A Scale for Assessing the Severity of Arousal Disorders
Identifieur interne : 000A78 ( Main/Exploration ); précédent : 000A77; suivant : 000A79A Scale for Assessing the Severity of Arousal Disorders
Auteurs : Isabelle Arnulf [France] ; Bin Zhang [République populaire de Chine] ; Ginevra Uguccioni [France] ; Mathilde Flamand [France] ; Alix Noël De Fontréaux [France] ; Smaranda Leu-Semenescu [France] ; Agnès Brion [France]Source :
- Sleep [ 0161-8105 ] ; 2014.
Abstract
Arousal disorders may have serious health consequences.
To develop a scale assessing the severity of arousal disorders (Paris Arousal Disorders Severity Scale, PADSS).
University hospital.
Controlled study.
Consecutive patients (older than 15 y), with sleepwalking (SW) and/or sleep terrors (ST), subjects with previous SW/ST, normal controls and patients with rapid eye movement sleep behavior disorder.
The self-rated scale listed 17 parasomniac behaviors (PADSS-A), assessed their frequency from never to twice or more per night (PADSS-B) and evaluated the consequences (PADSS-C: disturbed sleep, injuries, fatigue, and psychological consequences). The clinimetric properties and face validity of the scale were tested.
Half of the 73 patients with SW/ST (more men than women) had injured themselves or others, whereas 15% had concomitant sexsomnia and 23% had amnestic eating behaviors. The total PADSS score (range: 0-50) was 19.4 ± 6.3 (range: 8-36) in this group, 11.7 ± 5.9 in 26 subjects with previous SW/ST, 8.8 ± 3.2 in 26 patients with RBD, and 2.0 ± 3.5 in 53 normal controls (P < 0.05). The PADSS demonstrated high sensitivity (83.6%), specificity (87.8%), internal consistency, and test-retest reliability (0.79). The best cutoff for the total score was at 13/14. Exploratory factor analysis revealed two components: wandering and violence/handling. The complexity of behaviors emerging from N3 sleep (scored on videopolysomnography) positively correlated with scores for the PADSS-total, PADSS-A, PADSS-C, and the “violence/handling” factor.
This scale had reasonable psychometric properties and could be used for screening and stratifying patients and for evaluating the effects of treatments.
Arnulf I; Zhang B; Uguccioni G; Flamand M; Noël de Fontréaux A; Leu-Semenescu S; Brion A. A scale for assessing the severity of arousal disorders.
Url:
DOI: 10.5665/sleep.3322
PubMed: 24470702
PubMed Central: 3902885
Affiliations:
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Inserm UMR_S 975; CNRS UMR 7225, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Brion, Agnes" sort="Brion, Agnes" uniqKey="Brion A" first="Agnès" last="Brion">Agnès Brion</name><affiliation wicri:level="3"><nlm:aff id="aff1">Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24470702</idno><idno type="pmc">3902885</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3902885</idno><idno type="RBID">PMC:3902885</idno><idno type="doi">10.5665/sleep.3322</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000554</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000554</idno><idno type="wicri:Area/Pmc/Curation">000551</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000551</idno><idno type="wicri:Area/Pmc/Checkpoint">000423</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000423</idno><idno type="wicri:Area/Ncbi/Merge">001314</idno><idno type="wicri:Area/Ncbi/Curation">001314</idno><idno type="wicri:Area/Ncbi/Checkpoint">001314</idno><idno type="wicri:doubleKey">0161-8105:2014:Arnulf I:a:scale:for</idno><idno type="wicri:Area/Main/Merge">000A91</idno><idno type="wicri:Area/Main/Curation">000A78</idno><idno type="wicri:Area/Main/Exploration">000A78</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Scale for Assessing the Severity of Arousal Disorders</title><author><name sortKey="Arnulf, Isabelle" sort="Arnulf, Isabelle" uniqKey="Arnulf I" first="Isabelle" last="Arnulf">Isabelle Arnulf</name><affiliation wicri:level="3"><nlm:aff id="aff1">Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Zhang, Bin" sort="Zhang, Bin" uniqKey="Zhang B" first="Bin" last="Zhang">Bin Zhang</name><affiliation wicri:level="1"><nlm:aff id="aff2">Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangdong Mental Health Centre, Guangzhou 510120, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangdong Mental Health Centre, Guangzhou 510120</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Uguccioni, Ginevra" sort="Uguccioni, Ginevra" uniqKey="Uguccioni G" first="Ginevra" last="Uguccioni">Ginevra Uguccioni</name><affiliation wicri:level="3"><nlm:aff id="aff1">Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Flamand, Mathilde" sort="Flamand, Mathilde" uniqKey="Flamand M" first="Mathilde" last="Flamand">Mathilde Flamand</name><affiliation