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Night terror

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injury. Although people may seem to be awake during a night terror, they will appear confused, be inconsolable and/or unresponsive to attempts to communicate with them, and may not recognize others familiar to them. Occasionally, when a person with a night terror is awakened, they will lash out at the one awakening them, which can be dangerous to that individual. Most people who experience this do not remember the incident the next day, although brief dream images or hallucinations may occur and be recalled.
624:, if a child has night terrors parents could try to change their sleep hygiene. Another option could be to adapt child's naps so that they are not too long or too short. Then, excessive stress or conflicts in a child's life could also have an impact on their sleep too, so to have some strategies to cope with stress combined with psychotherapy could decrease the frequency of the episodes. A polysomnography can be recommended if the child continues to have a lot of night terror episodes. 340:
three and a half years old, peak frequency of night terrors is at least one episode per week (up to 3–4 in rare cases). Among older children, peak frequency of night terrors is one or two episodes per month. The children will most likely have no recollection of the episode the next day. Pediatric evaluation may be sought to exclude the possibility that the night terrors are caused by seizure disorders or breathing problems. Most children will outgrow sleep terrors.
225: 469:), or is enduring stressful events. Adults who have experienced sexual abuse are more likely to receive a diagnosis of sleep disorders, including night terrors. Overall, though, adult night terrors are much less common and often respond best to treatments that rectify causes of poor quality or quantity of sleep. 371:
When a night terror happens, it is typical for a person to wake up yelling and kicking and to be able to recognize what he or she is saying. The person may even run out of the house (more common among adults), which can then lead to violent actions. It has been found that some adults who have been on
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Night terrors typically occur in children between the ages of three and twelve years, with a peak onset in children aged three and a half years old. An estimated 1–6% of children experience night terrors. Children of both sexes and all ethnic backgrounds are affected equally. In children younger than
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Sleep terrors usually begin in childhood and usually decrease as age increases. Factors that may lead to sleep terrors are young age, sleep deprivation, medications, stress, fever, and intrinsic sleep disorders. The frequency and severity differ among individuals; the interval between episodes can be
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The duration of one episode is mostly brief but it may last longer if parents try to wake up the child. Awakening the child may make their agitation stronger. For all these reasons, it is important to let the sleep terror episode fade away and to just be vigilant in order for them not to fall to the
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is also common during night-terror bouts, as sleepwalking and night terrors are different manifestations of the same parasomnia. Both children and adults may display behaviour indicative of attempting to escape; some may thrash about or get out of bed and begin walking or running around aimlessly
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Also, older children and adults provide highly detailed and descriptive images associated with their sleep terrors compared to younger children, who either cannot recall or only vaguely remember. Sleep terrors in children are also more likely to occur in males than females; in adults, the ratio
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Considering an episode could be violent, it may be advisable to secure the environment in which the child sleeps. Windows should be closed and potentially dangerous items should be removed from the bedroom, and additionally, alarms can be installed and the child placed in a downstairs bedroom.
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signs). In some cases, individuals are likely to have even more elaborate motor activity, such as a thrashing of limbs—which may include punching, swinging, or fleeing motions. There is a sense that the individuals are trying to protect themselves and/or escape from a possible threat of bodily
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while inconsolable, increasing the risk of accidental injury. The risk of injury to others may be exacerbated by inadvertent provocation by nearby people, whose efforts to calm the individual may result in a physically violent response from the individual as they attempt to escape.
208:, which is recurrent and causes distress or impairment) are estimated at 36.9% at 18 months of age and at 19.7% at 30 months. In adults, the prevalence is lower, at only 2.2%. Night terrors have been known since ancient times, although it was impossible to differentiate them from 360:), is enduring stressful events, or if he or she remains untreated. Adult night terrors are much less common, and often respond to treatments to rectify causes of poor quality or quantity of sleep. Night terrors are classified as a mental and behavioral disorder in the 184:. Delta sleep occurs most often during the first half of a sleep cycle, which indicates that people with more delta-sleep activity are more prone to night terrors. However, they can also occur during daytime naps. Night terrors can often be mistaken for 619:
There is some evidence to suggest that night terrors can result from lack of sleep or poor sleeping habits. In these cases, it can be helpful to improve the amount and quality of sleep which the child is getting. It is also important to have a good
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in the sleep laboratory is recommended for ruling out other disorders, however, sleep terrors occur less frequently in the sleep laboratory than at home and a polysomnography can therefore be unsuccessful at recording the sleep terror episode.
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Night terrors are distinct from nightmares. In fact, in nightmares there are almost never vocalization or agitation, and if there are any, they are less strong in comparison to night terrors. In addition, nightmares appear ordinarily during
364:. A study done about night terrors in adults showed that other psychiatric symptoms were prevalent in most patients experiencing night terrors hinting at the comorbidity of the two. There is some evidence of a link between night terrors and 361: 173:. There are two other categories: REM-related parasomnias and other parasomnias. Parasomnias are qualified as undesirable physical events or experiences that occur during entry into sleep, during sleep, or during arousal from sleep. 465:, and treatments are qualitatively different. There is some evidence that suggests that night terrors can occur if the individual does not eat a proper diet, does not get the appropriate amount or quality of sleep (e.g., because of 199:
that cause feelings of horror or fear) are relatively common during childhood, night terrors occur less frequently. The prevalence of sleep terrors in general is unknown. The number of small children who experience sleep terror
284:—that is, unconscious or involuntary rapid breathing, reddening of the skin, profuse sweating, and dilation of the pupils. Abrupt but calmer arousal from NREM sleep, short of a full night-terror episode, is also common. 1692:
Chen, Laura P.; Murad, M. Hassan; Paras, Molly L.; Colbenson, Kristina M.; Sattler, Amelia L.; Goranson, Erin N.; Elamin, Mohamed B.; Seime, Richard J.; Shinozaki, Gen; Prokop, Larry J.; Zirakzadeh, Ali (2010).
