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Journal of Family Medicine and Primary Care logoLink to Journal of Family Medicine and Primary Care
. 2025 Sep 24;14(8):3115–3120. doi: 10.4103/jfmpc.jfmpc_1677_24

The science of yawning: Exploring its physiology, evolutionary role, and behavioral impact

Pinaki Deepak Wani 1,, Mayank Agarwal 1
PMCID: PMC12488162  PMID: 41041241

ABSTRACT

Yawning is a ubiquitous physiological phenomenon observed across various species, including humans. Traditionally associated with boredom or drowsiness, yawning encompasses a complex interplay of neurological, physiological, and social factors. This article delves into the multifaceted nature of yawning, examining its evolutionary significance, neurological underpinnings, and physiological functions. The initiation of yawning is primarily regulated by the hypothalamus and brainstem, with neurotransmitters such as dopamine, serotonin, and oxytocin playing critical roles. Anatomically, yawning involves coordinated actions of cranial nerves and muscle groups. The physiological functions of yawning extend beyond mere ventilation, with hypotheses suggesting roles in brain cooling, arousal, and alertness. Additionally, yawning has significant social and communicative implications, particularly through the phenomenon of contagious yawning, which is believed to foster empathy and social bonding. Developmentally, yawning emerges early in fetal life and persists throughout the lifespan, with its frequency and triggers evolving with age. Comparative studies in animals reveal yawning’s deep evolutionary roots, linked to thermoregulation and social communication. Clinically, excessive yawning may indicate underlying neurological or systemic conditions, necessitating further investigation. This comprehensive exploration underscores yawning as a complex behavior with significant physiological, neurological, and social dimensions, offering insights into human and animal physiology and social interactions.

Keywords: Arousal, brain cooling, contagious yawning, dopamine, empathy, hypothalamus, thermoregulation, yawning


Yawning is a physiological phenomenon characterized by the simultaneous inhalation of air, and stretching of the eardrums, often followed by an exhalation. It typically involves an open mouth, deep inhalation, brief closure of the eyes, and, frequently, a stretch of the upper body. Yawning is an involuntary reflex ubiquitous across various species, including humans and many animals. There are primarily two types of yawning: spontaneous and contagious. Spontaneous yawning occurs naturally and is often associated with drowsiness, boredom, or the transition between wakefulness and sleep. This type of yawning is commonly observed when one is tired or waking up from sleep. Contagious yawning is triggered by seeing, hearing, or even thinking about another person yawning. This phenomenon is believed to be linked to social and communicative functions, demonstrating empathy and social bonding.[1] The study of yawning dates back to ancient times, with references found in various cultures and texts. Hippocrates, the Greek physician often referred to as the “Father of Medicine,” suggested that yawning was a way to remove bad air from the lungs and bring in good air, thus balancing the body’s humors. This early interpretation reflects the limited understanding of the physiological basis of yawning at the time.[2] However, modern research has largely debunked this idea, pointing instead to more complex neurological and social functions. In recent history, scientific interest in yawning has expanded, with researchers exploring its neurological, physiological, and social aspects. In the 20th century, studies focused on the brain mechanisms underlying yawning. Notably, the role of neurotransmitters such as dopamine and serotonin in the regulation of yawning was discovered, highlighting the involvement of specific brain regions like the hypothalamus and brainstem.[3] The concept of contagious yawning also garnered significant attention. In the late 20th century, studies demonstrated that contagious yawning is not only observed in humans but also in other social animals, such as chimpanzees and dogs, suggesting an evolutionary basis for this behavior.[4] This finding led to the hypothesis that contagious yawning is related to empathy and social bonding, as individuals with higher empathetic traits are more likely to yawn contagiously.[5] Culturally, yawning has been interpreted in various ways. In some African cultures, yawning is seen as a sign of disrespect if done in public without covering the mouth, while in others, it is believed to signify the presence of evil spirits or a way to ward them off. In Western societies, yawning is often associated with boredom or tiredness, and social norms dictate that one should cover their mouth when yawning to show politeness.[6] Understanding yawning provides insights into the functioning of the human brain, the evolution of social behaviors, and the intricate balance of physiological processes that maintain homeostasis in the body.

