Night terror: Difference between revisions
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===Adults=== |
===Adults=== |
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Though the [[symptom]]s of night terrors in adolescents and adults are similar, the [[etiology]], [[prognosis]] and treatment are qualitatively different. These night terrors can occur each night if the sufferer does not eat a proper diet, get the appropriate amount or quality of sleep, is enduring stressful events in their life or if they remain untreated. Adult night terrors are much less common, often [[trauma (medicine)|trauma]]-based rather than genetic, and often respond to treatment in the form of [[psychotherapy]] and [[antidepressant]] [[medication]] or treatments to rectify causes of poor quality or quantity sleep. There is some evidence of a link between adult night terrors and [[hypoglycemia]].<ref>http://www.alternativementalhealth.com/articles/hypoglycemia.htm</ref> |
Though the [[symptom]]s of night terrors in adolescents and adults are similar, the [[etiology]], [[prognosis]] and treatment are qualitatively different. These night terrors can occur each night if the sufferer does not eat a proper diet, get the appropriate amount or quality of sleep (eg. [[Sleep apnoea]]), is enduring stressful events in their life or if they remain untreated. Adult night terrors are much less common, often [[trauma (medicine)|trauma]]-based rather than genetic, and often respond to treatment in the form of [[psychotherapy]] and [[antidepressant]] [[medication]] or treatments to rectify causes of poor quality or quantity of sleep. There is some evidence of a link between adult night terrors and [[hypoglycemia]].<ref>http://www.alternativementalhealth.com/articles/hypoglycemia.htm</ref> |
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In addition to night terrors, some adult night terror sufferers have many of the characteristics of depressed individuals including inhibition of [[aggression]],<ref name=Kales>{{ cite journal | last = Kales | first = J | coauthors = Kales A, Soldatos CR, Caldwell AB, Charney DS & Martin ED | title = Night terrors. Clinical characteristics and personality patterns | journal = Archives of General Psychiatry | year = 1980 | accessdate = 2007-05-31 | pmid = 7447622 | volume = 37 | issue = 12 | pages = 1413–17 }}</ref> self-directed anger,<ref name=Kales /> passivity,<ref>{{ cite journal | last = Kales | first = JC | coauthors = Cadieux RJ, Soldatos CR & Kales A. |
In addition to night terrors, some adult night terror sufferers have many of the characteristics of depressed individuals including inhibition of [[aggression]],<ref name=Kales>{{ cite journal | last = Kales | first = J | coauthors = Kales A, Soldatos CR, Caldwell AB, Charney DS & Martin ED | title = Night terrors. Clinical characteristics and personality patterns | journal = Archives of General Psychiatry | year = 1980 | accessdate = 2007-05-31 | pmid = 7447622 | volume = 37 | issue = 12 | pages = 1413–17 }}</ref> self-directed anger,<ref name=Kales /> passivity,<ref>{{ cite journal | last = Kales | first = JC | coauthors = Cadieux RJ, Soldatos CR & Kales A. |
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| title = Psychotherapy with night terror patients | journal = American Journal of Psychotherapy | year = 1982 | volume = 36 | issue = 3 | pages = 399–407 | pmid = 7149087 | accessdate = 2007-05-31}}</ref> anxiety, impaired memory,<ref>{{cite book | last = Horowitz | first = MJ | title = Essential papers on posttraumatic stress disorder | year = 1999 | isbn = 0-8147-3559-2 | publisher = New York University Press}}</ref> and the ability to ignore [[pain]].<ref>{{ cite book | last = Chu | first = J | title = Rebuilding Shattered Lives: The Responsible Treatment of Complex Post-Traumatic and Dissociative Disorders | isbn = 0471247324 | year = 2001 | publisher = John Wiley & Sons}}</ref> |
| title = Psychotherapy with night terror patients | journal = American Journal of Psychotherapy | year = 1982 | volume = 36 | issue = 3 | pages = 399–407 | pmid = 7149087 | accessdate = 2007-05-31}}</ref> anxiety, impaired memory,<ref>{{cite book | last = Horowitz | first = MJ | title = Essential papers on posttraumatic stress disorder | year = 1999 | isbn = 0-8147-3559-2 | publisher = New York University Press}}</ref> and the ability to ignore [[pain]].<ref>{{ cite book | last = Chu | first = J | title = Rebuilding Shattered Lives: The Responsible Treatment of Complex Post-Traumatic and Dissociative Disorders | isbn = 0471247324 | year = 2001 | publisher = John Wiley & Sons}}</ref> |
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Revision as of 12:22, 31 March 2011
 | This article needs additional citations for verification. (April 2009) |
| Night terror | |
|---|---|
| Specialty | Psychiatry, psychology  |
- "Pavor Nocturnus" redirects here, for the Sanctuary episode, see Pavor Nocturnus (Sanctuary)
A night terror, also known as a sleep terror or pavor nocturnus, is a parasomnia disorder characterized by extreme terror and a temporary inability to regain full consciousness. The subject wakes abruptly from slow-wave sleep, with waking usually accompanied by gasping, moaning, or screaming while waking. It is often impossible to awaken the person fully because they are so concentrated on waking, and after the episode the subject normally settles back to sleep without waking. A night terror can rarely be recalled by the subject. They typically occur during non-rapid eye movement sleep.