446:, as there may be a link. There have been no findings that show a cultural difference between manifestations of night terrors, though it is thought that the significance and cause of night terrors differ within 268:(EEG) delta activity, an increase in muscle tone, and a doubled or faster heart rate. Brain activities during a typical episode show theta and alpha activity when monitored with an EEG. Episodes can include 403:. Individuals frequently report that past family members have had either episodes of sleep terrors or sleepwalking. In some studies, a ten-fold increase in the prevalence of night terrors in first-degree 75: 2653: 177:
as long as weeks and as short as minutes or hours. This has created a situation in which any type of nocturnal attack or nightmare may be confused with and reported as a night terror.
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and treatment are qualitatively different. These night terrors can occur each night if the individual does not eat a proper diet, get the appropriate amount or quality of sleep (e.g.
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In most children, night terrors eventually subside and do not need to be treated. It may be helpful to reassure the child and their family that they will outgrow this disorder.
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Di Gennaro, Giancarlo; Autret, Alain; Mascia, Addolorata; Onorati, Paolo; Sebastiano, Fabio; Paolo Quarato, Pier (2004). "Night terrors associated with thalamic lesion".
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Szelenberger, Waldemar; Niemcewicz, Szymon; DÄ…browska, Anna Justyna (2009). "Sleepwalking and night terrors: Psychopathological and psychophysiological correlates".
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Nguyen, B. H.; Perusse, D.; Paquet, J.; Petit, D.; Boivin, M.; Tremblay, R. E.; Montplaisir, J. (2008). "Sleep Terrors in Children: A Prospective Study of Twins".
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In children with night terrors, there is no increased occurrence of psychiatric diagnoses. However, in adults with night terrors there is a close association with
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Bevacqua, Brian K.; Fattouh, Maher; Backonja, Misha (2007). "Depression, Night Terrors, and Insomnia Associated with Long-Term Intrathecal Clonidine Therapy".
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therapy show side effects of night terrors, such as feelings of terror early in the sleep cycle. This is due to the possible alteration of cervical/brain
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arousal, such as increased heart rate, heavy breathing, and increased perspiration. The individual cannot be soothed or comforted during the episode.
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Recurrent periods where the individual abruptly but not completely wakes from sleep, usually occurring during the first third major period of sleep.
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personality disorders. There have been some symptoms of depression and anxiety that have increased in individuals that have frequent night terrors.
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CIM 10–Classification Internationale des troubles Mentaux et des troubles du comportement: descriptions cliniques et directives pour le diagnostic
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is required. Indeed, an epileptic seizure could happen during the night but also during the day. To make the difference between both of them, an
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Snyder, David M.; Goodlin-Jones, Beth L.; Pionk, Mary Jane; Stein, Martin T. (2008). "Inconsolable Night-Time Awakening: Beyond Night Terrors".
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Bruni, Oliviero; Ferri, Raffaele; Miano, Silvia; Verrillo, Elisabetta (2004). "L -5-Hydroxytryptophan treatment of sleep terrors in children".
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lesions of the brain and brainstem have been occasionally associated with night terrors. Night terrors are closely linked to sleepwalking and
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and lasting for 1 to 10 minutes. It can last longer, especially in children. Sleep terror is classified in the category of NREM-related
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One technique is to wake up just before the sleep terrors begin. When they appear regularly, this method can prevent their appearance.
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between sexes is equal. A longitudinal study examined twins, both identical and fraternal, and found that a significantly higher
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The occurrence of the sleep terror episode causes clinically significant distress or impairment in the individual's functioning.
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concentration. In adults, night terrors can be symptomatic of neurological disease and can be further investigated through an
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may be used; however, medication is only recommended in extreme cases. Widening the nasal airway by surgical removal of the
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was previously considered and demonstrated to be effective; nowadays, however, invasive treatments are generally avoided.
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Wilson, S. J.; Lillywhite, A. R.; Potokar, J. P.; Bell, C. J.; Nutt, D. J. (1997). "Adult night terrors and paroxetine".
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Bjorvatn, Bjørn; Grønli, Janne; Pallesen, Ståle (2010). "Prevalence of different parasomnias in the general population".
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Avidan, A. Y. (2017). "Non–rapid Eye Movement Parasomnias: Clinical Spectrum, Diagnostic Features, and Management".
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The individual is unable or almost unable to remember images of the dream (only a single visual scene for example).
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can increase the likelihood of a night terror episode occurring. Other contributing factors include nocturnal
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Feelings of panic or dread, sudden motor activity, thrashing, sweating, rapid breathing, increased heart rate
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Sateia, Michael J. (November 2014). "International Classification of Sleep Disorders-Third Edition".
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The disturbance is not due to the effects of a substance, general medical condition or medication.
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Description of the episode, including behavior, emotions, and thoughts during and after the event
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The individual experiences intense fear with a panicky scream at the beginning and symptoms of
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causing feelings of panic or dread and typically occurring during the first hours of stage 3–4
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Carter, K. A.; Hathaway, N. E.; Lettieri, C. F. (2014). "Common sleep disorders in children".
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Agrell, I.-G.; Axelsson, A. (1972). "The relationship between pavor nocturnus and adenoids".
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can be done and if there are some anomalies on it, it would rather be an epileptic seizure.
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Hypnosis could be efficient. Sleepers could become less sensitive to their sleep terrors.
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Though the symptoms of night terrors in adolescents and adults are similar, their causes,
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American Academy of Sleep Medicine – Association for Sleep Clinicians and Researchers
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The universal feature of night terrors is inconsolability, very similar to that of a
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Coexisting mental or medical disorders do not explain the episodes of sleep terrors.
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is associated with both pediatric and adult night terrors. A study of adults with
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Oudiette, D.; Leu, S.; Pottier, M.; Buzare, M. A.; Brion, A.; Arnulf, I. (2009).
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How often these episodes occur (frequency) and how long they last for (duration)
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Night terrors tend to happen during periods of arousal from delta sleep, or
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Night terrors in adults have been reported in all age ranges. Though the
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There is some evidence that a predisposition to night terrors and other
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National Library of Medicine - Medical Subject Headings: Night Terrors
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Additionally, a home video might be helpful for a proper diagnosis. A
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The assessment of sleep terrors is similar to the assessment of other
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rate of night terror was found in identical twins than in fraternal.
