Table : TABLE 4.1 SLEEP DISTURBANCES
Sleep DisturbanceDefinitionDefining Characteristics
NarcolepsyNeurological disorder characterized by excessive daytime sleepiness, which includes lapses into sleep and nappingIrrepressible need to sleep; daytime napping; cataplexy; sleep paralysis; hypnagogic hallucinations.
REM Sleep Behavior DisorderThe mechanism responsible for paralysis during REM not functioning, resulting in the acting out of dreams.Dreamers vocalize and act out dreams; violent and active dreams are common; upon awakening the dream is remembered; risk of injury to self and sleeping partners.
Obstructive Sleep Apnea HypopneaSerious disturbance characterized by a complete absence of air flow (apnea) or reduced air flow (hypopnea).Upper throat muscles go limp; airway closes; breathing stops for 10 seconds or longer; sleeper awakens, gasping for air.
InsomniaInability to fall asleep or stay asleep.Poor sleep quantity or quality; tendency to wake up too early; can’t fall back asleep; not feeling refreshed after a night’s sleep
SleepwalkingDisturbance of non-REM sleep characterized by complex motor behavior during sleep.Expressionless face; open eyes; may sit up in bed, walk around, or speak gibberish; upon awakening has limited recall
Sleep TerrorsDisturbance of non-REM sleep generally occurring in children.Screaming, inconsolable child; usually no memory of the episode the next day.
Problems can arise during both REM and non-REM sleep. This table outlines some of the most common sleep disturbances and their defining characteristics.