Signs and symptoms
Children
Children from age two to six are most prone to night terrors, and they affect about fifteen percent of all children,[2] although people of any age may experience them. Episodes may recur for a couple of weeks then suddenly disappear. The symptoms also tend to be different, like the child being unable to recall the experience, and while nearly arisen, hallucinate. Children who have night terrors are usually described as 'bolting upright' with their eyes wide open, with a look of fear and panic, and will often scream. They will usually sweat, breathe fast and have a rapid heart rate (autonomic signs). Although it seems like children are awake during a night terror, they will appear confused, will not be consolable and will not recognize others. Strong evidence has shown that a predisposition to night terrors and other parasomniac disorders can be passed genetically. Though there are a multitude of triggers, emotional stress during the previous day and a high fever are thought to precipitate most episodes. Ensuring the right amount of sleep is an important factor. Special consideration must be used when the subject suffers from narcolepsy, as there may be a link.
Adults
Though the symptoms of night terrors in adolescents and adults are similar, the etiology, prognosis and treatment are qualitatively different. These night terrors can occur each night if the sufferer does not eat a proper diet, get the appropriate amount or quality of sleep (eg. Sleep apnoea), is enduring stressful events in their life or if they remain untreated. Adult night terrors are much less common, often trauma-based rather than genetic, and often respond to treatment in the form of psychotherapy and antidepressant medication or treatments to rectify causes of poor quality or quantity of sleep. There is some evidence of a link between adult night terrors and hypoglycemia.[3] In addition to night terrors, some adult night terror sufferers have many of the characteristics of depressed individuals including inhibition of aggression,[4] self-directed anger,[4] passivity,[5] anxiety, impaired memory,[6] and the ability to ignore pain.[7]
Treatment
Since night terrors are most commonly triggered by being overtired, sometimes no treatment is necessary except for a bedtime schedule that ensures proper sleep. If the night terrors are more frequent, however, it has been suggested that the sufferer should be awakened from sleep just before the time when the terrors occur most to interrupt the sleep cycle.[2]
See also
Bibliography
- Carranza, Christopher. Banishing Night Terrors and Nightmares Kensington Books, 2004.
References
- ^ RUBENS REIMÃO, ANTONIO B. LEFÈVRE, ARON J. DIAMENT (1983) PREVALÊNCIA DE DISTÚRBIOS DO SONO NA INFÂNCIA. Pediatria (São Paulo), 1983 - pediatriasaopaulo.usp.br
- ^ a b Iannelli, Vincent (March 23, 2003). "Night Terrors". Retrieved 2007-06-04. From about.com
- ^ http://www.alternativementalhealth.com/articles/hypoglycemia.htm
- ^ a b Kales, J (1980). "Night terrors. Clinical characteristics and personality patterns". Archives of General Psychiatry. 37 (12): 1413–17. PMID 7447622.
{{cite journal}}:|access-date=requires|url=(help); Unknown parameter|coauthors=ignored (|author=suggested) (help) - ^ Kales, JC (1982). "Psychotherapy with night terror patients". American Journal of Psychotherapy. 36 (3): 399–407. PMID 7149087.
{{cite journal}}:|access-date=requires|url=(help); Unknown parameter|coauthors=ignored (|author=suggested) (help) - ^ Horowitz, MJ (1999). Essential papers on posttraumatic stress disorder. New York University Press. ISBN 0-8147-3559-2.
- ^ Chu, J (2001). Rebuilding Shattered Lives: The Responsible Treatment of Complex Post-Traumatic and Dissociative Disorders. John Wiley & Sons. ISBN 0471247324.