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How conscious or aware the patient is, when awakened from an episode
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How responsive the patient is to external stimuli during the episode
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of night terrors in adolescents and adults are similar, the cause,
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During lab tests, subjects are known to have very high voltages of
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DSM-IV-TR: diagnostic and statistical manual of mental disorders
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Blog from Fountia, "Things You Didn't Know About Night Terrors"
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Poblano, Adrián; Poblano-Alcalá, Adriana; Haro, Reyes (2010).
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Family history for NREM parasomnias and other sleep disorders
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Van Horn, N. L., & Street, M. (2019). Night Terrors. In
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Pack, Allan I.; Mason, Thornton B. A. (September 1, 2005).
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diagnostic criteria for sleep terror disorder requires:
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relatives has been observed—however, the exact link to
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Diagnostic and Statistical Manual of Mental Disorders
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Diagnostic and Statistical Manual of Mental Disorders
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findings suggest that sleep deprivation and having a
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may occur in individuals with night terrors, such as
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Journal of Developmental & Behavioral Pediatrics
1493:. American Academy of Sleep Medicine. Archived from 3955: 3915: 3863: 3793: 3745: 3693: 3635: 3575: 3566: 3503: 3474: 3363: 3332: 3301: 3280: 3159: 3136: 3090: 3057: 2964: 2931: 2879: 2822: 2813: 2794: 2735: 2667: 2629: 2489: 2464: 2361: 2273: 2220: 2136: 2077: 128: 120: 116:
Early childhood; symptoms tend to decrease with age
112: 102: 82: 65: 60: 944:(4th ed.). American Psychiatric Press. 2000. 770:American Psychiatric Association (May 22, 2013). 712:Hockenbury, Don H. Hockenbury, Sandra E. (2010). 27:Sleep disorder causing feelings of panic or dread 1785:Zadra, Antonio; Pilon, Mathieu (March 1, 2012). 1346: 1344: 1342: 852:Goldstein, Cathy A. (July 2011). "Parasomnias". 552:When the episode occurs during the sleep period 171:International Classification of Sleep Disorders 1596:(4th (text revision) ed.). Washington DC. 1551:Guzman, Carlos Simon; Wang, Yuan Pang (2008). 969: 967: 965: 963: 961: 636:or counseling might be helpful in some cases. 588:Medical, psychiatric, and neurological history 3448: 2178: 521:in contrast to night terrors, which occur in 8: 1465:Oski's Pediatrics: Principles & Practice 736:: CS1 maint: multiple names: authors list ( 1931:Fleetham, J. A.; Fleming, J. A. E. (2014). 582:Other sleep disorders that might be present 415:has been found suggesting that there is an 3770:Rapid eye movement sleep behavior disorder 3572: 3455: 3441: 3433: 3388: 3277: 3256: 3191: 3082:Other specified feeding or eating disorder 3054: 3043: 2819: 2791: 2770: 2626: 2615: 2525: 2358: 2345: 2217: 2206: 2185: 2171: 2163: 2074: 1808: 1806: 1767:: CS1 maint: location missing publisher ( 1753:Organisation Mondiale de la SantĂ© (1993). 1606:: CS1 maint: location missing publisher ( 1381:. 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StatPearls Publishing. 1279:Clinical Neurophysiology 1159:10.1093/sleep/32.12.1621 30:Not to be confused with 3806:Exploding head syndrome 3615:Obstructive sleep apnea 3340:Childhood schizophrenia 2692:Frontotemporal dementia 2649:High-functioning autism 2466:Intellectual disability 1699:Mayo Clinic Proceedings 1377:Licht, Deborah (2016). 