Sleep Terrors in Children: A Prospective Study of Twins
Abstract
OBJECTIVE. There is growing evidence that genetic factors are involved in the occurrence of sleep terrors. Twin studies provide invaluable information regarding genetic and environmental factors that can affect the manifestation of the disease; however, most previous twin studies on sleep terrors were performed retrospectively or with a sample that was too small to yield conclusive results. The aim of this large prospective study was to clarify the genetic and environmental contributions to sleep terrors in childhood. METHODS. In all, 390 pairs of monozygotic and dizygotic twins were recruited at birth for a longitudinal study. The prevalence and frequency of sleep terrors were assessed at 18 and 30 months of age with a questionnaire administered to the biological mother of the twins. Zygosity was determined by a questionnaire and genotyping. The prevalence and polychoric correlation for each type of twins were calculated. Structural-equation modeling was used to determine the proportion of variance attributable to additive genetic, shared, and nonshared environmental factors. RESULTS. The prevalence of sleep terrors was 36.9% at 18 months and 19.7% at 30 months; 49% of affected children were boys, and 51% were girls. At 18 months, the polychoric correlations were 0.63 for monozygotic and 0.36 for the dizygotic twins. These were 0.68 (monozygotic) and 0.24 (dizygotic) at 30 months. Our model-fitting analysis showed that sleep terrors were explained by a 2-component model at 18 months (43.7% additive genetic effects and 56.3% nonshared environment) and at 30 months (41.5% additive genetic effects and 58.5% nonshared environment). CONCLUSIONS. These results strongly support the heritability of sleep terrors. There also seems to be continuity in genetic effects with the persistence of sleep-terror symptoms.
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Sleep terrors may be familial and there is a strong genetic predisposition.
“Sleep terrors may be familial and there is a strong genetic predisposition [4, 22, 51, 55].”
From Sleep Terrors: An Updated Review (2020) · cites this paper as [51]
In a prospective study of 390 pairs of monozygotic and dizygotic twins, at 18 months the polychoric correlations for sleep terrors were 0.63 for monozygotic and 0.36 for dizygotic twins; at 30 months they were 0.68 and 0.24, respectively.
“In a prospective study of 390 pairs of monozygotic and dizygotic twins recruited at birth, the prevalence of frequency of sleep terrors was assessed at 18 months and 30 months of age [51]. At 18 months, the polychoric correlations were 0.63 for the monozygotic twins and 0.36 for the dizygotic twins. At 30 months, the polychoric correlations were 0.68 for the monozygotic twins and 0.24 for the dizy”
From Sleep Terrors: An Updated Review (2020) · cites this paper as [51]
Sleep terrors are much more common in monozygotic versus dizygotic twins.
“The condition is much more common in monozygotic versus dizygotic twins [32, 51, 59].”
From Sleep Terrors: An Updated Review (2020) · cites this paper as [51]
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- Authors
- Nguyen, B. H., Pérusse, D., Paquet, J., Petit, D., Boivin, M., Tremblay, R. E., & Montplaisir, J.
- Affiliations
- Hôpital du Sacré-Cœur de Montréal (CA)
- Research Center, Sainte-Justine Hospital
- Research Unit on Children's Psychosocial Maladjustment (CA)
- ORCID
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2008-12-01
- Volume
- 122
- Issue
- 6
- Pages
- e1164-e1167
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2162562309
- Cited by
- 65
- References
- 24
- Citations by year
- 2025: 1 · 2024: 6 · 2023: 2 · 2022: 7 · 2021: 4 · 2019: 5 · 2018: 2 · 2017: 3 · 2016: 5 · 2015: 3 · 2014: 2 · 2013: 6 · 2012: 5
- FWCI
- 6.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- sleep terrors, parasomnias, heritability, monozygotic twins, dizygotic twins, additive genetic effects, nonshared environment, shared environment, pediatric sleep disorders, prevalence
- MeSH terms
- Child, Preschool, Female, Humans, Infant, Longitudinal Studies, Male, Prospective Studies, Quebec, Twins, Twins, Dizygotic, Twins, Monozygotic, Prevalence, Age Distribution, Sex Distribution, Risk Assessment, Genetic Predisposition to Disease, Night Terrors
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