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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Le document en format XML
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<author><name sortKey="Zhang, Bin" sort="Zhang, Bin" uniqKey="Zhang B" first="Bin" last="Zhang">Bin Zhang</name>
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<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>
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<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>
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<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>
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<series><title level="j">Sleep</title>
<idno type="ISSN">0161-8105</idno>
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<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>
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<affiliations><list><country><li>France</li>
<li>République populaire de Chine</li>
</country>
<region><li>Guangdong</li>
<li>Île-de-France</li>
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<settlement><li>Jiangmen</li>
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<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>
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<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>
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