-
Indian Pediatrics Mar 2022This cross-sectional study was conducted among parents of children aged 5-12 years to determine the prevalence and pattern of co-sleeping among children,and sleep...
This cross-sectional study was conducted among parents of children aged 5-12 years to determine the prevalence and pattern of co-sleeping among children,and sleep problems associated with it. Out of 275 children, 269 (97.8%) co-slept. Among co-sleepers, bed-sharers were 131 (48.7%) and room-sharers 138 (51.3%). Factors associated with bed-sharing were child's age and socio-economic status. Wake-up resistance and night terrors were more in bed-sharing children.
Topics: Child; Cross-Sectional Studies; Humans; Parents; Sleep; Sleep Wake Disorders; Social Class; Surveys and Questionnaires
PubMed: 35105822
DOI: No ID Found -
Journal of Clinical Sleep Medicine :... Dec 2019We report the case of a 3-year-old boy with a history of frequent and injurious sleep-related rhythmic movements and sleep terrors. We documented six episodes of body...
We report the case of a 3-year-old boy with a history of frequent and injurious sleep-related rhythmic movements and sleep terrors. We documented six episodes of body rocking and head banging via video polysomnography. No epileptic seizures were observed. In addition to the association between a sleep movement disorder and a disorder of arousal, our case shows that sleep-related rhythmic movements can arise not only during relaxed wakefulness or during a stable sleep stage, but also during a less clearly defined sleep stage during which it is difficult to further subtype non-rapid eye movement sleep. On the contrary, the portion of sleep without rhythmic movement episodes were clearly depicted with their physiological features. These findings might be of relevance for understanding the pathophysiology of both sleep-related rhythmic movements and sleep terrors and emphasize the importance to assess sleep using polysomnography, especially when episodes are frequent and injurious. The neurophysiological information obtained from this assessment might be helpful and guide an eventual treatment option.
Topics: Child, Preschool; Electroencephalography; Follow-Up Studies; Humans; Male; Niacinamide; Night Terrors; Polysomnography; Sleep-Wake Transition Disorders; Videotape Recording
PubMed: 31855169
DOI: 10.5664/jcsm.8098 -
BioMed Research International 2022To analyze the psychological nursing effect of patients with gynecological malignant tumor. (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVE
To analyze the psychological nursing effect of patients with gynecological malignant tumor.
METHOD
A total of 104 patients with gynecological malignant tumor receiving chemotherapy in our hospital from December 2019 to November 2020 were selected and randomly divided into observation group and control group with 52 cases each. Patients in the control group were treated with routine nursing of gynecological malignant tumor chemotherapy. The observation group applied psychological nursing methods on the basis of the control group, and psychological status, quality of sleep, quality of life, treatment coordination, and adverse reactions were compared between the two groups.
RESULTS
There was no difference in anxiety and depression scores ( > 0.05), the postintervention score was lower than the preintervention score, and the reduction was more significant in the observation group ( < 0.05). After intervention, PSQI scores of the two groups of subjects were significantly lower than before intervention ( < 0.05), subjects in the observation group were significantly lower than those in the control group, and the difference was statistically significant ( < 0.05). After intervention, the total score of FACT-B scale was significantly higher in the observation group than in the control group, and the difference was statistically significant ( < 0.05). After the implementation of psychological nursing, the degree of tumor treatment cooperation of observation group was higher than the control group ( < 0.05). After intervention, there was no statistically significant difference in hematology, allergic reaction, or hair loss between the two groups ( > 0.05). The incidence of gastrointestinal and neurological adverse events in the observation group was significantly lower than that in the control group, and the difference was statistically significant ( < 0.05).
CONCLUSION
The psychological state of patients with gynecological malignant tumor mainly included anxiety and terror and so on. Through psychological counseling, it could effectively alleviate the abovementioned bad psychology, improve the cooperation of patients with tumor treatment, and reduce the occurrence of patients' adverse reactions.
Topics: Anxiety; Anxiety Disorders; Humans; Neoplasms; Psychotherapy; Quality of Life
PubMed: 35655483
DOI: 10.1155/2022/1569656 -
Behavioural Neurology 1998Background: Sleep paralysis is one of the many conditions of which visual hallucinations can be a part but has received relatively little attention. It can be associated...
