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Sleepwalking
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===Associated disorders=== Most studies look at sleep disorders in adults but children can also be affected. In the ten percent of the population that experience sleep-related disorders, children are mainly affected due to their youthful brains.<ref>{{Cite journal |last=Willock |first=Brent |date=April 2022 |title=On dreaming, parasomnia, dream enactment, and murder. |url=http://doi.apa.org/getdoi.cfm?doi=10.1037/pap0000382 |journal=Psychoanalytic Psychology |language=en |volume=39 |issue=2 |pages=97β110 |doi=10.1037/pap0000382 |s2cid=244209446 |issn=1939-1331|url-access=subscription }}</ref> A study conducted in Australia,<ref name=":02">{{Cite journal |last1=Stallman |first1=Helen M |last2=Kohler |first2=Mark J |last3=Biggs |first3=Sarah N |last4=Lushington |first4=Kurt |last5=Kennedy |first5=Declan |date=2017-09-25 |title=Childhood Sleepwalking and Its Relationship to Daytime and Sleep Related Behaviors |url=http://www.sleepandhypnosis.org/ing/abstract.aspx?MkID=221 |journal=Sleep and Hypnosis - International Journal |pages=61β69 |doi=10.5350/Sleep.Hypn.2016.18.0122|doi-access=free }}</ref> looked at sleepwalking and its association with sleep behaviors in children. It was found that sleepwalking could be associated with children's bedtime routines. Those who have behavioral problems are more likely to develop a sleep disorder and should be assessed. The relationship between sleepwalking and the behavioral and emotional problems are more associated than their bedtime routines. This may very well be because sleep related disorders and sleepwalking happen simultaneously; one cannot exist without the other.<ref name=":02" /> In the study "Sleepwalking and Sleep Terrors in Prepubertal Children"<ref>{{cite journal|url=https://pediatrics.aappublications.org/content/111/1/e17|title=Sleepwalking and Sleep Terrors in Prepubertal Children: What Triggers Them?|journal=Pediatrics|first1=Christian|last1=Guilleminault|first2=Luciana|last2=Palombini|first3=Rafael|last3=Pelayo|first4=Ronald D.|last4=Chervin|date=1 January 2003|volume=111|issue=1|pages=e17βe25|via=pediatrics.aappublications.org|doi=10.1542/peds.111.1.e17|pmid=12509590|doi-access=free|url-access=subscription}}</ref> it was found that, if a child had another sleep disorder{{spnd}}such as [[restless leg syndrome]] (RLS) or [[Sleep-related breathing disorder|sleep-disorder breathing]] (SDB){{spnd}}there was a greater chance of sleepwalking. The study found that children with chronic parasomnias may often also present SDB or, to a lesser extent, RLS. Furthermore, the disappearance of the parasomnias after the treatment of the SDB or RLS periodic limb movement syndrome suggests that the latter may trigger the former. The high frequency of SDB in family members of children with parasomnia provided additional evidence that SDB may manifest as parasomnias in children. Children with parasomnias are not systematically monitored during sleep, although past studies have suggested that patients with sleep terrors or sleepwalking have an elevated level of brief EEG arousals. When children receive [[polysomnographies]], discrete patterns (e.g., nasal flow limitation, abnormal respiratory effort, bursts of high or slow EEG frequencies) should be sought; [[apnea]]s are rarely found in children. Children's respiration during sleep should be monitored with nasal cannula or pressure transducer system or esophageal manometry, which are more sensitive than the thermistors or thermocouples currently used in many laboratories. The clear, prompt improvement of severe parasomnia in children who are treated for SDB, as defined here, provides important evidence that subtle SDB can have substantial health-related significance. Also noteworthy is the report of familial presence of parasomnia. Studies of twin cohorts and families with sleep terror and sleepwalking suggest genetic involvement of parasomnias. RLS and SDB have been shown to have familial recurrence. RLS has been shown to have genetic involvement. Sleepwalking may also accompany the related phenomenon of [[night terror]]s, especially in children. In the midst of a night terror, the affected person may wander in a distressed state while still asleep, and examples of sufferers attempting to run or aggressively defend themselves during these incidents have been reported in medical literature.<ref>{{Cite web|url=https://www.mayoclinic.org/diseases-conditions/sleep-terrors/symptoms-causes/syc-20353524|title=Sleep terrors (night terrors) - Symptoms and causes|website=Mayo Clinic|language=en|access-date=2019-03-25}}</ref> In some cases, sleepwalking in adults may be a symptom of a psychological disorder. One study suggests higher levels of dissociation in adult sleepwalkers, since test subjects scored unusually high on the hysteria portion of the "Crown-Crisp Experiential Index".<ref name="A.H. Crisp et al.">{{cite journal |doi=10.1136/bmj.300.6721.360 |last1=Crisp |first1=A.H. |last2=Matthews |year=1990 |first2=BM |last3=Oakey |first3=M |last4=Crutchfield |first4=M |title=Sleepwalking, night terrors, and consciousness |journal=British Medical Journal |volume=300 |issue=6721 |pages=360β362 |pmid=2106985 |pmc=1662124 |display-authors=etal}}</ref> Another suggested that "A higher incidence [of sleepwalking events] has been reported in patients with [[schizophrenia]], hysteria and [[Neurosis|anxiety neuroses]]".<ref>Orme, J.E. (1967), "The Incidence of Sleepwalking in Various Groups", Acta Psychiatrica Scandinavica, Vol 43, Iss 3, pp 279β28.</ref> Also, patients with [[migraine]] headaches or [[Tourette syndrome]] are 4β6 times more likely to sleepwalk.
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