{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T12:16:53Z","timestamp":1791634613887,"version":"4.3.4"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T00:00:00Z","timestamp":1677715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100004794","name":"Centre National de la Recherche Scientifique","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004794","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Study Objectives<\/jats:title>\n                  <jats:p>To establish whether the recent EEG and behavioral criteria of arousal disorders apply to sexsomnia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>EEG and behavioral markers upon N3 sleep interruptions in videopolysomnography were retrospectively compared in 24 participants with sexsomnia, 41 participants with arousals disorders, and 40 healthy controls. The specificity and sensitivity of previously suggested EEG and behavioral cutoffs for supporting arousal disorders diagnosis were measured in the sexsomnia vs. control groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Participants with sexsomnia and arousals disorders showed a higher N3 fragmentation index, slow\/mixed N3 arousal index, and number of eye openings during N3 interruptions than healthy controls. Ten (41.7%) participants with sexsomnia (vs. one sleepwalker and no control) displayed an apparently sexual behavior (masturbation, sexual vocalization, pelvic thrusting, and hand within the pajama) during N3 arousal. An N3 sleep fragmentation index \u22656.8\/h of N3 sleep and two or more N3 arousals associated with eye opening was 95% specific but poorly (46% and 42%) sensitive for diagnosing sexsomnia. An index of slow\/mixed N3 arousals \u22652.5\/h of N3 sleep was 73% specific and 67% sensitive. An N3 arousal with trunk raising, sitting, speaking, showing an expression of fear\/surprise, shouting, or exhibiting sexual behavior was 100% specific for a diagnosis of sexsomnia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In patients with sexsomnia, videopolysomnography based markers of arousal disorders are intermediate between healthy individuals and patients with other arousal disorders, supporting the concept of sexsomnia as a specialized, but less neurophysiologically severe, NREM parasomnia. Previously validated criteria for arousal disorders partially fit in patients with sexsomnia.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/sleep\/zsad056","type":"journal-article","created":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T08:10:13Z","timestamp":1677831013000},"source":"Crossref","is-referenced-by-count":15,"title":["Do the EEG and behavioral criteria of NREM arousal disorders apply to sexsomnia?"],"prefix":"10.1093","volume":"46","author":[{"given":"Jessica","family":"Rossi","sequence":"first","affiliation":[{"name":"Sleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne , Paris , France"},{"name":"Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia , Modena , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Gales","sequence":"additional","affiliation":[{"name":"Sleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5444-9223","authenticated-orcid":false,"given":"Val\u00e9rie","family":"Attali","sequence":"additional","affiliation":[{"name":"Sleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne , Paris , France"},{"name":"INSERM, UMRS1158 Neurophysiologie Respiratoire Exp\u00e9rimentale et Clinique , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9556-4527","authenticated-orcid":false,"given":"Smaranda","family":"Leu-Semenescu","sequence":"additional","affiliation":[{"name":"Sleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne , Paris , France"},{"name":"Paris Brain Institute (ICM), INSERM, CNRS , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Dodet","sequence":"additional","affiliation":[{"name":"Sleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne , Paris , France"},{"name":"Sorbonne University , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Groos","sequence":"additional","affiliation":[{"name":"Sleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2240-2516","authenticated-orcid":false,"given":"Isabelle","family":"Arnulf","sequence":"additional","affiliation":[{"name":"Sleep Clinic, Pitie-Salpetriere Hospital, APHP-Sorbonne , Paris , France"},{"name":"Paris Brain Institute (ICM), INSERM, CNRS , Paris , France"},{"name":"Sorbonne University , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,3,2]]},"reference":[{"key":"2023071111341964300_CIT0001","volume-title":"The International Classification of Sleep Disorders","author":"American Academy of Sleep Medicine.","year":"2014","edition":"3"},{"key":"2023071111341964300_CIT0002","doi-asserted-by":"crossref","first-page":"141","DOI":"10.5664\/jcsm.6902","article-title":"Sleep-related orgasms in a 57-year-old woman: a case report","volume":"14","author":"Irfan","year":"2018","journal-title":"J Clin Sleep Med."},{"key":"2023071111341964300_CIT0003","first-page":"542","article-title":"Masturbation during sleep\u2014a somnambulistic variant?","volume":"27","author":"Wong","year":"1986","journal-title":"Singapore Med J."},{"key":"2023071111341964300_CIT0004","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1097\/MCP.0000000000000321","article-title":"The reality of sexsomnia","volume":"22","author":"Muza","year":"2016","journal-title":"Curr Opin Pulm Med."},{"issue":"2","key":"2023071111341964300_CIT0005","article-title":"Sexsomnia: a specialized non-REM parasomnia?","volume":"40","author":"Dubessy","year":"2017","journal-title":"Sleep."},{"key":"2023071111341964300_CIT0006","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1177\/070674370304800506","article-title":"Sexsomnia\u2014a new parasomnia?","volume":"48","author":"Shapiro","year":"2003","journal-title":"Can J Psychiatry."},{"issue":"6","key":"2023071111341964300_CIT0007","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1093\/sleep\/30.6.683","article-title":"Sleep and sex: what can go wrong? A review of the literature on sleep related disorders and abnormal sexual behaviors and experiences","volume":"30","author":"Schenck","year":"2007","journal-title":"Sleep."},{"key":"2023071111341964300_CIT0008","doi-asserted-by":"crossref","first-page":"518","DOI":"10.14704\/nq.2015.13.4.873","article-title":"Update on sexsomnia, sleep related sexual seizures, and forensic implications","volume":"13","author":"Schenck","year":"2015","journal-title":"NeuroQuantology."},{"key":"2023071111341964300_CIT0009","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.sleep.2022.02.012","article-title":"Sexsomnia can be triggered by sleep-related head jerks","volume":"92","author":"Buskova","year":"2022","journal-title":"Sleep Med."},{"key":"2023071111341964300_CIT0010","doi-asserted-by":"crossref","first-page":"505","DOI":"10.5664\/jcsm.7686","article-title":"Sexsomnia in an adolescent","volume":"15","author":"Contreras","year":"2019","journal-title":"J Clin Sleep 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