National Sleep Foundation

Chapter 6: Parasomnias

Consequences of NREM Sleep Arousal Disorders

Many Non-Rapid Eye Movement (NREM) Sleep Arousal Disorders are benign, such as confusional arousals, and require no treatment1.  They may be disturbing (and cause daytime sleepiness) for the parents or bed partners of individuals who experience these conditions, however.

Sleep-walking and sleep terrors are usually benign as well, although injuries to the sleeper or their bed partner can result, if the individual endangers him or herself while sleep-walking, or has a violent reaction to his or her sleep terror2

Sleep sex (sexsomnia) can cause feelings or guilt or shame. If the sleeper engages in sexsomnia with an unwilling person, there can be legal ramifications, as well3.

The consequences of Sleep-Related Eating Disorder (SRED) include injury (such as from knives or other kitchen implements), hypercholesterolemia, hyperglycemia, dental carries, and weight gain resulting from recurrent sleep-related binge eating of high caloric foods4.

References

  1. Markov D, Jaffe F, Doghramji K, MD, “Update on Parasomnias: A Review for Psychiatric Practice,” Psychiatry (Edgmont). 2006 Jul; 3(7): 69–76. Published online 2006 Jul. PMCID: PMC2958868
  2. Markov D, Jaffe F, Doghramji K, MD, “Update on Parasomnias: A Review for Psychiatric Practice,” Psychiatry (Edgmont). 2006 Jul; 3(7): 69–76. Published online 2006 Jul. PMCID: PMC2958868
  3. Ohayon MM, Guilleminault C, Priest RG, Night terrors, sleepwalking, and confusional arousals in the general population: their frequency and relationship to other sleep and mental disorders. J Clin Psychiatry. 1999 Apr;60(4):268-76.
  4. Markov D, Jaffe F, Doghramji K, MD, “Update on Parasomnias: A Review for Psychiatric Practice,” Psychiatry (Edgmont). 2006 Jul; 3(7): 69–76. Published online 2006 Jul. PMCID: PMC2958868