Functional Impairment in Adult Sleepwalkers: A Case-Control Study
Open accessAbstract
Study Objectives: To investigate the restorative quality of sleep and daytime functioning in sleepwalking adult patients in comparison with controls. Design: Prospective case-control study. Setting: Data were collected at the Sleep Disorders Center, Hôpital-Gui-de Chauliac, Montpellier, France between June 2007 and January 2011. Participants: There were 140 adult sleepwalkers (100 (median age 30 y, 55% male) in whom primary SW was diagnosed) who underwent 1 night of video polysomnography. All patients participated in a standardized clinical interview and completed a battery of questionnaires to assess clinical characteristics of parasomnia, daytime sleepiness, fatigue, insomnia, depressive and anxiety symptoms, and health-related quality of life. Results were compared with those of 100 sex- and age-matched normal controls. Interventions: N/A. Measurements and Results: Of the sleepwalkers, 22.3% presented with daily episodes and 43.5% presented with weekly episodes. Median age at sleepwalking onset was 9 y. Familial history of sleepwalking was reported in 56.6% of sleepwalkers and violent sleep related behaviors in 57.9%, including injuries requiring medical care for at least one episode in 17%. Significant associations were found between sleepwalking and daytime sleepiness, fatigue, insomnia, depressive and anxiety symptoms, and altered quality of life. Early-onset sleepwalkers had higher frequency of violent behaviors and injuries. Sleepwalkers with violent behaviors had higher frequency of sleep terrors and triggering factors, with greater alteration in health-related quality of life. Conclusion: Adult sleepwalking is a potentially serious condition that may induce violent behaviors, self-injury or injury to bed partners, sleep disruption, excessive daytime sleepiness, fatigue, and psychological distress, all of which affect health-related quality of life.
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- Authors
- Lopez, R., Jaussent, I., Scholz, S., Bayard, S., Montplaisir, J., & Dauvilliers, Y.
- Affiliations
- 1Sleep Unit, Department of Neurology, Gui-de-Chauliac Hospital, National Reference Network for Narcolepsy, CHU Montpellier, France
- Inserm (FR)
- Centre Hospitalier Universitaire de Montpellier (FR)
- Université de Montréal (CA)
- Corresponding author
- Dauvilliers, Yves
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-03-01
- Volume
- 36
- Issue
- 3
- Pages
- 345-351
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- PMC
- PMC3571741
- OpenAlex
- W1999787742
- Cited by
- 123
- References
- 41
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 6 · 2023: 11 · 2022: 9 · 2021: 11 · 2020: 12 · 2019: 8 · 2018: 9 · 2017: 5 · 2016: 14 · 2015: 13 · 2014: 9 · 2013: 3
- FWCI
- 17.61
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- SLEEP (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Health Sciences › Medicine › Epidemiology › Restless Legs Syndrome Research
- Keywords
- parasomnias, daytime sleepiness, fatigue, insomnia, depressive symptoms, anxiety symptoms, health-related quality of life, sleep terrors, family history (medicine), sleep disruption, self-harm
- MeSH terms
- Activities of Daily Living, Adult, Anxiety, Depression, Fatigue, Female, France, Humans, Disorders of Excessive Somnolence, Sleep Initiation and Maintenance Disorders, Male, Prospective Studies, Quality of Life, Surveys and Questionnaires, Sleep Wake Disorders, Somnambulism, Violence, Cohort Studies, Comorbidity, Causality, Case-Control Studies, Polysomnography, Age of Onset, Night Terrors
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