TY  - JOUR
PY  - 2014//
TI  - A scale for assessing the severity of arousal disorders
JO  - Sleep
A1  - Arnulf, Isabelle
A1  - Zhang, Bin
A1  - Uguccioni, Ginevra
A1  - Flamand, Mathilde
A1  - Noël de Fontréaux, Alix
A1  - Leu-Semenescu, Smaranda
A1  - Brion, Agnès
SP  - 127
EP  - 136
VL  - 37
IS  - 1
N2  - BACKGROUND: Arousal disorders may have serious health consequences. OBJECTIVE: To develop a scale assessing the severity of arousal disorders (Paris Arousal Disorders Severity Scale, PADSS). SETTING: University hospital. DESIGN: Controlled study. PARTICIPANTS: 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. INTERVENTION: 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. RESULTS: 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. CONCLUSION: This scale had reasonable psychometric properties and could be used for screening and stratifying patients and for evaluating the effects of treatments. CITATION: 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. SLEEP 2014;37(1):127-136.<p />  <p>Language: en</p>
LA  - en
SN  - 0161-8105
UR  - http://dx.doi.org/10.5665/sleep.3322
ID  - ref1
ER  -