889:"Pediatric Parasomnias" 4121:Sleeping while on duty 3670:Idiopathic hypersomnia 2857:Specific social phobia 2748:Organic brain syndrome 2590:Melancholic depression 2351:Childhood and learning 1626:Acta Paedopsychiatrica 1325:eMedicine.Medscape.com 1247:eMedicine.Medscape.com 1112:10.1542/peds.2008-1303 908:10.1093/sleep/30.2.141 714:Discovering psychology 512:Differential diagnosis 433:central nervous system 266:electroencephalography 240: 159:non-rapid eye movement 130:Differential diagnosis 3943:Neuroscience of sleep 3675:Night eating syndrome 3660:Kleine–Levin syndrome 3413:Psychomotor agitation 3203:and substance-related 3146:Postpartum depression 3026:Somatization disorder 2912:Acute stress reaction 2677:AIDS dementia complex 1711:10.4065/mcp.2009.0583 1379:Presenting Psychology 828:10.1378/chest.14-0970 672:L-5-hydroxytryptophan 329:frontal lobe epilepsy 305:personality disorders 227: 4097:Sleep and creativity 3408:KlĂĽver–Bucy syndrome 3238:Substance dependence 3151:Postpartum psychosis 2697:Huntington's disease 2479:Lujan–Fryns syndrome 2328:Personality disorder 1327:. Medscape Reference 1249:. Medscape Reference 1068:on December 27, 2011 667:found some benefit. 438:, and a constricted 413:Familial aggregation 37:For other uses, see 4092:Sleep and breathing 3548:Sensorimotor rhythm 3288:Delusional disorder 3233:Stimulant psychosis 3223:Physical dependence 3077:Rumination syndrome 2979:Conversion disorder 2956:Psychogenic amnesia 2806:with depressed mood 2804:Adjustment disorder 2707:Parkinson's disease 2682:Alzheimer's disease 2575:Atypical depression 2411:Social functioning 2286:Munchausen syndrome 2281:Factitious disorder 1949:10.1503/cmaj.120808 1497:on October 16, 2014 684:Ephialtes (illness) 195:(bad dreams during 186:confusional arousal 97:clinical psychology 4102:Sleep and learning 3855:Nocturnal emission 3755:Nightmare disorder 3620:Periodic breathing 3307:schizophrenia-like 2951:Dissociative fugue 2400:Movement disorders 2137:External resources 579:Daytime sleepiness 548:and must include: 241: 220:Signs and symptoms 214:rapid eye movement 4134: 4133: 4112:Sleep deprivation 3951: 3950: 3430: 3429: 3426: 3425: 3383: 3382: 3379: 3378: 3251: 3250: 3186: 3185: 3182: 3181: 3038: 3037: 3034: 3033: 2927: 2926: 2765: 2764: 2761: 2760: 2722:Vascular dementia 2644:Asperger syndrome 2610: 2609: 2520: 2519: 2516: 2515: 2454:Tourette syndrome 2340: 2339: 2336: 2335: 2160: 2159: 1489:Kuhlmann, David. 1351:Connelly, Kevin. 951:978-0-89042-025-6 723:978-1-4292-1650-0 689:Horror and terror 663:A small study of 530:epileptic seizure 144: 143: 135:Epileptic seizure 55:Medical condition 46:Pavor Nocturnus ( 16:(Redirected from 4164: 4107:Sleep and memory 4047:Circadian rhythm 3794:Benign phenomena 3696:Circadian rhythm 3573: 3457: 3450: 3443: 3434: 3389: 3278: 3257: 3192: 3067:Anorexia nervosa 3055: 3044: 3021:Psychogenic pain 2989:Globus pharyngis 2837:Childhood phobia 2820: 2792: 2771: 2627: 2616: 2526: 2425:Selective mutism 2376:Conduct disorder 2359: 2346: 2323:Trichotillomania 2298:Gender dysphoria 2293:Fear of intimacy 2250:Sexual anhedonia 2218: 2207: 2194:Mental disorders 2187: 2180: 2173: 2164: 2075: 2057: 2056: 2020: 2014: 2013: 1977: 1971: 1970: 1960: 1928: 1922: 1915: 1909: 1908: 1900: 1889: 1888: 1848: 1831: 1830: 1810: 1801: 1800: 1782: 1773: 1772: 1766: 1758: 1750: 1733: 1732: 1722: 1689: 1683: 1682: 1672: 1648: 1642: 1641: 1621: 1612: 1611: 1605: 1597: 1589: 1583: 1582: 1572: 1548: 1542: 1541: 1513: 1507: 1506: 1504: 1502: 1486: 1480: 1479: 1459: 1453: 1452: 1445: 1439: 1438: 1402: 1393: 1392: 1374: 1368: 1367: 1365: 1363: 1348: 1337: 1336: 1334: 1332: 1317: 1311: 1310: 1274: 1268: 1265: 1259: 1258: 1256: 1254: 1239: 1230: 1229: 1227: 1226: 1211: 1205: 1204: 1202: 1201: 1187: 1181: 1180: 1170: 1138: 1132: 1131: 1095: 1078: 1077: 1075: 1073: 1054: 1048: 1047: 1019: 1008: 1007: 971: 956: 955: 938: 921: 920: 910: 884: 878: 877: 849: 840: 839: 822:(5): 1387–1394. 809: 800: 799: 776:(5th ed.). 