Background: Sleep paralysis is one of the many conditions of which visual hallucinations can be a part but has received relatively little attention. It can be associated with other dramatic symptoms of a psychotic nature likely to cause diagnostic uncertainty. Methods and results: These points are illustrated by the case of a young man with a severe bipolar affective disorder who independently developed terrifying visual, auditory and somatic hallucinatory episodes at sleep onset, associated with a sense of evil influence and presence. The episodes were not obviously related to his psychiatric disorder. Past diagnoses included nightmares and night terrors. Review provided no convincing evidence of various other sleep disorders nor physical conditions in which hallucinatory experiences can occur. A diagnosis of predormital isolated sleep paralysis was made and appropriate treatment recommended. Conclusions: Sleep paralysis, common in the general population, can be associated with dramatic auxiliary symptoms suggestive of a psychotic state. Less common forms are either part of the narcolepsy syndrome or (rarely) they are familial in type. Interestingly, sleep paralysis (especially breathing difficulty) features prominently in the folklore of various countries.
PubMed: 11568409
DOI: 10.1155/1998/649278 -
Epilepsy & Behavior Reports 2024We consider the disorders of arousal and sleep-related hypermotor epilepsy as genetic twin-conditions, one without, one with epilepsy. They share an augmented... (Review)
Review
We consider the disorders of arousal and sleep-related hypermotor epilepsy as genetic twin-conditions, one without, one with epilepsy. They share an augmented arousal-activity during NREM sleep with sleep-wake dissociations, culminating in sleep terrors and sleep-related hypermotor seizures with similar symptoms. The known mutations underlying the two spectra are different, but there are multifold population-genetic-, family- and even individual (the two conditions occurring in the same person) overlaps supporting common genetic roots. In the episodes of disorders of arousal, the anterior cingulate, anterior insular and pre-frontal cortices (shown to be involved in fear- and emotion processing) are activated within a sleeping brain. These regions overlap with the seizure-onset zones of successfully operated sleep-related hypermotor seizures, and notably, belong to the salience network being consistent with its hubs. The arousal-relatedness and the similar fearful confusion occurring in sleep terrors and hypermotor seizures, make them alike acute stress-responses emerging from sleep; triggered by false alarms. The activation of the anterior cingulate, prefrontal and insular regions in the episodes of both conditions, can easily mobilize the hypothalamo-pituitary-adrenal axis (preparing fight-flight responses in wakefulness); through its direct pathways to and from the salience network. This hypothesis has never been studied.
PubMed: 38328672
DOI: 10.1016/j.ebr.2024.100650 -
BMC Psychiatry Jun 2018Research on the relationship between insomnia and nightmares, and suicidal ideation (SI) has produced variable findings, especially with regard to military samples. This...
BACKGROUND
Research on the relationship between insomnia and nightmares, and suicidal ideation (SI) has produced variable findings, especially with regard to military samples. This study investigates whether depression mediated the relationship between: 1) sleep disturbances and SI, and 2) trauma-related nightmares and SI, in a sample of treatment-seeking Canadian Armed Forces (CAF) personnel and veterans (N = 663).
METHOD
Regression analyses were used to investigate associations between sleep disturbances or trauma-related nightmares and SI while controlling for depressive symptom severity, posttraumatic stress disorder (PTSD) symptom severity, anxiety symptom severity, and alcohol use severity. Bootstrapped resampling analyses were used to investigate the mediating effect of depression.
RESULTS
Approximately two-thirds of the sample (68%; N = 400) endorsed sleep disturbances and 88% (N = 516) reported experiencing trauma-related nightmares. Although sleep disturbances and trauma-related nightmares were both significantly associated with SI on their own, these relationships were no longer significant when other psychiatric conditions were included in the models. Instead, depressive symptom severity emerged as the only variable significantly associated with SI in both equations. Bootstrap resampling analyses confirmed a significant mediating role of depression for sleep disturbances.