The Neurological Basis of Yawning

Yawning is triggered by specific brain regions, notably the hypothalamus and brainstem. The hypothalamus, which oversees numerous homeostatic functions, plays a key role in this process. Research highlights the paraventricular nucleus (PVN) of the hypothalamus as especially significant. Studies involving animal models have demonstrated that stimulating the PVN induces yawning, indicating that neurons in this area are responsible for initiating the yawning response. The brainstem, particularly the reticular formation, is also involved. The reticular formation is a network of neurons that play a key role in regulating wakefulness and arousal, which are states often associated with yawning. Together, these brain regions form a network that triggers the complex motor sequence of yawning.[7]

Neurotransmitters and hormones related to yawning

Several neurotransmitters and hormones are involved in the yawning process. Dopamine is one of the primary neurotransmitters associated with yawning. It acts on dopamine receptors, particularly the D2 and D3 receptors in the hypothalamus and brainstem. Experimental evidence shows that agonists of these receptors can induce yawning, while antagonists can inhibit it.[8] Serotonin, another critical neurotransmitter, also plays a role. It modulates various physiological processes, including mood and sleep. Serotonergic pathways influence yawning, with agonists of serotonin receptors, particularly the 5-Hydroxytryptamine 2 (5-HT2) receptor, inducing yawning in several studies.[9] Oxytocin, commonly known for its role in social bonding and reproductive behaviors, has also been implicated in yawning. The release of oxytocin in the PVN can stimulate yawning, and oxytocin receptor antagonists can block this effect. This suggests a significant modulatory role of oxytocin in the yawning process.[10]

Anatomical pathways involved in yawning

The neural pathways involved in yawning are complex and involve multiple motor pathways and cranial nerves. The motor sequence of yawning is initiated in the hypothalamus and propagated through the brainstem to the spinal cord. This pathway activates the motor neurons that control the muscles involved in yawning. Cranial nerves, particularly the facial nerve [cranial nerve VII], play a crucial role in coordinating the muscular movements of the face during yawning. The trigeminal nerve [cranial nerve V] is involved in the sensation and motor functions of the jaws, and the phrenic nerve is crucial for the diaphragmatic contractions that occur during yawning.[11] The activation of these nerves leads to the characteristic wide opening of the mouth, deep inhalation, and stretching of the muscles that are typical of a yawn. The precise coordination of these neural and muscular activities ensures the proper execution of the yawning reflex. The mechanism of yawning involves a well-orchestrated interplay between specific brain regions, neurotransmitters, hormones, and neural pathways. The hypothalamus and brainstem serve as central hubs for initiating yawning, with neurotransmitters like dopamine, serotonin, and oxytocin modulating the process. The coordinated activation of motor pathways and cranial nerves leads to the characteristic physical manifestations of yawning.

Physiological functions of yawning

  1. Brain Cooling Hypothesis: One intriguing hypothesis proposes that yawning functions as a mechanism to cool the brain. This theory posits that the wide gaping of the mouth and the subsequent deep inhalation facilitate heat exchange and help regulate brain temperature. The brain cooling hypothesis suggests that the influx of cool air during a yawn can reduce the temperature of the blood circulating to the brain, thus preventing overheating and maintaining optimal brain function.[12] Evidence supporting this hypothesis comes from studies indicating that yawning frequency increases in situations where brain temperature is elevated. For instance, research has shown that individuals yawn more frequently in warmer environments or after engaging in activities that raise brain temperature, such as intense cognitive tasks.[13] Additionally, yawning has been observed to decrease when ambient temperatures are cooler, further supporting the idea that yawning is linked to thermoregulation.

