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Sleep and Biological Rhythms

, Volume 12, Issue 1, pp 46–52 | Cite as

Sleep paralysis in Chinese adolescents: A representative survey

  • Shengli Ma
  • Tao Wu
  • Guofu Pi
Original Article

Abstract

Sleep paralysis has been studied in different countries and regions, but it has rarely been investigated in mainland China. The aim of the present study was to estimate the prevalence of sleep paralysis and examine features of and factors associated with sleep paralysis (SP) among Chinese adolescents. A cross-sectional study was performed by using self-administrated questionnaires distributed to junior and senior high school students. The prevalence of sleep paralysis was determined from 11 754 completed questionnaires (overall response rate: 95.1%). The relationship of sleep paralysis to personal (age, gender), lifestyle (smoking, drinking alcohol), and community (rural or urban) characteristics and sleep status (sleep duration, nap time, bedtime, subjective sleep quality) were analyzed, and the features of sleep paralysis were investigated. We found that the prevalence of sleep paralysis in this population was 6.77%. The prevalence of sleep paralysis increased significantly from junior to senior high school regardless of sleep duration, naptime, bedtime, or mental health status. Logistic regression analysis revealed that risk factors for sleep paralysis included female sex, drinking alcohol, low subjective sleep quality, and living in a rural area. Major features of sleep paralysis included the inability to move (92%) and a sense of weight on chest/difficulty breathing (43%). The results of this study suggest that in order to reduce the incidence of SP, health education should be used to promote the importance of regular sleep habits for adolescents.

