Sleep and Panic.
- Author:
Young Chul KIM
1
Author Information
- Publication Type:Review
- Keywords: Nocturnal panic; Non-REM Sleep
- MeSH: Agoraphobia; Antidepressive Agents, Tricyclic; Anxiety; Arousal; Depression; Epilepsy, Temporal Lobe; Humans; Incidence; Night Terrors; Panic Disorder; Panic*; Sensation; Sleep Apnea Syndromes; Sleep Paralysis
- From:Sleep Medicine and Psychophysiology 1997;4(1):49-56
- CountryRepublic of Korea
- Language:Korean
- Abstract: Nocturnal panic involves sudden awakening from sleep in a state of panic characterized by various somatic sensation of sympathetic arousal and intense fear. Many(18-71%) of the spontaneous panic attacks tend to occur from a sleeping state unrelated to the situational and cognitive context. Nocturnal panickers experienced daytime panics and general somatic sensation more frequently than other panickers. Despite frequent distressing symptoms, these patients tend to exhibit little social or occupational impairment and minimal agoraphobia and have a high lifetime incidence of major depression and a good response to tricyclic antidepressants. Sleep panic attacks arise from non-REM sleep, late stage 2 or early stage 3. The pathophysiology and the similarity of nocturnal panic to sleep apnea, dream-induced anxiety attacks, night terrors, sleep paralysis, and temporal lobe epilepsy are discussed.