  2. Arousal and Alertness: Yawning is proposed to play a role in enhancing arousal and maintaining alertness. This hypothesis is grounded in the observation that yawning often occurs during periods of drowsiness or monotony, such as before bedtime or during long, unstimulating activities. By promoting a state of heightened alertness, yawning may help individuals remain attentive and responsive to their environment. The physiological mechanisms underlying this function are thought to involve an increase in blood flow to the brain. The deep inhalation associated with yawning can enhance cardiovascular activity, leading to greater oxygenation and nutrient delivery to the brain. This surge in blood flow can stimulate neural activity and improve cognitive performance.[14] Additionally, the stretching of the jaw and facial muscles during a yawn may activate the reticular activating system, a network of neurons in the brainstem that regulates wakefulness and alertness.[15] Experimental studies have shown that yawning can temporarily enhance cognitive performance and vigilance. For example, a study by Gallup and Gallup demonstrated that participants who yawned before completing a cognitive task performed better and reported higher levels of alertness compared to those who did not yawn.[16] These findings suggest that yawning may serve as a natural countermeasure to fatigue and cognitive decline.

  3. Ventilation Hypothesis: Yawning serves a respiratory function, specifically by increasing oxygen intake and facilitating the removal of carbon dioxide. Yawning helps optimize gas exchange in the lungs, ensuring that the body receives sufficient oxygen and expels excess carbon dioxide. This function is important during periods of reduced respiratory activity, such as when one is drowsy or bored. The deep inhalation that accompanies yawning allows for a greater volume of air to be drawn into the lungs, enhancing alveolar ventilation and improving the efficiency of gas exchange. This process can help alleviate feelings of breathlessness and restore respiratory homeostasis. Moreover, the subsequent exhalation during a yawn can help expel accumulated carbon dioxide, preventing hypercapnia and maintaining acid-base balance in the body.[17] Studies supporting the ventilation hypothesis have shown that yawning frequency increases in response to hypoxia (low oxygen levels) or hypercapnia (elevated carbon dioxide levels). For instance, a study by Provine et al.[18] found that participants exposed to a hypoxic environment exhibited a higher yawning rate than those in a normoxic environment. These findings suggest that yawning may act as a compensatory mechanism to enhance respiratory function and maintain oxygenation.

  4. Social and Communicative Functions: Yawning plays a significant role in social bonding and communication, particularly through contagious yawning. Contagious yawning refers to the phenomenon where observing someone else yawn triggers an automatic yawning response in the observer. This behavior is thought to be linked to empathy and social bonding, as it is more commonly observed among individuals with close social connections, such as family members or friends.[5] The social and communicative functions of yawning are believed to be mediated by mirror neurons, a class of neurons that fire both when an individual acts and when they observe someone else performing the same action. Mirror neurons are thought to facilitate the understanding of others’ emotions and actions, thereby promoting social cohesion and empathy.[19] In the context of yawning, the activation of mirror neurons when observing another person yawn may lead to the automatic imitation of the behavior, reinforcing social bonds. Research has shown that contagious yawning is more prevalent in individuals with higher levels of empathy and social awareness. For instance, a study by Platek et al.[20] found that participants who scored higher on measures of empathy were more likely to exhibit contagious yawning in response to video clips of yawning individuals. Additionally, contagious yawning has been observed in various social animals, such as primates and dogs, further highlighting its role in promoting social cohesion and communication.[21].

Developmental aspects of yawning

Yawning is an intriguing reflex that appears early in human development and persists throughout the lifespan. The ontogeny of yawning begins in utero, with fetal yawning observed as early as the first trimester. Using four-dimensional (4D) ultrasound technology, researchers have documented yawning-like behavior in fetuses between 11 and 20 weeks of gestation, indicating that yawning may play a role in early brain development and maturation.[22] These early yawns are thought to be part of the normal developmental processes, helping to coordinate and practice motor patterns that will be essential after birth. In infancy, yawning continues to be a prominent behavior. Neonates and young infants yawn frequently, which may help regulate states of arousal and maintain alertness. The high frequency of yawning in newborns and infants could be linked to the need for frequent sleep-wake transitions, aiding in regulating sleep cycles.[23] As children grow, the frequency and context of yawning evolve. During early childhood, yawning often occurs in response to tiredness or boredom, similar to adults. However, the social aspect of yawning, particularly contagious yawning, does not fully emerge until around four to five years old. This delay suggests that the neural and cognitive mechanisms underlying contagious yawning, such as empathy and social cognition development, mature later in childhood.[24] Throughout adolescence and adulthood, yawning frequency stabilizes but can be influenced by factors such as sleep deprivation, stress, and circadian rhythms. Adults typically yawn upon waking and before going to sleep, aligning with transitions between wakefulness and sleep.[2] Additionally, adults may experience contagious yawning, which is thought to be linked to social and empathetic processes. Interestingly, research has shown that older adults yawn less frequently than younger individuals, possibly due to age-related changes in brain structure and function, as well as alterations in sleep patterns.[25].

