ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2020
Simple behavioral criteria for the diagnosis of disorders of arousal.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers.
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Does Hypnosis Improve Severe Sleepwalking ?
Y a T-il Une désensibilisation Pendant le Sommeil après la réception de Violence Verbale ?
Who cites it
12 citing papers in PubMed.
- Article
- Strangulation during the night: diagnosis of sleep-associated violence.BMC psychiatry · 2025Article
- The Future of Parasomnias.Journal of sleep research · 2025Review
- Article
- Dreaming Characteristics in Non-Rapid Eye Movement Parasomnia and Idiopathic Rapid Eye Movement Sleep Behaviour Disorder: Similarities and Differences.Nature and science of sleep · 2024Article
- Short slow wave sleep latency in patients with disorders of arousal.Sleep medicine: X · 2023Article
- Diagnosis and Management of NREM Sleep Parasomnias in Children and Adults.Diagnostics (Basel, Switzerland) · 2023Review
- Disorders of Arousal and timing of the first period of slow wave sleep: Clinical and forensic implications.Sleep medicine: X · 2022Review
- What respiratory physicians should know about parasomnias.Breathe (Sheffield, England) · 2022Review
- Comorbid parasomnias in narcolepsy and idiopathic hypersomnia: more REM than NREM parasomnias.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- Eyes wide open minds shut best identify disorders of arousal in adult sleepwalkers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020Article
- Commonalities and Differences in NREM Parasomnias and Sleep-Related Epilepsy: Is There a Continuum Between the Two Conditions?Frontiers in neurology · 2020Article
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesThis case-control study aimed to identify and validate behavioral markers supporting the diagnosis of disorders of arousal (DOA) with video polysomnography.
methodsAll behaviors associated with 1,335 episodes of N3 interruptions were compared in 52 adult patients with DOA versus 52 participants without DOA (healthy control patients and patients with insomnia, hypersomnia, or sleep apnea syndrome).
resultsPatients with DOA had more frequent (5.1 ± 2.4 versus 3.4 ± 1.9 interruptions/N3 time) and longer (35.8 ± 33 versus 23.1 ± 21.4 sec) arousals and awakenings from N3 than control patients. In the DOA group, the onset of behaviors was more abrupt, and behaviors including eye opening (69% versus 16%), head raising (41% versus 9%), visually exploring the environment (27% versus 1%), expression of fear/surprise (21% versus zero), speaking (18% versus 0.3%), trunk raising (13% versus 0.3%), and interacting with the environment (13% versus 0.5%), were (unlike quiet, comfort behaviors) more frequent than in control patients. A cutoff of two or more N3 interruptions containing eye opening yielded a sensitivity of 94.2% and a specificity of 76.9% for a DOA diagnosis. This accuracy was confirmed in a second set of data (second night of monitoring). Behaviors including an expression of fear/surprise (67.3%), sitting (32.7%), screaming, and standing up were specific to patients with DOA.
conclusionsA simple, behavioral video marker of behavioral reactions during N3 interruption (ie, opening the eyes at least two times in the same night) was sensitive, specific, and reproducible for discriminating patients with DOA from sleep laboratory control patients. CLINICAL
trial registrationThis study is a surrogate study of NCT02648568 and NCT03074578 on ClinicalTrials.gov.
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