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PLMD is estimated to occur in approximately 4% of adults (aged 15–100), [8] but is more common in the elderly, especially females, with up to 11% experiencing symptoms. [17] PLMD appears to be related to restless legs syndrome (RLS) - a study of 133 people found that 80% of those with RLS also had PLMS. [ 18 ]
Sleep walking may involve sitting up and looking awake when the individual is actually asleep, and getting up and walking around, moving items or undressing themselves. They will also be confused when waking up or opening their eyes during sleep. Sleep walking can be associated with sleeptalking. [19]
A confusional arousal (also known as sleep drunkenness or severe sleep inertia) is medical condition where a person awakened from sleep shows mental confusion for at least several minutes. [ 1 ] [ 2 ] Complete or partial amnesia of the episodes may be present.
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Sleep research conducted in the 1990s showed that such waking up during the night may be a natural sleep pattern, rather than a form of insomnia. [2] If interrupted sleep (called "biphasic sleeping" or " bimodal sleep ") is perceived as normal and not referred to as "insomnia", less distress is caused and a return to sleep usually occurs after ...
Waking up earlier in the morning increases the response. [11]Shift work: nurses working on morning shifts with very early awakening (between 4:00–5:30 a.m.) had a greater and prolonged cortisol awakening response than those on the late day shift (between 6:00–9:00 a.m.) or the night shift (between 11:00 a.m.–2:00 p.m.). [12]
The resulting insomnia and sleep deprivation can cause exhaustion, changes in mood, sleepiness, impaired productivity, fatigue, increased risk of accidents, and cognitive dysfunction. [6] [7] [8] 25% of falls that older individuals experience happen during the night, of which 25% occur while waking up to void. [9]
The risk of acquiring the condition is greater in older people, [3] for women, as well as patients with mood disorders and/or medical diagnoses receiving antipsychotic medications. [8] The term tardive dyskinesia first came into use in 1964. [3]