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Related Concept Videos

REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
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Violent behavior during sleep: prevalence, comorbidity and consequences.

Maurice M Ohayon1, Carlos H Schenck

  • 1Stanford Sleep Epidemiology Research Center, School of Medicine, Stanford University, Stanford, CA 94303, USA. mohayon@stanford.edu

Sleep Medicine
|September 7, 2010
PubMed
Summary
This summary is machine-generated.

Violent behaviors during sleep (VBS) affect 1.6% of the population, often linked to other parasomnias like sleepwalking. Many affected individuals experience vivid dreams and injuries, yet receive inadequate medical support for these sleep disorders.

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Area of Science:

  • Neurology
  • Sleep Medicine
  • Epidemiology

Background:

  • Violent behaviors during sleep (VBS) are understudied consequences of various sleep disorders.
  • Epidemiologic data on VBS prevalence and associated factors are limited.

Purpose of the Study:

  • To determine the prevalence of VBS in the general population.
  • To investigate the comorbidity, familial links, course, and treatment of VBS.

Main Methods:

  • A large-scale, random stratified sample of 19,961 individuals aged 15+ across six European countries.
  • Telephone interviews using the Sleep-EVAL Expert System to assess VBS, parasomnias, and mental health disorders.

Main Results:

  • VBS prevalence was 1.6%, higher in individuals under 35.
  • Episodes often involved vivid dreams (78.7%) and self/other harm (31.4%).
  • VBS frequently co-occurred with other parasomnias (72.8%), particularly sleepwalking and sleep terrors, with significant familial aggregation.

Conclusions:

  • VBS are common and associated with dream-enactment, sleepwalking, and sleep terrors.
  • Familial clustering suggests a genetic vulnerability to sleep disorders involving motor dyscontrol.
  • Medical support for VBS is often inadequate, highlighting a knowledge gap among healthcare providers.