767: 742: 741: 735: 727: 709: 293:mental disorders 249:attempt to speak 78: 58: 21: 4172: 4171: 4167: 4166: 4165: 4163: 4162: 4161: 4157:Sleep disorders 4137: 4136: 4135: 4130: 4025:Procrastination 3978:Four-poster bed 3947: 3911: 3905:Polysomnography 3883:Sleep induction 3859: 3830:Sleep paralysis 3789: 3741: 3700: 3697: 3689: 3631: 3590:Mouth breathing 3568:Sleep disorders 3562: 3499: 3490:Quiescent sleep 3470: 3468:sleep disorders 3461: 3431: 3422: 3394: 3375: 3359: 3328: 3306: 3297: 3272: 3247: 3204: 3201:substance abuse 3178: 3155: 3132: 3086: 3072:Bulimia nervosa 3049: 3030: 3006:Hypochondriasis 3001:False pregnancy 2984:Ganser syndrome 2966:Somatic symptom 2960: 2923: 2875: 2864:Specific phobia 2809: 2786: 2757: 2731: 2663: 2659:Savant syndrome 2631:Autism spectrum 2621: 2606: 2534: 2512: 2491: 2485: 2460: 2353: 2332: 2308:Dermatillomania 2269: 2255:Sexual anorexia 2212: 2201: 2191: 2161: 2156: 2155: 2132: 2131: 2086: 2065: 2060: 2022: 2021: 2017: 1979: 1978: 1974: 1930: 1929: 1925: 1916: 1912: 1902: 1901: 1892: 1850: 1849: 1834: 1812: 1811: 1804: 1784: 1783: 1776: 1759: 1752: 1751: 1736: 1691: 1690: 1686: 1650: 1649: 1645: 1623: 1622: 1615: 1598: 1591: 1590: 1586: 1550: 1549: 1545: 1515: 1514: 1510: 1500: 1498: 1491:"Sleep Terrors" 1488: 1487: 1483: 1476: 1461: 1460: 1456: 1447: 1446: 1442: 1404: 1403: 1396: 1389: 1376: 1375: 1371: 1361: 1359: 1353:"Night Terrors" 1350: 1349: 1340: 1330: 1328: 1319: 1318: 1314: 1285:(11): 2489–92. 1276: 1275: 1271: 1266: 1262: 1252: 1250: 1241: 1240: 1233: 1224: 1222: 1213: 1212: 1208: 1199: 1197: 1189: 1188: 1184: 1140: 1139: 1135: 1097: 1096: 1081: 1071: 1069: 1056: 1055: 1051: 1021: 1020: 1011: 973: 972: 959: 952: 940: 939: 924: 886: 885: 881: 854:Disease-a-Month 851: 850: 843: 811: 810: 803: 796: 769: 768: 745: 728: 724: 711: 710: 706: 702: 694:Sleep paralysis 680: 661: 641:benzodiazepines 606: 597:polysomnography 542: 514: 475: 393: 346: 337: 321:Low blood sugar 289:psychopathology 222: 182:slow-wave sleep 124:1 to 10 minutes 56: 53: 42: 35: 28: 23: 22: 15: 12: 11: 5: 4170: 4168: 4160: 4159: 4154: 4149: 4139: 4138: 4132: 4131: 4129: 4128: 4123: 4118: 4109: 4104: 4099: 4094: 4089: 4084: 4079: 4074: 4069: 4064: 4059: 4054: 4052:Comfort object 4049: 4044: 4039: 4034: 4033: 4032: 4027: 4017: 4012: 4007: 4002: 4001: 4000: 3995: 3990: 3985: 3980: 3975: 3970: 3959: 3957: 3953: 3952: 3949: 3948: 3946: 3945: 3940: 3935: 3930: 3925: 3923:Sleep medicine 3919: 3917: 3913: 3912: 3910: 3909: 3908: 3907: 3897: 3896: 3895: 3890: 3880: 3875: 3869: 3867: 3861: 3860: 3858: 3857: 3852: 3847: 3842: 3837: 3832: 3827: 3822: 3813: 3808: 3803: 3797: 3795: 3791: 3790: 3788: 3787: 3782: 3777: 3772: 3767: 3762: 3757: 3751: 3749: 3743: 3742: 3740: 3739: 3734: 3729: 3724: 3719: 3714: 3709: 3703: 3701: 3694: 3691: 3690: 3688: 3687: 3682: 3677: 3672: 3667: 3662: 3657: 3652: 3647: 3641: 3639: 3633: 3632: 3630: 3629: 3624: 3623: 3622: 3617: 3612: 3607: 3602: 3592: 3587: 3581: 3579: 3570: 3564: 3563: 3561: 3560: 3555: 3550: 3545: 3540: 3535: 3530: 3525: 3520: 3515: 3509: 3507: 3501: 3500: 3498: 3497: 3492: 3487: 3481: 3479: 3472: 3471: 3462: 3460: 3459: 3452: 3445: 3437: 3428: 3427: 3424: 3423: 3421: 3420: 3415: 3410: 3405: 3399: 3396: 3395: 3392: 3385: 3384: 3381: 3380: 3377: 3376: 3374: 3373: 3367: 3365: 3361: 3360: 3358: 3357: 3352: 3347: 3342: 3336: 3334: 3330: 3329: 3327: 3326: 3321: 3316: 3310: 3308: 3299: 3298: 3296: 3295: 3290: 3284: 3282: 3274: 3273: 3260: 3253: 3252: 3249: 3248: 3246: 3245: 3240: 3235: 3230: 3228:Rebound effect 3225: 3220: 3215: 3209: 3206: 3205: 3195: 3188: 3187: 3184: 3183: 3180: 3179: 3177: 3176: 3171: 3169:Hypersexuality 3165: 3163: 3157: 3156: 3154: 3153: 3148: 3142: 3140: 3134: 3133: 3131: 3130: 3129: 3128: 3123: 3118: 3108: 3103: 3097: 3095: 3088: 3087: 3085: 3084: 3079: 3074: 3069: 3063: 3061: 3051: 3050: 3047: 3040: 3039: 3036: 3035: 3032: 3031: 3029: 3028: 3023: 3018: 3013: 3008: 3003: 2998: 2997: 2996: 2991: 2986: 2976: 2970: 2968: 2962: 2961: 2959: 2958: 2953: 2948: 2943: 2937: 2935: 2929: 2928: 2925: 2924: 2922: 2921: 2920: 2919: 2914: 2904: 2902:Panic disorder 2899: 2894: 2889: 2883: 2881: 2877: 2876: 2874: 2873: 2872: 2871: 2869:Claustrophobia 2861: 2860: 2859: 2854: 2852:Anthropophobia 2844: 2842:Social anxiety 2839: 2834: 2828: 2826: 2817: 2811: 2810: 2808: 2807: 2800: 2798: 2788: 2787: 2774: 2767: 2766: 2763: 2762: 2759: 2758: 2756: 2755: 2750: 2745: 2739: 2737: 2733: 2732: 2730: 2729: 2724: 2719: 2714: 2712:Pick's disease 2709: 2704: 2699: 2694: 2689: 2684: 2679: 2673: 2671: 2665: 2664: 2662: 2661: 2656: 2651: 2646: 2641: 2635: 2633: 2623: 2622: 2619: 2612: 2611: 2608: 2607: 2605: 2604: 2599: 2598: 