Isolated sleep paralysis linked to impaired nocturnal sleep quality and health-related quality of life in Chinese-Taiwanese patients with obstructive sleep apnea

Hsieh, Sun‐Wung; Lai, Chiou-Lian; Liu, Ching-Kuan; Lan, Sheng-Hsing; Hsu, Chung‐Yao

doi:10.1007/s11136-010-9695-4

Cited by 25 publications

(21 citation statements)

References 36 publications

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“…In addition to the inherent psychobiological trauma, resulting adverse health outcomes are suggested in our data by strong associations of sleep paralysis and other REM-like sleep disorders with chronic pain. In a recent study of Chinese–Taiwanese patients (Hsieh, Lai, Liu, Lan, & Hsu, 2010), sleep paralysis (called ghost oppression by Chinese) was associated with several measures of health-related quality of life. The authors note that sleep paralysis is not only a terrible experience during sleep but also considered a bad omen with psychosocial consequences (Hsieh et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Unique sleep disorders profile of a population-based sample of 747 Hmong immigrants in Wisconsin

Young

Xiong

Finn

et al. 2013

Social Science & Medicine

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Concerns regarding sleep disorders in Hmong immigrants in the US emerged when an astonishingly high mortality rate of Sudden Unexplained Nocturnal Death Syndrome (SUNDS) was documented in Hmong men. Stress, genetics, and cardiac abnormalities interacting with disordered sleep were hypothesized as contributing factors to SUNDS. Most recently, sleep apnea has been implicated in nighttime deaths of Brugada Syndrome. This syndrome is thought to comprise a spectrum of sudden cardiac death disorders, including SUNDS. However, little research since has placed SUNDS in its context of Hmong cultural beliefs, health, or the prevalence of other sleep disorders. Because the epidemiology of sleep disorders and terrifying nighttime experiences in Hmong is poorly documented, we investigated the prevalence and correlates of sleep apnea, rapid eye movement (REM) sleep stage related disorders, and insomnia in 3 population-based samples (collected from 1996 to 2001) comprising 747 Hmong immigrants in Wisconsin. Participants were questioned on sleep problems, cultural beliefs, health, and other factors. A random subsample (n = 37) underwent in-home polysomnography to investigate sleep apnea prevalence. Self-report and laboratory findings were compared with similarly collected data from the Wisconsin Sleep Cohort (WSC) study (n = 1170), a population-based longitudinal study of sleep. The results inform a unique Hmong sleep disorder profile of a high prevalence of sleep apnea, sleep paralysis, and other REM-related sleep abnormalities as well the interaction of culturally related nighttime stressors with these sleep problems. For example, experiences of dab tsog (frightening night spirit pressing on chest) was prevalent and related to sleep apnea indicators, sleep paralysis, nightmares, hypnogogic hallucinations, and insomnia. Understanding the role of sleep disorders and the cultural mechanisms that may trigger or condition response to them could ultimately provide a basis for screening and intervention to reduce the adverse health and emotional consequences of these conditions in Hmong.

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Section: Discussionmentioning

confidence: 99%

Unique sleep disorders profile of a population-based sample of 747 Hmong immigrants in Wisconsin

Young

Xiong

Finn

et al. 2013

Social Science & Medicine

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“…In our study, ESS score was a significant predictor of sleep paralysis. Taken together, these findings suggest excessive daytime sleepiness is associated with sleep paralysis, replicating previous findings (Hsieh et al ., ; Munezawa et al ., ).…”

Section: Discussionmentioning

confidence: 97%

“…Excessive daytime sleepiness was evaluated based on previous studies reporting an association (Hsieh et al ., ; Munezawa et al ., ). The role of diurnal preference was investigated based on studies showing that certain genes involved in the variance of diurnal preference (Carpen et al ., ; Lee et al ., ; Parsons et al ., ) may also be associated with sleep paralysis (Denis et al ., ).…”

Section: Introductionmentioning

confidence: 97%

Subjective sleep‐related variables in those who have and have not experienced sleep paralysis

Denis

French

Schneider

et al. 2017

Journal of Sleep Research

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Research suggests that poor sleep quality is related to the occurrence of sleep paralysis, although the precise relationship between these two variables is unknown. This association has generated interest due to the related possibility that improving sleep quality could help to combat episodes of sleep paralysis. To date, studies examining the association between sleep quality and sleep paralysis have typically measured sleep quality using general measures such as the global score of the Pittsburgh Sleep Quality Index (PSQI). The aim of this study was to increase the precision of our understanding of the relationship between sleep paralysis and other aspects of sleep by investigating associations between different sleep-related variables and sleep paralysis. Using data from the G1219 twin/sibling study, analyses were performed on 860 individuals aged 22-32 years (66% female). Results showed that two components of the PSQI, sleep latency and daytime dysfunction, were predictors of sleep paralysis. In addition, a number of other sleep-related variables were related significantly to sleep paralysis. These were: insomnia symptoms, sleep problems commonly related to traumatic experiences, presleep arousal, cognitions about sleep and excessive daytime sleepiness. There was no relationship with sleep-disordered breathing, diurnal preference or sleeping arrangements. Potential mechanisms underlying these results and suggestions for future research are discussed.

