Hu · Psychological bulletin 2020 · systematic review and meta-analysis · n=2,004 participants across 91 experiments

Promoting memory consolidation during sleep: A meta-analysis of targeted memory reactivation.

Cited 251 times in the scientific literature.

Level 1 - systematic review of randomized trials

Meta-analysis of 91 experimental trials

PubMed 32027149 · doi:10.1037/bul0000223 · record verified 2026-08-31

What was done

A meta-analysis was conducted using multilevel modeling across 91 experiments with 212 effect sizes (total N = 2,004) to evaluate the effect of targeted memory reactivation (TMR) on memory consolidation during sleep and wakefulness. Subgroup analyses evaluated sleep stages (NREM 2, slow-wave sleep, REM), wakefulness, memory domains (declarative memory, skill acquisition), and publication bias.

What was found

Overall sleep TMR significantly enhanced memory consolidation (Hedges' g = 0.29, 95% CI [0.21, 0.38]). By stage, significant effects were observed for NREM Stage 2 (Hedges' g = 0.32, 95% CI [0.04, 0.60]) and slow-wave sleep (Hedges' g = 0.27, 95% CI [0.20, 0.35]). TMR was not effective during REM sleep or during wakefulness. Memory improvements were observed for both declarative memory and skill acquisition.

Why it matters

This meta-analysis provides quantitative evidence that cueing memories specifically during NREM sleep promotes consolidation, validating TMR as an experimental tool and potential cognitive intervention.

Limits

The abstract does not specify participant demographics, long-term durability of the consolidated memories, stimulation protocols (e.g., auditory vs. olfactory cues), or individual study risk-of-bias metrics.

Cited by