Sleepiness in sleepwalking and sleep terrors: a higher sleep pressure?
Open accessAbstract
Objective To identify the determinants of excessive daytime sleepiness in adults with sleepwalking or sleep terrors (SW/ST).Methods We collected the charts of all consecutive adult patients admitted from 2012 to 2014 for SW/ST. They had completed the Paris Arousal Disorders Severity Scale and the Epworth Sleepiness Scale, and had undergone one (n = 34) or two consecutive (n = 124) nocturnal videopolysomnographies. The demographic, clinical, and sleep determinants of excessive daytime sleepiness (defined as an Epworth Sleepiness Scale score of greater than 10) were analyzed.Results Almost half (46.8%) of the 158 adult patients with SW/ST reported excessive daytime sleepiness. They had shorter sleep onset latencies (in night 1 and night 2), shorter REM sleep latencies, longer total sleep time, and higher REM sleep percentages in night 2, but no greater clinical severity of the parasomnia than patients without sleepiness. The level of sleepiness correlated with the same measures (sleep onset latency on both nights, REM sleep onset latency, and total sleep time in night 2), plus the latency to N3. In the regression model, higher sleepiness was determined by shorter sleep onset latency on night 1, lower number of awakenings in N3 on night 1, and higher total sleep time on night 2.Conclusion Daytime sleepiness in patients with SW/ST is not the consequence of disturbed sleep but is associated with a specific polygraphic phenotype (rapid sleep onset, long sleep time, lower numbers of awakenings on N3) that is suggestive of a higher sleep pressure that may contribute to incomplete arousal from N3.
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Individuals with sleep terrors are at risk for anxiety.
“Individuals with sleep terrors are at risk for daytime sleepiness, fatigue, anxiety, and depression [32, 73, 74].”
From Sleep Terrors: An Updated Review (2020) · cites this paper as [73]
Individuals with sleep terrors are at risk for fatigue.
“Individuals with sleep terrors are at risk for daytime sleepiness, fatigue, anxiety, and depression [32, 73, 74].”
From Sleep Terrors: An Updated Review (2020) · cites this paper as [73]
Individuals with sleep terrors are at risk for daytime sleepiness.
“Individuals with sleep terrors are at risk for daytime sleepiness, fatigue, anxiety, and depression [32, 73, 74].”
From Sleep Terrors: An Updated Review (2020) · cites this paper as [73]
Individuals with sleep terrors are at risk for depression.
“Individuals with sleep terrors are at risk for daytime sleepiness, fatigue, anxiety, and depression [32, 73, 74].”
From Sleep Terrors: An Updated Review (2020) · cites this paper as [73]
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- Authors
- Carrillo-Solano, M., Leu-Semenescu, S., Golmard, J.-L., Groos, E., & Arnulf, I.
- Affiliations
- Assistance Publique – Hôpitaux de Paris (FR)
- Sorbonne Université (FR)
- Centre National de la Recherche Scientifique (FR)
- Corresponding author
- Arnulf, Isabelle
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 26
- Pages
- 54-59
- ISSN
- 1389-9457 (ISSN-L)
- OpenAlex
- W2232015000
- Cited by
- 32
- References
- 22
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 5 · 2022: 5 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 2 · 2017: 2 · 2016: 1
- FWCI
- 4.73
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleepwalking, sleep terrors, excessive daytime sleepiness, sleep pressure, sleep latency, REM latency, total sleep time, slow-wave sleep, arousal, parasomnias, sleep architecture
- MeSH terms
- Adult, Female, Humans, Disorders of Excessive Somnolence, Male, Retrospective Studies, Sleep Wake Disorders, Sleep, REM, Somnambulism, Video Recording, Case-Control Studies, Polysomnography, Night Terrors, Young Adult
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