Evidence map›Paper›PMID 42368407›Full record

ReviewFrontiers in sleep2026

Sexsomnia - a detailed approach to evaluation.

Colin M Shapiro, Persis F Yousef, Julian A Gojer, Naheed K Hossain, Chris Y Kim

Abstract readReview
In one paragraph

Review in Frontiers in sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Colin M ShapiroSleep on the Bay, Toronto, ON, Canada.
Persis F YousefHorizon Health Network, Fredericton, NB, Canada.
Julian A GojerRoyal Ottawa Health Care Group, Ottawa, ON, Canada.
Naheed K HossainSleep on the Bay, Toronto, ON, Canada.
Chris Y KimSleep on the Bay, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sexsomnia is an underrecognized parasomnia with significant clinical, interpersonal and legal implications. This article proposes a comprehensive, structured framework for the evaluation of sleep-related sexual behaviors, aimed at improving diagnostic clarity and risk assessment. Rather than relying on isolated features, the approach emphasizes a multidimensional assessment across multiple domains, recognizing that no single factor is determinative and that not all indicators carry equal diagnostic weight. An indexed framework of 19 domains is presented, covering presenting complaints, levels of awareness during events, collateral reports, sleep history, environmental and physiological triggers, medical, psychiatric and family history, medication and substance use, lifestyle factors and prior investigations. Additional domains address behavioral indicators of risk, relationship and social context, safety planning and legal and forensic considerations. Overlapping features across domains are acknowledged, with emphasis placed on patterns across categories rather than cumulative scoring. This structured approach is intended to assist clinicians in identifying features that increase the likelihood of sexsomnia, distinguishing it from other conditions and addressing associated safety and legal concerns. The framework aims to support consistent clinical evaluation, facilitate interdisciplinary communication and inform risk management in both clinical and forensic contexts.

Indexed as

forensic psychiatryNREM parasomniaNREM sleepobstructive sleep apnea (OSA)parasomniasexsomniasexsomnia patient assessmentsleep-related sexual behavior

Identifiers

PMID42368407
PMCPMC13294039

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.