleep/zsad253

Self-check: is it the moon or the night around it?

  • Light falls on my bed at night through a gap in the curtains or a skylight.
  • A streetlight or an illuminated sign shines outside my window.
  • Standby lights, an alarm clock or my phone glow in the bedroom.
  • My wake time varies by more than an hour, especially at the weekend.
  • I usually know when there is a full moon and think about it in the evening.
  • In the morning, the first thing I do is check my sleep scores and judge the night by them.
  • I do not only sleep badly at full moon, but on other nights too.

If you recognise yourself in several of these points, your biggest lever probably lies not in the sky but in your bedroom and in your daily rhythm. That is not a diagnosis, it is a pointer.

This is not about proving something to the moon. It is about your nights not depending on the calendar. If you stop handing your sleep over to the sky, you win back a piece of freedom.

And now you know why darkness and a steady rhythm can be stronger allies than any glance at the lunar calendar.

When a restless night deserves more than a glance at the moon

I want to stay honest. Sometimes the moon is just the occasion to talk about something else.

When it has been going on for months

If problems falling asleep or staying asleep persist for weeks to months and affect your day, they should be looked into. There are well studied approaches for chronic insomnia.

When snoring and pauses in breathing come into play

Loud snoring with observed pauses in breathing and severe daytime sleepiness should be examined by a doctor, whatever the phase of the moon.

When your mood is involved too

With depression or bipolar disorder, changed sleep can be an important early signal. Discuss such patterns with your care team instead of attributing them to the moon alone.

When your body sends signals

Pain, needing to urinate at night, hot flushes, iron deficiency or a thyroid disorder can disturb sleep. These causes can be investigated specifically.

What the data allow us to say today: a clear influence of the moon phase on sleep that applies to everyone could not be demonstrated in large datasets. Controlled studies document well that light in the evening and at night can influence melatonin, sleep structure and metabolism. It has also been shown experimentally that expectations about your own sleep can help shape how you feel during the day. It remains plausible, but open, whether moonlight in the early evening, expectation effects or a particular sensitivity in some individuals explain the mixed findings.

Fairness towards standard care

For chronic insomnia, cognitive behavioural therapy for insomnia is considered the standard, with good evidence behind it. You can find more on this in the article on CBT-I and sleep restriction.

What I add is a look at light, rhythm and expectation. Not as a replacement, but as an additional layer.

Common questions about the full moon and sleep

Do you really sleep worse during a full moon?

The evidence is mixed. Some laboratory studies found less deep sleep around the full moon and sleep that was 20 to 25 minutes shorter. Large datasets covering thousands of people, however, could not confirm a clear effect that applies to everyone. It is plausible that moonlight in the early evening, expectation effects and a particular sensitivity in some individuals play a role. For most people, light in the bedroom and an irregular rhythm are likely to have more influence than the phase of the moon.

What did the famous 2013 Basel full moon study show?

Researchers at the Centre for Chronobiology in Basel retrospectively analysed sleep data from earlier, tightly controlled laboratory studies according to the phase of the moon. Around the full moon, EEG delta activity, a marker of deep sleep, was 30 percent lower. Falling asleep took 5 minutes longer, sleep was 20 minutes shorter, and melatonin levels were lower. The study attracted a great deal of attention because the participants slept in the laboratory without moonlight and without time cues. A reanalysis of three large datasets, however, could not confirm the findings.

Why do the studies on the moon and sleep contradict each other?

There are several possible reasons. Many studies with a positive result were small and only analysed the phase of the moon after the fact. If you test many sleep measures at once, it is easy to find a chance hit. Then there is what is known as the file drawer problem: studies without a result are published less often, something researchers from Zurich and Munich explicitly pointed out in 2014. Finally, people might differ in their sensitivity, so that an effect in a few gets lost in the average of many.

Can moonlight disturb sleep even though it is so faint?

It is possible, above all under the open sky or with the curtains open. In a field study in Argentina and Seattle, sleep began later and was shorter in the nights before the full moon, which is when the moon shines brightly in the early evening sky. The effects were larger the less electric light was available. At the same time, artificial light in cities and homes is usually considerably brighter than moonlight. For the body clock, the lamp in the evening is therefore usually the stronger signal.

What is the nocebo effect in sleep?