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“…There are premises of the correlation of poor somatic state with an increased probability of SP. The most important contributing factors to the occurrence of SP are: poor sleep hygiene, physical and mental fatigue, bad eating habits, alcohol consumption [7,8,27], shift work and diseases such as: arterial hypertension [8,28], restless legs syndrome [29], obstructive sleep apnea (OSA) [8,30], Wilson's disease [31.32], idiopathic hypersomnia [33], sleep-deprivation syndrome [4].…”

Section: Co-occurrence With Somatic Diseasesmentioning

confidence: 99%

“…Istnieją przesłanki o korelacji złego stanu somatycznego ze zwiększonym prawdopodobieństwem wystąpieniem PS. Za najważniejsze czynniki sprzyjające występowaniu PS uważa się: niewłaściwą higienę snu, zmęczenie fizyczne i psychiczne, złe nawyki żywieniowe, spożywanie alkoholu [7,8,27], pracę zmianową oraz choroby takie jak: nadciśnienie tętnicze [8,28], zespół niespokojnych nóg [29], obturacyjny bezdech senny (OBS) [8,30], choroba Wilsona [31,32], idiopatyczna hipersomnia [33], zespół niedoboru snu [4].…”

Section: Współwystępowanie Z Chorobami Somatycznymiunclassified

What do we know about sleep paralysis?

Wróbel-Knybel

Flis²,

Dubiel

et al. 2018

Curr Probl Psychiatry

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Summary Introduction: Sleep paralysis (SP) is a condition that widely occurs among people all over the world. It has been known for thousands of years and is rooted in the culture of many countries. It arouses strong emotions, though still little is known about it. The clinical picture of the disorder can be very diverse. It is often accompanied by hypnopompic and hypnagogic hallucinations, somatic complaints and the feeling of intense anxiety. A feeling of paralysis in the body with inhibited consciousness is always observed with the experience. SP pathophysiology is not fully understood, however, most theories explaining this phenomenon are based on the assumption that it results from dysfunctional overlap of REM sleep and wakefulness. It is experienced by healthy people, but it is more often associated with somatic and mental disorders, which is why it is becoming an object of interest for researchers. Aim: The aim of this work is to present the most important information about the disorder known as sleep paralysis - its history, cultural context, pathophysiology, prevalence, symptomatology, coexistence with other somatic and mental disorders as well as diagnostics and available forms of prevention and treatment. Materials and methodology: The available literature was reviewed using the Google Scholar bibliographic databases searching the following keywords: sleep paralysis, REM sleep parasomnias, sleep disorder, night terrors and time descriptors: 1980-2018. Results 1. Sleep paralysis has already been described in antiquity, and interpretations related to its occurrence are largely dependent on culture and beliefs. 2. Symptomatology of the disorder is very diverse: both mental and somatic symptoms are present. 3. The pathophysiology of the disorder has not been fully explained. The basis of most theories regarding sleep paralysis is the assumption that it results from the dysfunctional overlap of REM sleep and wakefulness. 4. The prevalence of SP at least once in a lifetime is 7.6% in the general population, although it is estimated that it is much more frequent in people with various mental and somatic disorders. 5. Treatment of SP is associated with a change in lifestyle and the use of pharmacotherapy and psychotherapy.

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Isolated sleep paralysis linked to impaired nocturnal sleep quality and health-related quality of life in Chinese-Taiwanese patients with obstructive sleep apnea

Abstract: ISP was independently associated with excessive daytime sleepiness, worse sleep quality, and impaired mental health-related quality of life in Chinese-Taiwanese OSA patients.

Cited by 25 publications

References 36 publications

Unique sleep disorders profile of a population-based sample of 747 Hmong immigrants in Wisconsin

Unique sleep disorders profile of a population-based sample of 747 Hmong immigrants in Wisconsin

Subjective sleep‐related variables in those who have and have not experienced sleep paralysis

What do we know about sleep paralysis?

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