Parasomnias
Introduction
Parasomnias is a variety is sleep disorders that cause abnormal behavior in brain activity. Para means “faulty”, and the Latin origin of somnia, “somnus” means “sleep” (source 5). About 1% to 10% of the population experiences those sleeping disorders, most of which are children. This sleeping disorder usually occurs during the transition from one sleeping stage to another; the two sleeping stages include Rapid Eye Movement (REM) sleep and non-REM sleep (source 4). Those that have parasomnias, especially children, may experience many things that include somnambulism (sleepwalking), somniloquy (sleep talking), pavor nocturmus (night terrors), and sleep enuresis (bed wetting); however, some can be extreme and can
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Non-REM Sleep Disorders
Arousal Disorders Confusional arousals usually occur in the first half of the sleeping cycle (source 1). They are characterized by the sudden awakening during the night with feelings of disorientation and extreme confusion. Some, especially adults, may display violent or improper acts, while those that experience them the most, children, usually begin to cry (source 3). These arousals are also called sleep drunkenness because those that experience these symptoms don’t remember what they have done after waking up. The motor behavior is affected for those with this disorder; it is often regarded as normal, simple behavior. Sometimes, however, those experiencing the arousal disorder could become aggressive and sexually active without knowing it. This sexual behavior is often referred to as sexsomnia. This disorder is prevalent amongst children younger than the age of 13, and it begins to decrease as the age increases (source 2). Episodes could last up to 45 minutes (source 5), and attempts to wake up those that are experiencing an episode could actually increase the parasomnia effects (source 4); arousals could be influenced by the lack of sleep, medications that include tranquilizers and antidepressants, and infections of the body. Family history and genetic factors, in addition, could play a major part in causing the
Narcolepsy is a sleeping disorder that occurs during the adolescence stage. It is peculiar as it causes the afflicted person to develop a spontaneous sleep cycle during the day. This disorder prompts “sleep attacks” to occur, and can even be accompanied by cataplexy, random muscle failure or really just REM sleep paralysis (Zimbardo, Johnson, Weber,2008, p.109). It can be dangerous as the attacks can be triggered at any time by intense feelings of emotion or a lack of stimulation. This means that in cases such as driving, sexual intercourse, and times of extreme happiness a narcoleptic person could just fall straight into REM sleep (Zimbardo, Johnson, Weber,2008,
Insomnia is the most common sleep disorder. It can have a devastating impact on one’s emotion, physical, occupation and social life. While it occasionally can be seen in the clinical setting as a primary diagnosis, it most often presents as a comorbidity to a medical or psychiatric issue;
No one knows exactly what parasomnias are, and unfortunately, no one knows exactly what causes them, either. In one study I read, it was suggested that these occurrences are related to a delayed maturation of the central nervous system (Fleiss 30). This was the only reading that I saw this in. However, it has been discovered that parasomnias have a genetic link they run in families. For example, if your child has night terrors, it is very likely that someone else in your family had either night terrors or some other form of parasomnia (confusional arousals, sleepwalking or sleep talking) (Mindell 263). Also, they appear to be developmental, with children seeming to experience them at certain ages. There are other possible contributing factors as well, which I will list here:
Commonly known as Delayed Sleep Phase Disorder (DSPD) and other names, is a disorder in which the persons internal body clock is not in sync with the morning-rise evening-sleep pattern of the majority of people. Individuals with this disorder are not able to sleep and wake at the times that are regulated by normal work and school hours. They usually get enough sleep to keep them at a functional level through the day but not enough to be considered “well rested”. Polysomnography and actigraphy are tests commonly ordered for some sleep disorders to determine the illness. The cause of Delayed Sleep Phase can include a variety of reasons; puberty being one of the main causes, but some people are born with the disorder. The short term and long term effects of this illness is unfortunate for a person’s overall health. Overall cures to this disorder have not been found yet. Doctors have suggested sleeping pills to help or other alternatives. The disorder affects the timing of sleep, peak period of alertness, the core body temperature rhythm, hormonal and other daily cycles.
As stated in a previous statistic, sleep disorders unfortunately target a wide variety of ages. Children are commonly affected by Sleep Apnea, teeth grinding, Night Terrors, Nightmares, sleep walking, Restless Leg Syndrome, bedwetting, and Sudden Infant Death Syndrome. Adults tend to be affected by Insomnia, Hypersomnia, Sleep Apnea, Narcolepsy, Sleep Paralysis, Hypopnea Syndrome, and Noctoria. Sleep disorders are very common and also very dangerous in some circumstances. Ill treating or ignoring sleep disorders can lead to lethargy, poor mood, lack of motivation, and may negatively impact
Night terrors are a type of parasomnia, that cause screaming, intense fear, and flailing, while still asleep. These episodes are most common but not limited to children between ages of four to twelve, for they can also still occur in adults. Mostly children are affected by this parasomnia, but only three to six percent of them have these night terrors, and the percentage of occurrences in adults are lower. Some studies show that there are some variables, such as tiredness, or drugs, may cause a development of these disturbances during sleep. While most will grow out of their sleep terrors, some may not, and must find different ways to control or reduce their chances of having night terrors. Usually, night terrors are not normally due to psychiatric disorders, so with that in mind, it is logical to assume that they are often triggered by certain environmental factors.
