Consciousness in non-REM-parasomnia episodes.
Details
Serval ID
serval:BIB_1699DE2C64CF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Consciousness in non-REM-parasomnia episodes.
Journal
Journal of sleep research
ISSN
1365-2869 (Electronic)
ISSN-L
0962-1105
Publication state
In Press
Peer-reviewed
Oui
Pages
e14275
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Publication Status: aheadofprint
Abstract
Sleepwalking and related parasomnias are thought to result from incomplete awakenings out of non-rapid eye movement (non-REM) sleep. Non-REM parasomnia behaviours have been described as unconscious and automatic, or related to vivid, dream-like conscious experiences. Similarly, some observations have suggested that patients are unresponsive during episodes, while others that they can interact with their surroundings. To better grasp and characterise the full spectrum of consciousness and environmental (dis)connection associated with behavioural episodes, 35 adult patients with non-REM sleep parasomnias were interviewed in-depth about their experiences. The level of consciousness during parasomnia episodes was reported to be variable both within and between individuals, ranging from minimal or absent consciousness and largely automatic behaviours (frequently/always present in 36% of patients) to preserved conscious experiences characterised by delusional thinking to varying degrees of specificity (65%), often about impending danger, variably formed, uni- or multisensory hallucinations (53%), impaired insight (77%), negative emotions (75%), and variable, but often pronounced, amnesia (30%). Patients described their experiences as a dream scene during which they felt awake ("awake dreaming"). The surroundings were either realistically perceived, misinterpreted (in the form of perceptual illusions or misidentifications of people), or entirely hallucinated as a function of the prevailing delusion. These observations suggest that the level of consciousness, amnesia and sensory disconnection during non-REM parasomnia episodes is variable and graded. In their full-fledged expression, non-REM parasomnia experiences feature several core features of dreams. They therefore represent a valuable model for the study of consciousness, sleep-related sensory disconnection and dreaming.
Keywords
arousal, awakening, behaviour, cognition, confusional arousal, consciousness, delusion, disorders of arousal, dream, hallucination, parasomnia, perception, psychosis, sleep, sleep terror, sleepwalking
Pubmed
Web of science
Open Access
Yes
Create date
11/07/2024 13:36
Last modification date
12/07/2024 6:04