Evidence map›Paper›PMID 36866491›Full record

ArticleSleep2023

Do the EEG and behavioral criteria of NREM arousal disorders apply to sexsomnia?

Jessica Rossi, Ana Gales, Valérie Attali, Smaranda Leu-Semenescu, Pauline Dodet, Elisabeth Groos, Isabelle Arnulf

Abstract read
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In one paragraph

Article in Sleep, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. The Future of Parasomnias.Journal of sleep research · 2025
    Review
  4. Hand dominance shift during sleep in sexsomnia: a clue to pathophysiology?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  5. Sleep-Related Eating Disorder and Sexsomnia; Two Rare Parasomnias? A Mini-Review with Illustrative Case-Reports.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
    Article
  6. A challenging case of sexsomnia in an adolescent female presenting with depressive-like symptoms.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Jessica RossiSleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne, Paris, France.
Ana GalesSleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne, Paris, France.
Valérie AttaliSleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne, Paris, France.ORCID 0000-0001-5444-9223
Smaranda Leu-SemenescuSleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne, Paris, France.ORCID 0000-0001-9556-4527
Pauline DodetSleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne, Paris, France.
Elisabeth GroosSleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne, Paris, France.
Isabelle ArnulfSleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne, Paris, France.ORCID 0000-0002-2240-2516

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesTo establish whether the recent EEG and behavioral criteria of arousal disorders apply to sexsomnia.

methodsEEG and behavioral markers upon N3 sleep interruptions in videopolysomnography were retrospectively compared in 24 participants with sexsomnia, 41 participants with arousals disorders, and 40 healthy controls. The specificity and sensitivity of previously suggested EEG and behavioral cutoffs for supporting arousal disorders diagnosis were measured in the sexsomnia vs. control groups.

resultsParticipants with sexsomnia and arousals disorders showed a higher N3 fragmentation index, slow/mixed N3 arousal index, and number of eye openings during N3 interruptions than healthy controls. Ten (41.7%) participants with sexsomnia (vs. one sleepwalker and no control) displayed an apparently sexual behavior (masturbation, sexual vocalization, pelvic thrusting, and hand within the pajama) during N3 arousal. An N3 sleep fragmentation index ≥6.8/h of N3 sleep and two or more N3 arousals associated with eye opening was 95% specific but poorly (46% and 42%) sensitive for diagnosing sexsomnia. An index of slow/mixed N3 arousals ≥2.5/h of N3 sleep was 73% specific and 67% sensitive. An N3 arousal with trunk raising, sitting, speaking, showing an expression of fear/surprise, shouting, or exhibiting sexual behavior was 100% specific for a diagnosis of sexsomnia.

conclusionsIn patients with sexsomnia, videopolysomnography based markers of arousal disorders are intermediate between healthy individuals and patients with other arousal disorders, supporting the concept of sexsomnia as a specialized, but less neurophysiologically severe, NREM parasomnia. Previously validated criteria for arousal disorders partially fit in patients with sexsomnia.

Indexed as

ParasomniasArousalElectroencephalographyHumansPolysomnographyRetrospective Studiesamnesiaarousal disordersbehaviorNREM parasomniasexsomniavideopolysomnography

Identifiers

PMID36866491

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.