Article Review Day 8: Confusional Arousals

Confusional Arousals is a parasomnia.

Have you ever heard your child have minor episodes of mumbling or grimacing, disorientation, or inappropriate behaviors during sleep? I have not experienced these with my children, but some parents have. "Confusional arousal occurs in the first 3 hours after sleep onset when the child experiences an abrupt transition from the deepest phases of NREM sleep" to lighter sleep stages. Sometimes parents don't even know this occurs because the child stays asleep during the episode and doesn't remember the next day.

If you do notice such an episode with your child, it is good to know:

• "Most episodes are brief, averaging 2 to 10 minutes in duration, and end when the child re-enters deep sleep."
• "Predisposing factors include obstructive sleep apnea, overtiredness, sleep deprivation, and irregular wake/sleep schedules..."
• "These episodes are harmless and you should not awaken the child."
• "Confusional arousals diminish as the child matures."
• If your child also has one of the predisposing factors you need to look into altering their sleep schedule so they can get the appropriate amount of sleep.