2597: 2592: 2587: 2582: 2577: 2567: 2566: 2565: 2560: 2555: 2550: 2539: 2536: 2535: 2529: 2522: 2521: 2518: 2517: 2514: 2513: 2511: 2510: 2505: 2499: 2497: 2487: 2486: 2484: 2483: 2482: 2481: 2470: 2468: 2462: 2461: 2459: 2458: 2457: 2456: 2446: 2445: 2444: 2439: 2429: 2428: 2427: 2422: 2417: 2409: 2408: 2407: 2397: 2396: 2395: 2385: 2384: 2383: 2373: 2367: 2365: 2355: 2354: 2349: 2342: 2341: 2338: 2337: 2334: 2333: 2331: 2330: 2325: 2320: 2315: 2310: 2305: 2300: 2295: 2290: 2289: 2288: 2277: 2275: 2271: 2270: 2268: 2267: 2262: 2257: 2252: 2247: 2246: 2245: 2240: 2230: 2224: 2222: 2214: 2213: 2210: 2203: 2202: 2198:Classification 2192: 2190: 2189: 2182: 2175: 2167: 2158: 2157: 2154: 2153: 2141: 2140: 2138: 2134: 2133: 2130: 2129: 2118: 2103: 2087: 2082: 2081: 2079: 2078:Classification 2072: 2071: 2064: 2063:External links 2061: 2059: 2058: 2015: 1972: 1943:(8): E273–80. 1923: 1910: 1890: 1863:(3): 388–392. 1832: 1802: 1788:Parasomnias II 1774: 1734: 1684: 1663:(3): 321–322. 1643: 1613: 1584: 1543: 1508: 1481: 1474: 1454: 1440: 1394: 1387: 1369: 1338: 1312: 1269: 1260: 1231: 1206: 1182: 1153:(12): 1621–7. 1133: 1106:(6): e1164–7. 1079: 1049: 1030:(10): 1031–4. 1024:Sleep Medicine 1009: 957: 950: 922: 901:(2): 141–151. 879: 860:(7): 364–388. 841: 801: 795:978-0890425558 794: 743: 722: 703: 701: 698: 697: 696: 691: 686: 679: 676: 660: 657: 605: 602: 593: 592: 589: 586: 583: 580: 577: 574: 571: 568: 565: 562: 559: 556: 553: 541: 538: 513: 510: 509: 508: 505: 502: 499: 496: 493: 486: 474: 471: 411:is not known. 392: 389: 345: 342: 336: 333: 221: 218: 207: 203: 155:sleep disorder 149:, also called 142: 141: 132: 126: 125: 122: 118: 117: 114: 110: 109: 106: 100: 99: 93:sleep medicine 86: 80: 79: 71: 70: 67: 63: 62: 54: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4169: 4158: 4155: 4153: 4150: 4148: 4145: 4144: 4142: 4127: 4124: 4122: 4119: 4117: 4113: 4110: 4108: 4105: 4103: 4100: 4098: 4095: 4093: 4090: 4088: 4085: 4083: 4080: 4078: 4075: 4073: 4070: 4068: 4065: 4063: 4060: 4058: 4055: 4053: 4050: 4048: 4045: 4043: 4040: 4038: 4035: 4031: 4028: 4026: 4023: 4022: 4021: 4018: 4016: 4013: 4011: 4008: 4006: 4003: 3999: 3996: 3994: 3991: 3989: 3986: 3984: 3981: 3979: 3976: 3974: 3971: 3969: 3966: 3965: 3964: 3961: 3960: 3958: 3954: 3944: 3941: 3939: 3936: 3934: 3931: 3929: 3926: 3924: 3921: 3920: 3918: 3914: 3906: 3903: 3902: 3901: 3898: 3894: 3891: 3889: 3886: 3885: 3884: 3881: 3879: 3878:Sleep hygiene 3876: 3874: 3871: 3870: 3868: 3866: 3862: 3856: 3853: 3851: 3848: 3846: 3843: 3841: 3838: 3836: 3835:Sleep inertia 3833: 3831: 3828: 3826: 3823: 3821: 3817: 3814: 3812: 3809: 3807: 3804: 3802: 3799: 3798: 3796: 3792: 3786: 3785:Sleep-talking 3783: 3781: 3780:Sleep driving 3778: 3776: 3773: 3771: 3768: 3766: 3763: 3761: 3758: 3756: 3753: 3752: 3750: 3748: 3744: 3738: 3735: 3733: 3730: 3728: 3725: 3723: 3720: 3718: 3715: 3713: 3710: 3708: 3705: 3704: 3702: 3699: 3692: 3686: 3683: 3681: 3678: 3676: 3673: 3671: 3668: 3666: 3663: 3661: 3658: 3656: 3653: 3651: 3648: 3646: 3643: 3642: 3640: 3638: 3634: 3628: 3625: 3621: 3618: 3616: 3613: 3611: 3608: 3606: 3603: 3601: 3598: 3597: 3596: 3593: 3591: 3588: 3586: 3583: 3582: 3580: 3578: 3574: 3571: 3569: 3565: 3559: 3556: 3554: 3553:Sleep spindle 3551: 3549: 3546: 3544: 3541: 3539: 3536: 3534: 3531: 3529: 3526: 3524: 3521: 3519: 3516: 3514: 3511: 3510: 3508: 3506: 3502: 3496: 3493: 3491: 3488: 3486: 3483: 3482: 3480: 3478: 3473: 3469: 3465: 3458: 3453: 3451: 3446: 3444: 3439: 3438: 3435: 3419: 3416: 3414: 3411: 3409: 3406: 3404: 3401: 3400: 3397: 3390: 3386: 3372: 3369: 3368: 3366: 3362: 3356: 3353: 3351: 3348: 3346: 3343: 3341: 3338: 3337: 3335: 3333:Schizophrenia 3331: 3325: 3322: 3320: 3317: 3315: 3312: 3311: 3309: 3304: 3300: 3294: 3291: 3289: 3286: 3285: 3283: 3279: 3275: 3271: 3267: 3263: 3262:Schizophrenia 3258: 3254: 3244: 3241: 3239: 3236: 3234: 3231: 3229: 3226: 3224: 3221: 3219: 3216: 3214: 3213:Drug overdose 3211: 3210: 3207: 3202: 3198: 3193: 3189: 3175: 3172: 3170: 3167: 3166: 3164: 3162: 3161:Sexual desire 3158: 3152: 3149: 3147: 3144: 3143: 3141: 3139: 3135: 3127: 3124: 3122: 3119: 3117: 3114: 3113: 3112: 3109: 3107: 3104: 3102: 3099: 3098: 3096: 3094: 3089: 3083: 3080: 3078: 3075: 3073: 