Comparative physiology: Yawning in other animals and its evolutionary significance

Yawning is not a behavior unique to humans; it is observed across a wide range of animal species, indicating that it may have deep evolutionary roots. Comparative studies of yawning in mammals, birds, and reptiles provide valuable insights into its physiological and adaptive significance. In mammals, yawning is a common behavior seen in species ranging from primates to domestic animals. For instance, chimpanzees, our closest living relatives, exhibit both spontaneous and contagious yawning, suggesting that the mechanisms underlying these behaviors may be shared with humans.[5] In primates, yawning is often associated with changes in arousal and social interactions. It can serve as a non-verbal communication tool to signal tiredness, boredom, or even social tension within a group. The presence of contagious yawning in some primate species also points to the role of yawning in social cohesion and empathy, although the extent and context of this behavior can vary widely among different species.[26] Beyond mammals, yawning has been documented in birds and reptiles, albeit less frequently studied. In birds, yawning-like behaviors are observed in species such as budgerigars and parakeets. These behaviors are thought to help regulate brain temperature and maintain optimal cognitive function, particularly under conditions of stress or high ambient temperatures.[27] Birds also yawn during periods of rest, similar to mammals, which may aid in the transition between different states of arousal. Reptiles, such as lizards and tortoises, exhibit yawning behaviors that are often linked to thermoregulation. For ectothermic animals, maintaining body temperature is crucial for physiological functioning, and yawning may help facilitate heat exchange and regulate brain temperature. Studies have shown that reptiles are more likely to yawn in response to changes in environmental temperature, suggesting an adaptive function in thermoregulation.[28] The evolutionary significance of yawning likely lies in its multifaceted roles in physiological regulation and social communication. From a physiological perspective, yawning may have evolved as a mechanism to maintain homeostasis, particularly in brain function. By increasing blood flow and oxygenation, and possibly aiding in thermoregulation, yawning helps optimize cognitive performance and alertness. This is crucial for survival, as maintaining vigilance and responsiveness to environmental cues is essential for avoiding predators and locating food.[1] Socially, yawning may have evolved to facilitate group cohesion and communication. In social animals, including primates and humans, contagious yawning can strengthen social bonds and promote empathy by synchronizing group behavior and emotional states. This form of non-verbal communication may help individuals understand and respond to the emotional states of others, enhancing group dynamics and cooperation.[29]

Clinical significance of yawning

This section explores the implications of excessive yawning, its potential as a diagnostic tool, and its therapeutic applications.

Excessive Yawning is yawning that occurs more frequently than usual, can be a symptom of several medical conditions. It is essential to recognize and understand these conditions to appropriately address the underlying causes.

