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Violent behavior during sleep

M M Ohayon1, M Caulet, R G Priest

  • 1Centre de Recherche Phillipe Pinel de Montreal, Quebec, Canada.

The Journal of Clinical Psychiatry
|August 1, 1997
PubMed
Summary
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Two percent of adults experience violent behavior during sleep (VBS). This condition is linked to sleep disorders, anxiety, mood disorders, and lifestyle factors like smoking and alcohol use.

Area of Science:

  • Sleep Medicine
  • Psychiatry
  • Epidemiology

Background:

  • Violent behavior during sleep (VBS) is presumed rare, with no prior epidemiologic data on prevalence or risk factors.
  • This study aimed to investigate the frequency of VBS and associated psychiatric conditions.

Purpose of the Study:

  • To determine the prevalence of violent behavior during sleep (VBS) in a general population.
  • To identify psychiatric and lifestyle risk factors associated with VBS.

Main Methods:

  • A large, representative UK sample (over 4,900 individuals) was surveyed via telephone using the Sleep-EVAL expert system.
  • Participants aged 15-100 years were interviewed about sleep behaviors and mental health.

Main Results:

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  • Two percent of respondents reported current VBS.
  • VBS was associated with increased prevalence of night terrors, daytime sleepiness, sleep talking, bruxism, hypnic jerks, and hypnagogic hallucinations.
  • Anxiety and mood disorders, smoking, caffeine, and alcohol consumption were more frequent in the VBS group.

    • Conclusions:

    • Specific sleep, mental health, and lifestyle factors characterize individuals experiencing VBS.
    • These factors may interact, influencing the presentation of this rare but serious condition.