3070: 3068: 3065: 3064: 3062: 3060: 3056: 3052: 3045: 3041: 3027: 3024: 3022: 3019: 3017: 3014: 3012: 3009: 3007: 3004: 3002: 2999: 2995: 2992: 2990: 2987: 2985: 2982: 2981: 2980: 2977: 2975: 2972: 2971: 2969: 2967: 2963: 2957: 2954: 2952: 2949: 2947: 2944: 2942: 2939: 2938: 2936: 2934: 2930: 2918: 2915: 2913: 2910: 2909: 2908: 2905: 2903: 2900: 2898: 2895: 2893: 2890: 2888: 2885: 2884: 2882: 2878: 2870: 2867: 2866: 2865: 2862: 2858: 2855: 2853: 2850: 2849: 2848: 2847:Social phobia 2845: 2843: 2840: 2838: 2835: 2833: 2830: 2829: 2827: 2825: 2821: 2818: 2816: 2812: 2805: 2802: 2801: 2799: 2797: 2793: 2789: 2785: 2782:-related and 2781: 2777: 2772: 2768: 2754: 2751: 2749: 2746: 2744: 2741: 2740: 2738: 2734: 2728: 2725: 2723: 2720: 2718: 2715: 2713: 2710: 2708: 2705: 2703: 2700: 2698: 2695: 2693: 2690: 2688: 2685: 2683: 2680: 2678: 2675: 2674: 2672: 2670: 2666: 2660: 2657: 2655: 2652: 2650: 2647: 2645: 2642: 2640: 2637: 2636: 2634: 2632: 2628: 2624: 2617: 2613: 2603: 2600: 2596: 2593: 2591: 2588: 2586: 2583: 2581: 2578: 2576: 2573: 2572: 2571: 2568: 2564: 2561: 2559: 2556: 2554: 2551: 2549: 2546: 2545: 2544: 2541: 2540: 2537: 2532: 2527: 2523: 2509: 2506: 2504: 2501: 2500: 2498: 2495: 2488: 2480: 2477: 2476: 2475: 2472: 2471: 2469: 2467: 2463: 2455: 2452: 2451: 2450: 2447: 2443: 2440: 2438: 2435: 2434: 2433: 2430: 2426: 2423: 2421: 2418: 2416: 2413: 2412: 2410: 2406: 2403: 2402: 2401: 2398: 2394: 2391: 2390: 2389: 2386: 2382: 2379: 2378: 2377: 2374: 2372: 2369: 2368: 2366: 2364: 2360: 2356: 2352: 2347: 2343: 2329: 2326: 2324: 2321: 2319: 2316: 2314: 2311: 2309: 2306: 2304: 2301: 2299: 2296: 2294: 2291: 2287: 2284: 2283: 2282: 2279: 2278: 2276: 2272: 2266: 2263: 2261: 2258: 2256: 2253: 2251: 2248: 2244: 2241: 2239: 2236: 2235: 2234: 2231: 2229: 2226: 2225: 2223: 2219: 2215: 2208: 2204: 2199: 2195: 2188: 2183: 2181: 2176: 2174: 2169: 2168: 2165: 2152: 2148: 2147: 2143: 2142: 2139: 2135: 2128: 2124: 2123: 2119: 2117: 2113: 2112: 2108: 2104: 2102: 2098: 2097: 2093: 2089: 2088: 2085: 2080: 2076: 2070: 2067: 2066: 2062: 2054: 2050: 2046: 2042: 2038: 2034: 2030: 2026: 2019: 2016: 2011: 2007: 2003: 1999: 1995: 1991: 1988:(9072): 185. 1987: 1983: 1976: 1973: 1968: 1964: 1959: 1954: 1950: 1946: 1942: 1938: 1934: 1933:"Parasomnias" 1927: 1924: 1920: 1914: 1911: 1906: 1899: 1897: 1895: 1891: 1886: 1882: 1878: 1874: 1870: 1866: 1862: 1858: 1854: 1847: 1845: 1843: 1841: 1839: 1837: 1833: 1828: 1824: 1821:(5): 368–77. 1820: 1816: 1809: 1807: 1803: 1798: 1794: 1790: 1789: 1781: 1779: 1775: 1770: 1764: 1756: 1749: 1747: 1745: 1743: 1741: 1739: 1735: 1730: 1726: 1721: 1716: 1712: 1708: 1705:(7): 618–29. 1704: 1700: 1696: 1688: 1685: 1680: 1676: 1671: 1666: 1662: 1658: 1654: 1647: 1644: 1639: 1635: 1631: 1627: 1620: 1618: 1614: 1609: 1603: 1595: 1588: 1585: 1580: 1576: 1571: 1566: 1562: 1558: 1554: 1547: 1544: 1539: 1535: 1531: 1527: 1523: 1519: 1512: 1509: 1496: 1492: 1485: 1482: 1477: 1475:9780781738941 1471: 1467: 1466: 1458: 1455: 1450: 1444: 1441: 1436: 1432: 1428: 1424: 1420: 1416: 1412: 1408: 1407:Pain Practice 1401: 1399: 1395: 1390: 1388:9781319016371 1384: 1380: 1373: 1370: 1358: 1354: 1347: 1345: 1343: 1339: 1326: 1322: 1316: 1313: 1308: 1304: 1300: 1296: 1292: 1288: 1284: 1280: 1273: 1270: 1264: 1261: 1248: 1244: 1238: 1236: 1232: 1220: 1216: 1210: 1207: 1196: 1192: 1186: 1183: 1178: 1174: 1169: 1164: 1160: 1156: 1152: 1148: 1144: 1137: 1134: 1129: 1125: 1121: 1117: 1113: 1109: 1105: 1101: 1094: 1092: 1090: 1088: 1086: 1084: 1080: 1067: 1063: 1059: 1053: 1050: 1045: 1041: 1037: 1033: 1029: 1025: 1018: 1016: 1014: 1010: 1005: 1001: 997: 993: 989: 985: 982:(4): 263–70. 981: 977: 970: 968: 966: 964: 962: 958: 953: 947: 943: 937: 935: 933: 931: 929: 927: 923: 918: 914: 909: 904: 900: 896: 895: 890: 883: 880: 875: 871: 867: 863: 859: 855: 848: 846: 842: 837: 833: 829: 825: 821: 817: 816: 808: 806: 802: 797: 791: 787: 783: 779: 775: 774: 766: 764: 762: 760: 758: 756: 754: 752: 750: 748: 744: 739: 733: 725: 719: 715: 708: 705: 699: 695: 692: 690: 687: 685: 682: 681: 677: 675: 673: 668: 666: 658: 656: 654: 650: 646: 642: 637: 635: 634:Psychotherapy 631: 628: 625: 623: 622:sleep hygiene 617: 613: 609: 603: 601: 598: 590: 587: 584: 581: 578: 575: 572: 569: 566: 563: 560: 557: 554: 551: 550: 549: 547: 539: 537: 535: 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Paris. 