Non-rapid eye movement sleep arousal disorder: Difference between revisions
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{{CMG}} {{AE}} {{JH}} | {{CMG}} {{AE}} {{JH}} | ||
{{SK}} NREM sleep arousal disorder | |||
==Overview== | ==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.<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558}}</ref> | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
* | *Alcohol-induced blackouts | ||
*Breathing-related sleep disorders | *Breathing-related sleep disorders | ||
*[[Dissociative amnesia]], with [[dissociative fugue]] | *[[Dissociative amnesia]], with [[dissociative fugue]] | ||
| Line 21: | Line 22: | ||
==Epidemiology and Demographics== | ==Epidemiology and Demographics== | ||
===Prevalence=== | ===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.<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558}}</ref> | |||
==Risk Factors== | ==Risk Factors== | ||
*Sedative use | *Sedative use | ||
*Sleep deprivation | *[[Sleep deprivation]] | ||
*Sleep-wake schedule disruptions | *Sleep-wake schedule disruptions | ||
*Fatigue | *[[Fatigue]] | ||
*Physical or emotional stress<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558}}</ref> | |||
==Prognosis== | ==Prognosis== | ||
Poor prognostic factors include: | Poor prognostic factors include: | ||
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# '''Sleepwalking:''' Repeated episodes of rising from bed during sleep and walking about. While sleepwalking, the individual has a blank, staring face; is relatively unresponsive to the efforts of others to communicate with him or her; and can be awakened only with great difficulty. | # '''Sleepwalking:''' Repeated episodes of rising from bed during sleep and walking about. While sleepwalking, the individual has a blank, staring face; is relatively unresponsive to the efforts of others to communicate with him or her; and can be awakened only with great difficulty. | ||
# '''Sleep terrors:''' Recurrent episodes of abrupt terror arousals from sleep, usually | # '''Sleep terrors:''' Recurrent episodes of abrupt terror arousals from sleep, usually beginning with a panicky scream. There is intense fear and signs of autonomic arousal, such as mydriasis, tachycardia, rapid breathing, and sweating, during each episode. There is relative unresponsiveness to efforts of others to comfort the individual during the episodes. | ||
'''''AND''''' | '''''AND''''' | ||
Latest revision as of 21:35, 13 November 2014
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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