wicri:level="3"><nlm:aff id="aff1">Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Noel De Fontreaux, Alix" sort="Noel De Fontreaux, Alix" uniqKey="Noel De Fontreaux A" first="Alix" last="Noël De Fontréaux">Alix Noël De Fontréaux</name><affiliation wicri:level="3"><nlm:aff id="aff1">Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Leu Semenescu, Smaranda" sort="Leu Semenescu, Smaranda" uniqKey="Leu Semenescu S" first="Smaranda" last="Leu-Semenescu">Smaranda Leu-Semenescu</name><affiliation wicri:level="3"><nlm:aff id="aff1">Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Brion, Agnes" sort="Brion, Agnes" uniqKey="Brion A" first="Agnès" last="Brion">Agnès Brion</name><affiliation wicri:level="3"><nlm:aff id="aff1">Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Centre de Recherche de l'Institut du Cerveau et de la Moëlle épinière – Pierre and Marie Curie University; Inserm UMR_S 975; CNRS UMR 7225, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">Sleep</title><idno type="ISSN">0161-8105</idno><idno type="eISSN">1550-9109</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background:</title><p>Arousal disorders may have serious health consequences.</p></sec><sec><title>Objective:</title><p>To develop a scale assessing the severity of arousal disorders (Paris Arousal Disorders Severity Scale, PADSS).</p></sec><sec><title>Setting:</title><p>University hospital.</p></sec><sec><title>Design:</title><p>Controlled study.</p></sec><sec><title>Participants:</title><p>Consecutive patients (older than 15 y), with sleepwalking (SW) and/or sleep terrors (ST), subjects with previous SW/ST, normal controls and patients with rapid eye movement sleep behavior disorder.</p></sec><sec><title>Intervention:</title><p>The self-rated scale listed 17 parasomniac behaviors (PADSS-A), assessed their frequency from never to twice or more per night (PADSS-B) and evaluated the consequences (PADSS-C: disturbed sleep, injuries, fatigue, and psychological consequences). The clinimetric properties and face validity of the scale were tested.</p></sec><sec><title>Results:</title><p>Half of the 73 patients with SW/ST (more men than women) had injured themselves or others, whereas 15% had concomitant sexsomnia and 23% had amnestic eating behaviors. The total PADSS score (range: 0-50) was 19.4 ± 6.3 (range: 8-36) in this group, 11.7 ± 5.9 in 26 subjects with previous SW/ST, 8.8 ± 3.2 in 26 patients with RBD, and 2.0 ± 3.5 in 53 normal controls (P < 0.05). The PADSS demonstrated high sensitivity (83.6%), specificity (87.8%), internal consistency, and test-retest reliability (0.79). The best cutoff for the total score was at 13/14. Exploratory factor analysis revealed two components: wandering and violence/handling. The complexity of behaviors emerging from N3 sleep (scored on videopolysomnography) positively correlated with scores for the PADSS-total, PADSS-A, PADSS-C, and the “violence/handling” factor.</p></sec><sec><title>Conclusion:</title><p>This scale had reasonable psychometric properties and could be used for screening and stratifying patients and for evaluating the effects of treatments.</p></sec><sec><title>Citation:</title><p>Arnulf I; Zhang B; Uguccioni G; Flamand M; Noël de Fontréaux A; Leu-Semenescu S; Brion A. A scale for assessing the severity of arousal disorders. <italic>SLEEP</italic> 2014;37(1):127-136.</p></sec></div></front></TEI><affiliations><list><country><li>France</li><li>République populaire de Chine</li></country><region><li>Guangdong</li><li>Île-de-France</li></region><settlement><li>Jiangmen</li><li>Paris</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Arnulf, Isabelle" sort="Arnulf, Isabelle" uniqKey="Arnulf I" first="Isabelle" last="Arnulf">Isabelle Arnulf</name></region><name sortKey="Brion, Agnes" sort="Brion, Agnes" uniqKey="Brion A" first="Agnès" last="Brion">Agnès Brion</name><name sortKey="Flamand, Mathilde" sort="Flamand, Mathilde" uniqKey="Flamand M" first="Mathilde" last="Flamand">Mathilde Flamand</name><name sortKey="Leu Semenescu, Smaranda" sort="Leu Semenescu, Smaranda" uniqKey="Leu Semenescu S" first="Smaranda" last="Leu-Semenescu">Smaranda Leu-Semenescu</name><name sortKey="Noel De Fontreaux, Alix" sort="Noel De Fontreaux, Alix" uniqKey="Noel De Fontreaux A" first="Alix" last="Noël De Fontréaux">Alix Noël De Fontréaux</name><name sortKey="Uguccioni, Ginevra" sort="Uguccioni, Ginevra" uniqKey="Uguccioni G" first="Ginevra" last="Uguccioni">Ginevra Uguccioni</name></country><country name="République populaire de Chine"><region name="Guangdong"><name sortKey="Zhang, Bin" sort="Zhang, Bin" uniqKey="Zhang B" first="Bin" last="Zhang">Bin Zhang</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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