“…Although this response occurs spontaneously i.e., in the absence of disruptive external stimuli, it has been largely through the application of external stimuli in studies determining arousal thresholds from sleep that this process has been examined. These studies have considered varying degrees of arousal, ranging from subawakening variations in physiologic measures to indices of more complete arousal, such as specific behavioral responses indicating stimulus awareness (2,16,22,27), and have established the relevance of several stimulus (modality, intensity, and significance) and state (sleep stage and time of night) variables to the awakening process (18,24,26,39,40,41). In man, these studies have been carried out almost exclusively in adults, and those which have involved children (20,31,33) have not assessed the stimulus parameters required to elicit a behavioral response.…”