Sleep Disorders: Conditions such as insomnia, sleep apnea, and narcolepsy disrupt normal sleep patterns, leading to increased daytime sleepiness and, consequently, more frequent yawning. In patients with sleep apnea, interrupted breathing during sleep results in poor sleep quality, leading to excessive daytime yawning as the body attempts to compensate for the lack of restful sleep.[30]

Neurological Disorders: Several neurological conditions can lead to excessive yawning. For example, multiple sclerosis (MS), Parkinson’s disease, and epilepsy are known to be associated with frequent yawning. In MS, lesions in the brain can affect the hypothalamus, a region involved in yawning regulation. Similarly, in Parkinson’s disease, the loss of dopaminergic neurons can disrupt normal yawning patterns. Epilepsy, particularly temporal lobe epilepsy, has also been linked to excessive yawning due to the involvement of brain regions responsible for yawning.[31]

Medications: Certain medications can induce excessive yawning as a side effect. Selective serotonin reuptake inhibitors (SSRIs), commonly prescribed for depression and anxiety, have been reported to cause increased yawning. This is believed to be due to the effect of these medications on serotonin levels, which play a role in the regulation of yawning. Other medications, such as dopaminergic drugs used in Parkinson’s disease, can also influence yawning frequency.[15]

Other Medical Conditions: Excessive yawning can also be a symptom of other medical conditions such as migraines, heart conditions, and even brain tumors. For instance, yawning can occur before or during a migraine attack, possibly due to the involvement of the brainstem, which is implicated in both yawning and migraine pathophysiology. In heart conditions, particularly those involving the vagus nerve, yawning can be a response to vagal stimulation.[32]

Future directions

Despite advancements, yawning’s precise neural mechanisms and its connections to mental states and sleep disorders remain insufficiently understood. While regions like the hypothalamus and brainstem are implicated, the specific circuits and neurotransmitter interactions require further exploration through advanced neuroimaging and electrophysiological studies. The relationship between yawning, stress, cognitive load, and sleep disorders, such as insomnia and sleep apnea, remains unclear. Investigating these links could deepen our understanding of yawning’s role in sleep regulation, mental health, and potential therapeutic applications.[33]

Technological advances

Technological advances offer promising avenues for future research. Functional magnetic resonance imaging [fMRI] has the potential to provide detailed insights into brain activity during yawning, especially with recent developments in higher resolution and real-time data acquisition.[34] Electroencephalography (EEG) and magnetoencephalography (MEG) can complement fMRI by capturing the temporal dynamics of yawning-related neural processes, offering a more comprehensive view when combined.[35]. Computational modeling, enhanced by machine learning and artificial intelligence, can simulate neural circuits associated with yawning, allowing researchers to test hypotheses and make nuanced predictions.[36] Advances in genetic and genomic research could also reveal genetic markers associated with yawning, helping to uncover underlying biological factors and links to broader physiological traits.[37] Addressing these research gaps and utilizing cutting-edge technologies can significantly deepen our understanding of yawning, providing a more comprehensive view of its physiological, evolutionary, and clinical significance.

Conclusions

In conclusion, yawning is a complex physiological phenomenon with diverse mechanisms and functions. It has been associated with brain cooling, alertness, respiratory optimization, and social bonding through contagious yawning, reflecting its role in empathy. Yawning begins in utero, evolves developmentally, and is observed across species, underscoring its evolutionary significance. Clinically, excessive yawning may indicate underlying conditions, highlighting its diagnostic relevance. Yawning provides valuable insights into physiology, social interactions, and potential therapeutic applications despite being often overlooked.

Conflicts of interest

There are no conflicts of interest.

Funding Statement

Nil.

