Non-rapid eye movement sleep arousal disorder
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]
Synonyms and keywords: NREM sleep arousal disorder
Overview
Non-rapid eye movement sleep arousal disorder is characterized by incomplete arousal from the first third of a sleep cycle associated with either sleepwalking or sleep terrors.[1]
Differential Diagnosis
- Alcohol-induced blackouts
- Breathing-related sleep disorders
- Dissociative amnesia, with dissociative fugue
- Sleep-related seizures
- Malingering or other voluntary behavior occurring during wakefulness
- Medication-induced complex behaviors
- REM sleep behavior disorder
- Night eating syndrome
- Nightmare disorder
- Panic disorder
- Parasomnia overlap syndrome[1]
Epidemiology and Demographics
Prevalence
- Among children, the prevalence of non-rapid eye movement sleep arousal disorders is 10,000 to 30,000 per 100,000 (10% to 30%).
- Among adults, the lifetime prevalence of non-rapid eye movement sleep arousal disorder is 29,200 (29.2%) among adults.[1]
Risk Factors
- Sedative use
- Sleep deprivation
- Sleep-wake schedule disruptions
- Fatigue
- Physical or emotional stress[1]
Prognosis
Poor prognostic factors include:
- Emotional stress
- Males during adulthood
- Fatigue
- Females during childhood
- Physical stress
- Sleep-wake schedule disruptions[1]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Non-Rapid Eye Movement Sleep Arousal Disorder[1]
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