A Scale for Assessing the Severity of Arousal Disorders
Identifieur interne : 000554 ( Pmc/Corpus ); précédent : 000553; suivant : 000555A Scale for Assessing the Severity of Arousal Disorders
Auteurs : Isabelle Arnulf ; Bin Zhang ; Ginevra Uguccioni ; Mathilde Flamand ; Alix Noël De Fontréaux ; Smaranda Leu-Semenescu ; Agnès BrionSource :
- 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
Links to Exploration step
PMC:3902885Le document en format XML
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<author><name sortKey="Arnulf, Isabelle" sort="Arnulf, Isabelle" uniqKey="Arnulf I" first="Isabelle" last="Arnulf">Isabelle Arnulf</name>
<affiliation><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>
</affiliation>
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<author><name sortKey="Zhang, Bin" sort="Zhang, Bin" uniqKey="Zhang B" first="Bin" last="Zhang">Bin Zhang</name>
<affiliation><nlm:aff id="aff2">Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangdong Mental Health Centre, Guangzhou 510120, China</nlm:aff>
</affiliation>
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<author><name sortKey="Uguccioni, Ginevra" sort="Uguccioni, Ginevra" uniqKey="Uguccioni G" first="Ginevra" last="Uguccioni">Ginevra Uguccioni</name>
<affiliation><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="Flamand, Mathilde" sort="Flamand, Mathilde" uniqKey="Flamand M" first="Mathilde" last="Flamand">Mathilde Flamand</name>
<affiliation><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="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><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="Leu Semenescu, Smaranda" sort="Leu Semenescu, Smaranda" uniqKey="Leu Semenescu S" first="Smaranda" last="Leu-Semenescu">Smaranda Leu-Semenescu</name>
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<author><name sortKey="Brion, Agnes" sort="Brion, Agnes" uniqKey="Brion A" first="Agnès" last="Brion">Agnès Brion</name>
<affiliation><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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<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><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>
</affiliation>
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<author><name sortKey="Zhang, Bin" sort="Zhang, Bin" uniqKey="Zhang B" first="Bin" last="Zhang">Bin Zhang</name>
<affiliation><nlm:aff id="aff2">Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangdong Mental Health Centre, Guangzhou 510120, China</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Uguccioni, Ginevra" sort="Uguccioni, Ginevra" uniqKey="Uguccioni G" first="Ginevra" last="Uguccioni">Ginevra Uguccioni</name>
<affiliation><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>
</affiliation>
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<author><name sortKey="Flamand, Mathilde" sort="Flamand, Mathilde" uniqKey="Flamand M" first="Mathilde" last="Flamand">Mathilde Flamand</name>
<affiliation><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>
</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><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>
</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><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>
</affiliation>
</author>
<author><name sortKey="Brion, Agnes" sort="Brion, Agnes" uniqKey="Brion A" first="Agnès" last="Brion">Agnès Brion</name>
<affiliation><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>
</affiliation>
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<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>
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</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>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Sleep</journal-id>
<journal-id journal-id-type="iso-abbrev">Sleep</journal-id>
<journal-id journal-id-type="publisher-id">Sleep</journal-id>
<journal-title-group><journal-title>Sleep</journal-title>
</journal-title-group>
<issn pub-type="ppub">0161-8105</issn>
<issn pub-type="epub">1550-9109</issn>
<publisher><publisher-name>Associated Professional Sleep Societies, LLC</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24470702</article-id>
<article-id pub-id-type="pmc">3902885</article-id>
<article-id pub-id-type="doi">10.5665/sleep.3322</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Scale for Assessing the Severity of Arousal Disorders</subject>
</subj-group>
</article-categories>
<title-group><article-title>A Scale for Assessing the Severity of Arousal Disorders</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Arnulf</surname>
<given-names>Isabelle</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Bin</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Uguccioni</surname>
<given-names>Ginevra</given-names>
</name>
<degrees>MS</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Flamand</surname>
<given-names>Mathilde</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Noël de Fontréaux</surname>
<given-names>Alix</given-names>
</name>
<degrees>, MS</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Leu-Semenescu</surname>
<given-names>Smaranda</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brion</surname>
<given-names>Agnès</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<aff id="aff1"><label>1</label>
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</aff>
<aff id="aff2"><label>2</label>
Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangdong Mental Health Centre, Guangzhou 510120, China</aff>
</contrib-group>
<author-notes><corresp id="cor1">Address correspondence to: Isabelle Arnulf, <addr-line>Service des pathologies du sommeil, Hôpital Pitié-Salpêtrière, 47-83 boulevard de l'Hôpital, 75651 Paris Cedex 13, France</addr-line>
<phone>33 1 42 16 77 01</phone>
<fax>33 1 42 16 77 00</fax>
<email>isabelle.arnulf@psl.aphp.fr</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>1</day>
<month>1</month>
<year>2014</year>
</pub-date>
<volume>37</volume>
<issue>1</issue>
<fpage>127</fpage>
<lpage>136</lpage>
<history><date date-type="received"><month>2</month>
<year>2013</year>
</date>
<date date-type="rev-recd"><month>4</month>
<year>2013</year>
</date>
<date date-type="accepted"><month>4</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>© 2014 Associated Professional Sleep Societies, LLC.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>Arousal disorders</kwd>
<kwd>confusional arousal</kwd>
<kwd>parasomnia</kwd>
<kwd>sexsomnia</kwd>
<kwd>sleep related eating disorder</kwd>
<kwd>sleep terror</kwd>
<kwd>sleepwalking</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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