References

  • 1.Guggisberg AG, Mathis J, Schnider A, Hess CW. Why do we yawn? Neurosci Biobehav Rev. 2010;34:1267–76. doi: 10.1016/j.neubiorev.2010.03.008. [DOI] [PubMed] [Google Scholar]
  • 2.Walusinski O. Historical perspectives. In: Walusinski O, editor. The Mystery of Yawning in Physiology and Disease. Vol. 28. France: Karger; 2010. pp. 1–21. doi:10.1159/isbn. 978-3-8055-9405-9. [Google Scholar]
  • 3.Daquin G, Micallef J, Blin O. Yawning. Sleep Med Rev. 2001;5:299–312. doi: 10.1053/smrv.2001.0175. [DOI] [PubMed] [Google Scholar]
  • 4.Anderson JR, Myowa-Yamakoshi M, Matsuzawa T. Contagious yawning in chimpanzees. Proc Biol Sci. 2004;271((Suppl 6)):S468–70. doi: 10.1098/rsbl.2004.0224. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Platek SM, Mohamed FB, Gallup GG., Jr Contagious yawning and the brain. Brain Res Cogn Brain Res. 2005;23:448–52. doi: 10.1016/j.cogbrainres.2004.11.011. [DOI] [PubMed] [Google Scholar]
  • 6.Gupta S, Mittal S. Yawning and its physiological significance. Int J Appl Basic Med Res. 2013;3:11–5. doi: 10.4103/2229-516X.112230. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Sato-Suzuki I, Kita I, Oguri M, Arita H. Stereotyped yawning responses induced by electrical and chemical stimulation of paraventricular nucleus of the rat. J Neurophysiol. 1998;80:2765–75. doi: 10.1152/jn.1998.80.5.2765. [DOI] [PubMed] [Google Scholar]
  • 8.Berridge KC. The debate over dopamine's role in reward: The case for incentive salience. Psychopharmacology (Berl) 2007;191:391–431. doi: 10.1007/s00213-006-0578-x. [DOI] [PubMed] [Google Scholar]
  • 9.Argiolas A, Melis MR. The neuropharmacology of yawning. Eur J Pharmacol. 1998;343:1–16. doi: 10.1016/s0014-2999(97)01538-0. [DOI] [PubMed] [Google Scholar]
  • 10.Argiolas A, Melis MR. The role of oxytocin and the paraventricular nucleus in the sexual behaviour of male mammals. Physiol Behav. 2004;83:309–17. doi: 10.1016/j.physbeh.2004.08.019. [DOI] [PubMed] [Google Scholar]
  • 11.Teive HAG, Munhoz RP, Camargo CHF, Walusinski O. Yawning in neurology: A review. Arq Neuropsiquiatr. 2018;76:473–80. doi: 10.1590/0004-282X20180057. [DOI] [PubMed] [Google Scholar]
  • 12.Gallup AC, Gallup GG., Jr Yawning as a brain-cooling mechanism: Nasal breathing and forehead cooling diminish the incidence of contagious yawning. Evol Psychol. 2007;5:92–101. [Google Scholar]
  • 13.Provine RR. Yawning as a stereotyped action pattern and releasing stimulus. Ethology. 1986;72:109–22. [Google Scholar]
  • 14.Baenninger R. On yawning and its functions. Psychon Bull Rev. 1997;4:198–207. doi: 10.3758/BF03209394. [DOI] [PubMed] [Google Scholar]
  • 15.Krestel H, Bassetti CL, Walusinski O. Yawning-Its anatomy, chemistry, role, and pathological considerations. Prog Neurobiol. 2018;161:61–78. doi: 10.1016/j.pneurobio.2017.11.003. [DOI] [PubMed] [Google Scholar]
  • 16.Gallup AC, Gallup GG., Jr Yawning and thermoregulation. Physiol Behav. 2008;95:10–6. doi: 10.1016/j.physbeh.2008.05.003. [DOI] [PubMed] [Google Scholar]
  • 17.Provine RR, Hamernik HB, Curchack BC. Yawning: Relation to sleeping and stretching in humans. Ethology. 1987;76:152–60. [Google Scholar]
  • 18.Provine RR, Hamernik HB. Yawning: Effects of stimulus interest. Bull Psychon Soc. 1986;24:437–8. [Google Scholar]
  • 19.Gallese V, Goldman A. Mirror neurons and the simulation theory of mind-reading. Trends Cogn Sci. 1998;2:493–501. doi: 10.1016/s1364-6613(98)01262-5. [DOI] [PubMed] [Google Scholar]
  • 20.Platek SM, Critton SR, Myers TE, Gallup GG. Contagious yawning: The role of self-awareness and mental state attribution. Brain Res Cogn Brain Res. 2003;17:223–7. doi: 10.1016/s0926-6410(03)00109-5. [DOI] [PubMed] [Google Scholar]