The nocebo effect is the flip side of the placebo effect: negative expectations can intensify symptoms or help bring them about. In sleep, this shows up in studies in which people received fake negative feedback about their night and afterwards felt more tired and less alert. In a survey of 1,815 people, the moon was the most frequently named environmental factor for poor sleep, and those who followed the phases of the moon named it considerably more often. The complaints only peaked in the week after the full moon. This suggests that expectation and attribution after the fact can make up part of the full moon experience.

Are some people more sensitive to the lunar cycle?

It is conceivable, but not firmly established. A British laboratory analysis found no lunar effect overall, but in women total sleep and deep sleep were lower near the full moon. A Swedish study, by contrast, found more pronounced changes in men. In bipolar disorder there are individual observations that point to lunar patterns in some people, but the studies are very small. What is known is that the light sensitivity of the body clock can vary between people by a factor of more than fifty.

Does the full moon affect melatonin?

In the 2013 Basel laboratory analysis, melatonin levels were lower around the full moon, even though no moonlight entered the room. This finding has not been independently confirmed. What is well documented, on the other hand, is that artificial light in the evening can markedly suppress melatonin. In a study of 116 adults, ordinary room light delayed the rise in melatonin in 99 percent of participants and shortened the melatonin phase by about 90 minutes. If you want to protect your melatonin rhythm, evening light gives you a bigger lever than the lunar calendar.

Do children sleep worse during a full moon?

In a study of 5,812 children from twelve countries, the children slept on average about 5 minutes less at full moon than at new moon, which is around 1 percent. The authors themselves doubt that this difference matters in everyday life. Among 1,411 adolescents from Germany, there was no association between moon phase, time in bed and sleep quality. Danish children even slept 2 to 4 minutes longer around the full moon. If a child sleeps poorly, it is usually more worthwhile to look at evening light, screens and regular bedtimes than at the moon.

What can I do if I sleep badly during a full moon?

Three levers stand out. First: make your bedroom dark, close the gap in the curtains or use an eye mask, because even faint light of 5 to 10 lux was linked with more restless sleep in one study. Second: keep your wake time stable and get daylight in the morning, because regular sleep was associated with a lower risk of death in a large cohort. Third: do not judge the night before it begins, and put moon apps and sleep scores away before you fall asleep. If you want to know exactly, keep a sleep diary and only compare it with the phases of the moon after two to three months.

Should I monitor my sleep with a moon app or a sleep tracker?

It can be interesting, but it holds a trap. If you constantly keep an eye on the moon phase or your own sleep scores, you take an expectation to bed with you. In a study from Oxford, people with insomnia felt more tired and less alert in the evening after receiving a fake poor sleep rating. A fair alternative is a sleep diary kept without looking at the lunar calendar. Only at the end do you compare your nights with the phases of the moon, much like in a blinded study.

When should I have sleep problems medically assessed?

When problems falling asleep or staying asleep persist for weeks to months and affect you during the day, when loud snoring with observed pauses in breathing occurs, or when your mood and drive change noticeably. In bipolar disorder, changed sleep can be an important early signal that you should discuss with your care team. Pain, hormonal changes, iron deficiency or a thyroid disorder can also disturb sleep. For chronic insomnia, cognitive behavioural therapy for insomnia is considered a well studied approach. In those cases the moon is rarely the whole explanation.

If you want to read on from here

The full moon question touches on sleep, light, stress and expectation. These articles pick up the thread from a different direction.

SJ

Shukri Jarmoukli

Physician, Integrative Medicine · ViveCura Berlin

I work in Berlin with people whose standard diagnostics show nothing remarkable and who still do not feel well. My perspective comes from clinical psychoneuroimmunology and anthroposophic medicine: nervous system, immune system, metabolism and hormonal system as one connected whole, embedded in rhythms. I take folk wisdom such as the belief about the full moon as an invitation to look more closely.

Private practice ViveCura · Skalitzer Straße 137, Berlin
This article does not replace medical advice. With persistent sleep problems, an individual assessment is part of the picture.

Sources

All figures are taken from the abstracts or full texts of the cited works and were cross-checked via PubMed. Study type and sample size are given in square brackets in each case.

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Transparency about the evidence. There can be no randomised studies on the phase of the moon itself, because nobody can assign the moon at random. The lunar findings in this article therefore come from observational studies and retrospective analyses that differ considerably in size, method and result. The effects of light in the evening and at night, and the influence of expectations on how people feel, have by contrast been studied under well controlled conditions. The bridge between the two is biologically plausible, but where the moon is concerned it is not established with the same certainty. The starling study comes from animal research and cannot be transferred directly to humans.

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