Abstract
Purpose of Review: Little is known about the presence of parasomnias such as nightmare disorder, sleep paralysis, REM sleep behavior disorder (RBD), and sleep-related eating disorders (SRED) in people with mental illness. A predominant view suggests that psychotropic medications might be contributing to parasomnias. This article summarizes knowledge regarding the relationships between psychiatric disorders and parasomnias, and possible confounds. A systematic search of the literature in the past 10 years identified 19 articles. Recent Findings: There were significantly elevated rates of parasomnias in psychiatric disorders (average prevalence of nightmares was 38.9%, sleep paralysis 22.3%, SRED 9.9%, sleepwalking 8.5%, and RBD 3.8%). Medication usage was only one of many risk factors (other sleep disorders, medical comorbidities, and substance abuse) which were associated with parasomnias. Summary: A strong association exists between mental illness and parasomnias which is not fully explained by medications. Prospective longitudinal studies are needed to develop a better understanding of the unique and shared variance from multiple risk factors.
| Original language | English |
|---|---|
| Article number | 37 |
| Journal | Current Psychiatry Reports |
| Volume | 19 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - 1 Jul 2017 |
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Psychiatric Illness and Parasomnias : a Systematic Review. / Waters, Flavie; Moretto, Umberto; Dang-Vu, Thien Thanh.
In: Current Psychiatry Reports, Vol. 19, No. 7, 37, 01.07.2017.Research output: Contribution to journal › Review article
TY - JOUR
T1 - Psychiatric Illness and Parasomnias
T2 - a Systematic Review
AU - Waters, Flavie
AU - Moretto, Umberto
AU - Dang-Vu, Thien Thanh
PY - 2017/7/1
Y1 - 2017/7/1
N2 - Purpose of Review: Little is known about the presence of parasomnias such as nightmare disorder, sleep paralysis, REM sleep behavior disorder (RBD), and sleep-related eating disorders (SRED) in people with mental illness. A predominant view suggests that psychotropic medications might be contributing to parasomnias. This article summarizes knowledge regarding the relationships between psychiatric disorders and parasomnias, and possible confounds. A systematic search of the literature in the past 10 years identified 19 articles. Recent Findings: There were significantly elevated rates of parasomnias in psychiatric disorders (average prevalence of nightmares was 38.9%, sleep paralysis 22.3%, SRED 9.9%, sleepwalking 8.5%, and RBD 3.8%). Medication usage was only one of many risk factors (other sleep disorders, medical comorbidities, and substance abuse) which were associated with parasomnias. Summary: A strong association exists between mental illness and parasomnias which is not fully explained by medications. Prospective longitudinal studies are needed to develop a better understanding of the unique and shared variance from multiple risk factors.
AB - Purpose of Review: Little is known about the presence of parasomnias such as nightmare disorder, sleep paralysis, REM sleep behavior disorder (RBD), and sleep-related eating disorders (SRED) in people with mental illness. A predominant view suggests that psychotropic medications might be contributing to parasomnias. This article summarizes knowledge regarding the relationships between psychiatric disorders and parasomnias, and possible confounds. A systematic search of the literature in the past 10 years identified 19 articles. Recent Findings: There were significantly elevated rates of parasomnias in psychiatric disorders (average prevalence of nightmares was 38.9%, sleep paralysis 22.3%, SRED 9.9%, sleepwalking 8.5%, and RBD 3.8%). Medication usage was only one of many risk factors (other sleep disorders, medical comorbidities, and substance abuse) which were associated with parasomnias. Summary: A strong association exists between mental illness and parasomnias which is not fully explained by medications. Prospective longitudinal studies are needed to develop a better understanding of the unique and shared variance from multiple risk factors.
KW - Eating disorder
KW - Nightmare disorder
KW - Paralysis
KW - REM sleep behavior disorder
KW - Somnambulism
UR - http://www.scopus.com/inward/record.url?scp=85019993429&partnerID=8YFLogxK
U2 - 10.1007/s11920-017-0789-3
DO - 10.1007/s11920-017-0789-3
M3 - Review article
VL - 19
JO - Current Psychiatry Reports
JF - Current Psychiatry Reports
SN - 1523-3812
IS - 7
M1 - 37
ER -