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References

  1. 1.
    Nishino S. Clinical and neurobiological aspects of narcolepsy. Sleep Med. 2007; 8: 373–99.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Nielsen TA, Zadra A. Nightmares and other common dream disturbances. In: Kryger MH, Roth T, Dement WC, eds. and Practice of Sleep Medicine. W.B. Saunders Company: Philadelphia, PA, 2005; 926–35.CrossRefGoogle Scholar
  3. 3.
    Hishikawa Y, Shimizu T. Physiology of REM sleep, cata-plexy, and sleep paralysis. Adv. Neurol. 1995; 67: 245–71.PubMedGoogle Scholar
  4. 4.
    Munezawa T, Kaneita Y, Osaki Y et al. Nightmare and sleep paralysis among Japanese adolescents: a nationwide representative survey. Sleep Med. 2011; 12: 56–64.CrossRefPubMedGoogle Scholar
  5. 5.
    Fukuda K, Miyasita A, Inugami M, Ishihara K. High prevalence of isolated sleep paralysis: Kanashibari phenomenon in Japan. Sleep 1987; 10: 279–86.PubMedGoogle Scholar
  6. 6.
    Bell CC, Shakoor B, Thompson B et al. Prevalence of isolated sleep paralysis in black subjects. J. Natl Med. Assoc. 1984; 76: 501–8.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Wing YK, Lee ST, Chen CN. Sleep paralysis in Chinese: ghost oppression phenomenon in Hong Kong. Sleep 1994; 17: 609–13.PubMedGoogle Scholar
  8. 8.
    Ohaeri JU, Odejide AO, Ikuesan BA, Adeyemi JD. The pattern of isolated sleep paralysis among Nigerian medical students. J. Natl Med. Assoc. 1989; 81: 805–8.PubMedPubMedCentralGoogle Scholar
  9. 9.
    Téllez-López A, Guerrero-Sánchez ME, Gutierrez-Torres F et al. Sleep habits and sleep disorders among residents of Monterrey metropolitan area. Salud. Ment. 1995; 18: 14–22. (in Spanish).Google Scholar
  10. 10.
    Ohayon M, Zulley J, Guilleminault C, Smirne S. Prevalence and pathologic associations of sleep paralysis in the general population. Neurology 1999; 52: 1194–200.CrossRefPubMedGoogle Scholar
  11. 11.
    Jiménez-Genchi A, Avila-Rodríguez VM, Sánchez-Rojas F, Terrez BE, Nenclares-Portocarrero A. Sleep paralysis in adolescents: the “a dead body climbed on top of me” phenomenon in Mexico. Psychiatry Clin. Neurosci. 2009; 63: 546–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Ness RC. The old hag phenomenon as sleep paralysis: a biocultural interpretation. Cult. Med. Psychiatry 1978; 2: 15–39.CrossRefPubMedGoogle Scholar
  13. 13.
    Fukuda K, Ogilvie RD, Chilcott L, Vendittelli AM, Takeuchi T. The prevalence of sleep paralysis among Canadian and Japanese college students. Dreaming 1998; 8: 59–66.CrossRefGoogle Scholar
  14. 14.
    Fukuda K, Ogilvie RD, Takeuchi T. Recognition of sleep paralysis among normal adults in Canada and in Japan. Psychiatry Clin. Neurosci. 2000; 54: 292–3.CrossRefPubMedGoogle Scholar
  15. 15.
    Fukuda K. One explanatory basis for the discrepancy of reported prevalence of sleep paralysis among healthy respondents. Percept. Mot. Skills 1993; 77: 803–7.CrossRefPubMedGoogle Scholar
  16. 16.
    Wing YK, Chiu H, Leung T, Ng J. Sleep paralysis in the elderly. J. Sleep Res. 1999; 8: 151–5.CrossRefPubMedGoogle Scholar
  17. 17.
    Goldberg DP, Rickels K, Downing R et al. A comparison of two psychiatric screening tests. B r. J. Psychiatry 1976; 129: 61–7.CrossRefGoogle Scholar
  18. 18.
    Doi Y, Minowa M. Factor structure of the 12-item General Health Questionnaire in the Japanese general adult population. Psychiatry Clin. Neurosci. 2003; 57: 379–83.CrossRefPubMedGoogle Scholar
  19. 19.
    Ohayon M, Priest R, Zulley J, Smirne S, Paiva T. Prevalence of narcolepsy symptomatology and diagnosis in the European general population. Neurology 2002; 58: 1826–33.CrossRefPubMedGoogle Scholar
  20. 20.
    Otto MW, Simon NM, Powers M, Hinton D, Zalta AK, Pollack MH. Rates of isolated sleep paralysis in outpatients with anxiety disorders. J. Anxiety Disord. 2006; 20: 687–93.CrossRefPubMedGoogle Scholar
  21. 21.
    Oluwole OS. Lifetime prevalence and incidence of parasomnias in a population of young adult Nigerians. J. Neurol. 2010; 12: 56–64.Google Scholar
  22. 22.
    Johnson EO, Breslau N. Sleep problems and substance use in adolescence. Drug Alcohol Depend. 2001; 64: 1–7.CrossRefPubMedGoogle Scholar
  23. 23.
    Kenney SR, LaBrie JW, Hummer JF, Pham AT. Global sleep quality as a moderator of alcohol consumption and consequences in college students. Addict. Behav. 2012; 37: 507–12.CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Brower KJ, Krentzman A, Robinson EA. Persistent insomnia, abstinence, and moderate drinking in alcohol-dependent individuals. Am. J. Addict. 2011; 20: 435–40.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    American Academy of Sleep Medicine. The International Classification of Sleep Disorders: Diagnostic and Coding Manual, 2nd edn. American Academy of Sleep Medicine: Westchester, IL, 2005.Google Scholar
  26. 26.
    Takeuchi T, Takeuchi T, Miyasita A, Sasaki Y, Inugami M, Fukuda K. Isolated sleep paralysis elicited by sleep interruption. Sleep 1992; 15: 217–25.PubMedGoogle Scholar
  27. 27.
    Morin CM, Espie CA. Insomnia: A Clinical Guide to Assessment and Treatment. Kluwer Academic/Plenum Publishers: New York, 2003.CrossRefGoogle Scholar
  28. 28.
    Nielsen TA, Laberge L, Paquet J, Tremblay RE, Vitaro F, Montplaisir J. Development of disturbing dreams during adolescence and their relation to anxiety symptoms. Sleep 2000; 23: 727–36.PubMedGoogle Scholar
  29. 29.
    Takeuchi T, Fukuda K, Yamamoto Y et al. What kind of sleep related life style affects the occurrence of sleep paralysis in normal individuals. Sleep Res. 1997; 26: 518.Google Scholar

Copyright information

© Japanese Society of Sleep Research 2014

Authors and Affiliations

  • Shengli Ma
    • 1
  • Tao Wu
    • 1
    • 2
  • Guofu Pi
    • 1
  1. 1.Department of OrthopedicsThe First Affiliated Hospital of Zhengzhou UniversityZhengzhouChina
  2. 2.Department of Cerebrovascular Interventional RadiologyThe First Affiliated Hospital of Henan UniversityZhengzhouChina

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