1729:20458101 1679:20945027 1579:18592111 1538:18698194 1435:37035801 1427:17305677 1362:July 20, 1307:27573165 1299:15465436 1177:20041598 1128:10386957 1120:19047218 1044:21093361 1004:28776384 996:16194798 917:17326539 874:21807161 836:25367475 678:See also 659:Research 645:diazepam 612:ground. 448:cultures 350:symptoms 335:Children 325:thalamic 313:schizoid 235:, 1878 ( 206:disorder 202:episodes 121:Duration 104:Symptoms 4020:Bedtime 4015:Bedroom 4010:Bedding 4005:Bed bug 3988:Hammock 3893:Lullaby 3727:Jet lag 3627:Snoring 3585:Bruxism 2815:Anxiety 2654:PDD-NOS 2543:Bipolar 2196: ( 2127:D020184 2053:8713465 2002:9250190 1958:4016090 1720:2894717 1638:4565015 1501:July 5, 1331:May 26, 1253:May 26, 1168:2786046 653:adenoid 399:may be 169:in the 161:(NREM) 153:, is a 4087:Siesta 3973:Daybed 3801:Dreams 3059:Eating 2907:Stress 2824:Phobia 2780:stress 2639:Autism 2432:Speech 2221:Sexual 2151:000809 2116:307.46 2051:  2043:  2008:  2000:  1982:Lancet 1965:  1955:  1883:  1875:  1825:  1727:  1717:  1677:  1636:  1577:  1536:  1472:  1433:  1425:  1385:  1305:  1297:  1175:  1165:  1126:  1118:  1042:  1002:  994:  948:  915:  872:  834:  792:  720:  429:asthma 391:Causes 344:Adults 315:, and 280:, and 212:until 191:While 4030:Story 3983:Futon 3916:Other 3464:Sleep 3364:Other 3093:sleep 2880:Other 2736:Other 2602:Mania 2274:Other 2101:F51.4 2049:S2CID 2006:S2CID 1431:S2CID 1357:WebMD 1303:S2CID 1147:Sleep 1124:S2CID 1000:S2CID 894:Sleep 815:Chest 647:) or 479:DSM-5 425:fever 163:sleep 4147:Fear 3466:and 3268:and 2917:PTSD 2531:Mood 2371:ADHD 2122:MeSH 2111:9-CM 2041:PMID 1998:PMID 1963:PMID 1881:PMID 1873:ISSN 1823:PMID 1769:link 1725:PMID 1675:PMID 1634:PMID 1608:link 1575:PMID 1534:PMID 1503:2011 1470:ISBN 1423:PMID 1383:ISBN 1364:2011 1333:2013 1295:PMID 1255:2013 1173:PMID 1116:PMID 1074:2011 1040:PMID 992:PMID 946:ISBN 913:PMID 870:PMID 832:PMID 790:ISBN 738:link 718:ISBN 477:The 291:and 4067:Nap 3963:Bed 3305:and 2892:OCD 2420:RAD 2415:DAD 2381:ODD 2107:ICD 2092:ICD 2033:doi 2029:163 1990:doi 1986:350 1953:PMC 1945:doi 1941:186 1865:doi 1861:147 1793:doi 1715:PMC 1707:doi 1665:doi 1565:doi 1526:doi 1415:doi 1287:doi 1283:115 1163:PMC 1155:doi 1108:doi 1104:122 1032:doi 984:doi 903:doi 862:doi 824:doi 820:146 782:doi 534:EEG 385:MRI 362:ICD 4143:: 4114:/ 3818:/ 3264:, 2778:, 2149:: 2125:: 2114:: 2099:: 2096:10 2047:. 2039:. 2027:. 2004:. 1996:. 1984:. 1961:. 1951:. 1939:. 1935:. 1893:^ 1879:. 1871:. 1859:. 1855:. 1835:^ 1819:89 1817:. 1805:^ 1777:^ 1765:}} 1761:{{ 1737:^ 1723:. 1713:. 1703:85 1701:. 1697:. 1673:. 1661:32 1659:. 1655:. 1630:39 1628:. 1616:^ 1604:}} 1600:{{ 1573:. 1561:30 1559:. 1555:. 1532:. 1522:29 1520:. 1429:. 1421:. 1409:. 1397:^ 1355:. 1341:^ 1323:. 1301:. 1293:. 1281:. 1245:. 1234:^ 1217:. 1193:. 1171:. 1161:. 1151:32 1149:. 1145:. 1122:. 1114:. 1102:. 1082:^ 1060:. 1038:. 1028:11 1026:. 1012:^ 998:. 990:. 980:17 978:. 960:^ 925:^ 911:. 899:30 897:. 891:. 868:. 858:57 856:. 844:^ 830:. 818:. 804:^ 788:. 780:. 746:^ 734:}} 730:{{ 450:. 368:. 331:. 311:, 231:, 188:. 137:, 95:, 91:, 3456:e 3449:t 3442:v 2496:) 2492:( 2200:) 2186:e 2179:t 2172:v 2109:- 2094:- 2084:D 2055:. 2035:: 2012:. 1992:: 1969:. 1947:: 1887:. 1867:: 1829:. 1799:. 1795:: 1771:) 1731:. 1709:: 1681:. 1667:: 1640:. 1610:) 1581:. 1567:: 1540:. 1528:: 1505:. 1478:. 1451:. 1437:. 1417:: 1411:7 1391:. 1366:. 1335:. 1309:. 1289:: 1257:. 1228:. 1203:. 1179:. 1157:: 1130:. 1110:: 1076:. 1046:. 1034:: 1006:. 986:: 954:. 919:. 905:: 876:. 864:: 838:. 826:: 798:. 784:: 740:) 726:. 239:) 52:. 50:) 41:. 34:. 20:)

Index

Night terrors
Nightmare
Night Terror (disambiguation)
Pavor Nocturnus (Sanctuary)

Specialty
Psychiatry
sleep medicine
clinical psychology
Symptoms
Differential diagnosis
Epileptic seizure
nightmares
sleep disorder
non-rapid eye movement
sleep
parasomnias
International Classification of Sleep Disorders
slow-wave sleep
confusional arousal
nightmares
REM sleep
nightmares
rapid eye movement

Frans Verhas
Royal Museum of Fine Arts Antwerp
panic attack
attempt to speak
autonomic

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