CONCLUSIONS
The findings suggest that sleep disturbances and trauma-related nightmares are associated with SI as a function of depressive symptoms in treatment-seeking CAF personnel and veterans. Treating depression in patients who present with sleep difficulties may subsequently help mitigate suicide risk.
Topics: Adult; Anxiety Disorders; Canada; Depressive Disorder, Major; Dreams; Female; Humans; Male; Military Personnel; Night Terrors; Regression Analysis; Self-Injurious Behavior; Sleep Initiation and Maintenance Disorders; Stress Disorders, Post-Traumatic; Suicidal Ideation; Veterans
PubMed: 29921268
DOI: 10.1186/s12888-018-1782-z -
Brain and Behavior Mar 2019To investigate the prevalence of REM sleep behavior disorder (RBD) in patients with inflammatory arthritis (IA) to ascertain if RBD could be an internal red flag...
OBJECTIVES
To investigate the prevalence of REM sleep behavior disorder (RBD) in patients with inflammatory arthritis (IA) to ascertain if RBD could be an internal red flag signaling a fluctuating state of inflammation based on the theory of "protoconsciousness".
MATERIALS & METHODS
One hundred and three patients with a confirmed diagnosis of IA were consecutively recruited. The patients underwent general (IA activity, functional status, laboratory tests) and neurological evaluations. A neurologist investigated RBD and REM sleep parasomnias in a semi-structured interview. Sleep quality was assessed with the Pittsburgh Sleep Quality Index, while the risk of obstructive sleep apnea syndrome (OSAS) was evaluated with the Berlin questionnaire. Beck Depression Inventory II and State-Trait Anxiety Inventory investigated depression and anxiety.
RESULTS
Patients had a mean age of 53.7 ± 14.6 years, 65% were women; 57.3% were in a clinically active phase of IA. Two women fulfilled ICSD-3 criteria for RBD appearing 11 years after and 20 years before IA onset respectively. 31 patients scored positive for nightmare disorder (ND), 8 for recurrent isolated sleep paralysis. 65 (63.1%) patients reported poor sleep quality and 25 (24.3%) resulted at high risk for OSAS. 32 (31.0%) patients scored positively for depression or anxiety.
CONCLUSIONS
The prevalence of RBD in patients with IA did not differ from that in the general population, whereas ND presented a 2-fold increased prevalence. Whether RBD can be considered a red flag signaling an internal danger remains an open question, while ND may be a new player in this intriguing relation.
Topics: Adult; Aged; Arthritis; Dreams; Female; Humans; Male; Middle Aged; Night Terrors; Prevalence; REM Sleep Behavior Disorder; Risk Factors; Sleep; Sleep Apnea, Obstructive
PubMed: 30770647
DOI: 10.1002/brb3.1230 -
Sleep Jan 2014Arousal disorders may have serious health consequences.
BACKGROUND
Arousal disorders may have serious health consequences.
OBJECTIVE
To develop a scale assessing the severity of arousal disorders (Paris Arousal Disorders Severity Scale, PADSS).
SETTING
University hospital.
DESIGN
Controlled study.
PARTICIPANTS
Consecutive patients (older than 15 y), with sleepwalking (SW) and/or sleep terrors (ST), subjects with previous SW/ST, normal controls and patients with rapid eye movement sleep behavior disorder.
INTERVENTION
The self-rated scale listed 17 parasomniac behaviors (PADSS-A), assessed their frequency from never to twice or more per night (PADSS-B) and evaluated the consequences (PADSS-C: disturbed sleep, injuries, fatigue, and psychological consequences). The clinimetric properties and face validity of the scale were tested.
RESULTS
Half of the 73 patients with SW/ST (more men than women) had injured themselves or others, whereas 15% had concomitant sexsomnia and 23% had amnestic eating behaviors. The total PADSS score (range: 0-50) was 19.4 ± 6.3 (range: 8-36) in this group, 11.7 ± 5.9 in 26 subjects with previous SW/ST, 8.8 ± 3.2 in 26 patients with RBD, and 2.0 ± 3.5 in 53 normal controls (P < 0.05). The PADSS demonstrated high sensitivity (83.6%), specificity (87.8%), internal consistency, and test-retest reliability (0.79). The best cutoff for the total score was at 13/14. Exploratory factor analysis revealed two components: wandering and violence/handling. The complexity of behaviors emerging from N3 sleep (scored on videopolysomnography) positively correlated with scores for the PADSS-total, PADSS-A, PADSS-C, and the "violence/handling" factor.
