{"doi":"10.1093/sleep/20.11.972","title":"A Parasomnia Overlap Disorder Involving Sleepwalking, Sleep Terrors, and REM Sleep Behavior Disorder in 33 Polysomnographically Confirmed Cases","abstract":null,"journal":"Sleep","year":1997,"id":618673,"datarank":0.8270143119247475,"base_score":5.5134287461649825,"endowment":5.5134287461649825,"self_citation_contribution":0.8270143119247475,"citation_network_contribution":0.0,"self_endowment_contribution":0.8270143119247475,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":247,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1596206,"name":"Jeffrey L. Boyd","orcid":null,"position":1,"is_corresponding":false},{"id":201827,"name":"Mark W. Mahowald","orcid":null,"position":2,"is_corresponding":false},{"id":284807,"name":"Carlos H. Schenck","orcid":"0000-0002-0095-2680","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"A Parasomnia Overlap Disorder Involving Sleepwalking, Sleep Terrors, and REM Sleep Behavior Disorder in 33 Polysomnographically Confirmed Cases","abstract":"A series of 33 patients with combined (injurious) sleepwalking, sleep terrors, and rapid eye movement (REM) sleep behavior disorder (viz. \"parasomnia overlap disorder\") was gathered over an 8-year period. Patients underwent clinical and polysomnographic evaluations. Mean age was 34 +/- 14 (SD) years; mean age of parasomnia onset was 15 +/- 16 years (range 1-66); 70% (n = 23) were males. An idiopathic subgroup (n = 22) had a significantly earlier mean age of parasomnia onset (9 +/- 7 years) than a symptomatic subgroup (n = 11) (27 +/- 23 years, p = 0.002), whose parasomnia began with either of the following: neurologic disorders, n = 6 [congenital Mobius syndrome, narcolepsy, multiple sclerosis, brain tumor (and treatment), brain trauma, indeterminate disorder (exaggerated startle response/atypical cataplexy)]; nocturnal paroxysmal atrial fibrillation, n = 1; posttraumatic stress disorder/major depression, n = 1; chronic ethanol/amphetamine abuse and withdrawal, n = 1; or mixed disorders (schizophrenia, brain trauma, substance abuse), n = 2. The rate of DSM-III-R (Diagnostic and Statistical Manual, 3rd edition, revised) Axis 1 psychiatric disorders was not elevated; group scores on various psychometric tests were not elevated. Forty-five percent (n = 15) had previously received psychologic or psychiatric therapy for their parasomnia, without benefit. Treatment outcome was available for n = 20 patients; 90% (n = 18) had substantial parasomnia control with bedtime clonazepam (n = 13), alprazolam and/or carbamazepine (n = 4), or self-hypnosis (n = 1). Thus, \"parasomnia overlap disorder\" is a treatable condition that emerges in various clinical settings and can be understood within the context of current knowledge on parasomnias and motor control/dyscontrol during sleep.","is_dataset_classified":null,"base_score":5.5134287461649825,"endowment":5.5134287461649825,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"9456462","pmcid":null,"openalex_id":"https://openalex.org/W29869865","authors":[],"funders":[],"total_grants":0,"fwci":2.2656,"citation_percentile":0.8727981,"influential_citations":0,"citation_trend":[{"year":2012,"count":5},{"year":2013,"count":15},{"year":2014,"count":12},{"year":2015,"count":10},{"year":2016,"count":14},{"year":2017,"count":5},{"year":2018,"count":16},{"year":2019,"count":7},{"year":2020,"count":10},{"year":2021,"count":5},{"year":2022,"count":8},{"year":2023,"count":7},{"year":2024,"count":5},{"year":2025,"count":3},{"year":2026,"count":1}],"oa_status":"bronze","license":null,"oa_locations":[{"url":"https://academic.oup.com/sleep/article-pdf/20/11/972/13660872/sleep-20-11-972.pdf","host_type":"journal"},{"url":"https://academic.oup.com/sleep/article-pdf/20/11/972/13660872/sleep-20-11-972.pdf","host_type":"publisher"},{"url":"http://academic.oup.com/sleep/article-pdf/20/11/972/13660872/sleep-20-11-972.pdf","host_type":"publisher"},{"url":"https://doi.org/10.1093/sleep/20.11.972","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/9456462","host_type":"repository"}],"fields_of_study":["Sleep and Wakefulness Research","Sleep and related disorders","Adult","Age Distribution","Aged","Atrial Fibrillation","Brain Diseases","Child","Child, Preschool","Diagnosis, Computer-Assisted","Female","Humans","MMPI","Male","Mental Disorders","Middle Aged","Polysomnography","Psychiatric Status Rating Scales","Severity of Illness Index","Sex Distribution","Sleep Wake Disorders","Sleep, REM"],"mesh_terms":["Adult","Aged","Atrial Fibrillation","Mental Disorders","Brain Diseases","Child","Child, Preschool","Diagnosis, Computer-Assisted","Female","Humans","Male","Middle Aged","MMPI","Psychiatric Status Rating Scales","Severity of Illness Index","Sleep Wake Disorders","Sleep, REM","Polysomnography","Age Distribution","Sex Distribution"],"keywords":["Sleepwalking","Parasomnia","REM sleep behavior disorder","Sleep (system call)","Sleep disorder","Psychology","Polysomnography","Psychiatry","Medicine","Anesthesia","Insomnia","Electroencephalography"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-03T04:59:01.595131Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}