  • 21.Palagi E, Leone A, Mancini G, Ferrari PF. Contagious yawning in gelada baboons as a possible expression of empathy. Proc Natl Acad Sci. 2009;106:19262–7. doi: 10.1073/pnas.0910891106. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Reissland N, Francis B, Mason J. Development of fetal yawn compared with non-yawn mouth openings from 24-36 weeks gestation. PLoS One. 2012;7:e50569. doi: 10.1371/journal.pone.0050569. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23.Giganti F, Hayes MJ, Cioni G, Salzarulo P. Yawning frequency and distribution in preterm and near term infants assessed throughout 24-h recordings. Infant Behav Dev. 2007;30:641–7. doi: 10.1016/j.infbeh.2007.03.005. [DOI] [PubMed] [Google Scholar]
  • 24.Millen A, Anderson JR. Neither infants nor toddlers catch yawns from their mothers. Biol Lett. 2011;7:440–2. doi: 10.1098/rsbl.2010.0966. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25.Benca R, Duncan MJ, Frank E, McClung C, Nelson RJ, Vicentic A. Biological rhythms, higher brain function, and behavior: Gaps, opportunities, and challenges. Brain Res Rev. 2009;62:57–70. doi: 10.1016/j.brainresrev.2009.09.005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Campbell MW, de Waal FB. Ingroup-outgroup bias in contagious yawning by chimpanzees supports link to empathy. PLoS One. 2011;6:e18283. doi: 10.1371/journal.pone.0018283. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 27.Gallup AC, Miller ML, Clark AB. Yawning and thermoregulation in budgerigars, Melopsittacus undulatus. Anim Behav. 2009;77:109–13. [Google Scholar]
  • 28.Walusinski O, Deputte Bl. The Phylogeny, Ethology And Nosology Of Yawning. Rev Neurol (Paris) 2004;160:1011–21. doi: 10.1016/s0035-3787(04)71138-8. [DOI] [PubMed] [Google Scholar]
  • 29.Campbell MW, Cox CR. Observational data reveal evidence and parameters of contagious yawning in the behavioral repertoire of captive-reared chimpanzees (Pan troglodytes) Sci Rep. 2019;9:13271. doi: 10.1038/s41598-019-49698-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 30.Guilleminault C, Tilkian A, Dement WC. The sleep apnea syndromes. Annu Rev Med. 1976;27:465–84. doi: 10.1146/annurev.me.27.020176.002341. [DOI] [PubMed] [Google Scholar]
  • 31.Walusinski O. Pathological Yawning, laughing and crying. Front Neurol Neurosci. 2018;41:40–9. doi: 10.1159/000475691. [DOI] [PubMed] [Google Scholar]
  • 32.Headache. [[Last accessed on 2024 Oct 29]]. Available from: https://www.ninds.nih.gov/health-information/disorders/headache .
  • 33.Rodrigues T, Shigaeff N. Sleep disorders and attention: A systematic review. Arq Neuropsiquiatr. 2022;80:530–38. doi: 10.1590/0004-282X-ANP-2021-0182. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Biswal BB, Mennes M, Zuo XN, Gohel S, Kelly C, Smith SM, et al. Toward discovery science of human brain function. Proc Natl Acad Sci. 2010;107:4734–9. doi: 10.1073/pnas.0911855107. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 35.Bajracharya A, Peelle JE. A systematic review of neuroimaging approaches to mapping language in individuals. J Neurolinguistics. 2023;68:101163. doi: 10.1016/j.jneuroling.2023.101163. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 36.Ahmed MA, Hussein HA, Omar MB, Hameed QA, Hamdi SA. A review of recent advancements in the detection of driver drowsiness. J Algebr Stat. 2022;13:2657–63. [Google Scholar]
  • 37.Bartholomew AJ, Cirulli ET. Individual variation in contagious yawning susceptibility is highly stable and largely unexplained by empathy or other known factors. PLoS One. 2014;9:e91773. doi: 10.1371/journal.pone.0091773. [DOI] [PMC free article] [PubMed] [Google Scholar]

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