CONCLUSION
This scale had reasonable psychometric properties and could be used for screening and stratifying patients and for evaluating the effects of treatments.
Topics: Adolescent; Adult; Factor Analysis, Statistical; Fatigue; Female; Hospitals, University; Humans; Male; Night Terrors; Psychometrics; REM Sleep Behavior Disorder; Reproducibility of Results; Self Report; Sleep; Somnambulism; Violence; Young Adult
PubMed: 24470702
DOI: 10.5665/sleep.3322 -
Journal of Clinical Sleep Medicine :... Feb 2022Sleep terrors are a non-rapid eye movement (NREM) sleep-related parasomnia characterized by abrupt terror with a frightening scream. However, it remains unknown whether...
UNLABELLED
Sleep terrors are a non-rapid eye movement (NREM) sleep-related parasomnia characterized by abrupt terror with a frightening scream. However, it remains unknown whether sleep terrors occur only from NREM sleep. We evaluated 3 cases of a sleep terrors-like parasomnia that occurred exclusively during arousals from rapid eye movement (REM) sleep. These parasomnia events occurred at REM sleep-wake transitions, manifesting with screaming or crying, similar to sleep terrors, without alertness or clear orientation. The patients were all young-adult females without notable medical conditions. REM sleep behavior disorder and nocturnal frontal lobe epilepsy were not detected based on their video-polysomnographic findings. These 3 cases should be provisionally diagnosed as "Parasomnia, Unspecified" according to the third edition; however, the phenomenological diagnosis is proposed to be "Disorders of Arousal from REM Sleep." Our reported cases indicate that sleep terrors may also arise from REM sleep.
CITATION
Futenma K, Inoue Y, Saso A, Takaesu Y, Yamashiro Y, Matsuura M. Three cases of parasomnias similar to sleep terrors occurring during sleep-wake transitions from REM sleep. . 2022;18(2):669-675.
Topics: Adult; Female; Humans; Night Terrors; Parasomnias; REM Sleep Behavior Disorder; Sleep Wake Disorders; Sleep, REM
PubMed: 34569925
DOI: 10.5664/jcsm.9666 -
Minerva Pneumologica Sep 2011Ancient philosophers and theologians believed that altered consciousness freed the mind to prophesy the future, equating sleep with seizures. Only recently has the...
Ancient philosophers and theologians believed that altered consciousness freed the mind to prophesy the future, equating sleep with seizures. Only recently has the bidirectional influences of epilepsy and sleep upon one another received more substantive analysis. This article reviews the complex and increasingly recognized interrelationships between sleep and epilepsy. NREM sleep differentially activates interictal epileptiform discharges during slow wave (N3) sleep, while ictal seizure events occur more frequently during light NREM stages N1 and N2. The most commonly encountered types of sleep-related epilepsies (those with preferential occurrence during sleep or following arousal) include frontal and temporal lobe partial epilepsies in adults, and benign epilepsy of childhood with centrotemporal spikes (benign rolandic epilepsy) and juvenile myoclonic epilepsy in children and adolescents. Comorbid sleep disorders are frequent in patients with epilepsy, particularly obstructive sleep apnea in refractory epilepsy patients which may aggravate seizure burden, while treatment with nasal continuous positive airway pressure often improves seizure frequency. Distinguishing nocturnal events such as NREM parasomnias (confusional arousals, sleep walking, and night terrors), REM parasomnias including REM sleep behavior disorder, and nocturnal seizures if frequently difficult and benefits from careful history taking and video-EEG-polysomnography in selected cases. Differentiating nocturnal seizures from primary sleep disorders is essential for determining appropriate therapy, and recognizing co-existent sleep disorders in patients with epilepsy may improve their seizure burden and quality of life.
PubMed: 23539488
DOI: No ID Found