Sleep paralysis is a common condition with a prevalence of 5-62%, although most affected people have single or infrequent episodes (Dahlitz). Occasionally sleep paralysis is found to run in a family, and it can be associated with other disorders of hypersomnia, such as sleep apnea (Becker 81). Narcolepsy has also been linked with sleep paralysis; both are thought to be REM sleep disorders (Siegel). Gender and race do not seem to be a factor of risk for this disorder. The episodes of sleep paralysis seem to range from ages 5-35 (Dahlitz). The use of anxiolytic medicines, psychiatric disorders and high anxiety can also contribute to sleep paralysis (Larkin).
Narcolepsy is classified as a neurological disorder and is characterized by excessive daytime sleepiness. In children, narcolepsy with its recurring episodes of ‘sleep attacks’ can lead to social as well as academic dysfunction. Narcolepsy syndrome (NS) features vivid pseudo-dream experiences just before sleeping or upon awakening, referred to as hypnagogic and hypnopompic hallucinations, respectively. NS also presents with cataplexy, which is an abrupt and unexpected loss in muscular tone as a reaction to strong emotions. Narcoleptic children often have an ongoing struggle to avoid somnolence and may fall asleep in unusual places and unpredictable times.
Alterations in sleep neurophysiology have been found associated with premature loss of slow- wave sleep, increased REM sleep, reduction in sleep time and other abnormal sleep parameters. Immunological disturbances have also been implicated. Imaging has revealed increased frequency of abnormal hyperintensities in sub-cortical regions. Hereditary factors and genes have also been implicated. Psychosocial factors include life events and environmental stress, personality, cognitive processing and learned helplessness
Parasomnia refers to a wide variety of disruptive, sleep-related events or, "disorders of arousal." These behaviors and experiences occur usually while sleeping, and most are often infrequent and mild. They may however happen often enough to become so bothersome that medical attention should be sought out. "Parasomnias are disorders characterized by abnormal behavior or physiological events occurring in association with sleep stages, or sleep-wake transitions."(DSM pg. 435)
Sleepwalking is a sleep disorder effecting an estimated 10 percent of all humans at least once in their lives (1). This widespread phenomenon varies in its intensity and frequency. While most sleepwalking incidents are short and not dangerous, some can involve self-injury and are much more dangerous for the sleeper. Also, most interestingly, the disorder seems to stem from many different sources, not from one definable cause such as a chemical imbalance. While it is predominantly pre-adolescents who suffer from somnambulism, it is also observed in adults, although the frequency and severity of incidents increase with age. The source of the disorder was once thought to be entirely psychological and an extension of
Sleep disorders have always surrounded me through family and friends. though I never suffered with any sort of sleeping disorder, I was well aware of how unnerving it can be toothless who suffer from it. I did not know all of the different types there were, and was intrigued when reading chapter three of my psychology book. I had assumed that nigh terrors, which I used to think were the same as nightmares, were over exaggerations of a person’s scary dream. Sleepwalking also held interesting facts that I didn’t know prior. Having a best friend who occasionally sleepwalks, I was always interested in why she would seldom remember both walking and talking. I also appreciated learning about sleep apnea because my father used to struggle with it and would worry my mom about his breathing when he was asleep.
Recent research has proven that children just are not getting the sleep they need these days. Kids today seem to be doing poorer in school and have less attention spans. Most parents are not aware of a common problem effecting thousands of children in this country: sleep disorders. Parents often fail to follow there children's sleeping patterns which can result in some serious side effects if that child has a sleep disorder. A study done at Tulane University in New Orleans studied about 300 first graders that preformed poorly in school. They found that 18 per cent showed signs of a sleeping problem. The percentage of children with bad grades found to have sleeping problems
Night terrors, nightmares, and sleepwalking are all cases that fall into sleep disorders called parasomnias. Parasomnias are disruptive sleep disorders that can occur during arousal from either rapid eye movement or even non-rapid eye movement. Children from the age’s four to twelve of ages experience night terrors.
Sleep deprivation is a common issue among people around the world, and everyone has or will experience it in their life. Not getting enough sleep makes it difficult for the body to function properly. Insomnia is a well-known disorder, mainly known in the United States; one in ten adults suffers from this disorder (Kloc). There are many reasons why people end up with a sleeping disorder, and the most common reason is stress. When people do not have enough sleep they behave differently, and do not make the same choices as if they were fully rested. There are four stages of sleep. The fourth stage, REM (Rapid Eye Movement) sleep is the most important stage of sleeping. A common side effect of BPD (Borderline Personality Disorder) is sleep