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Causes

Sleep terrors are classified as a parasomnia — an undesirable behavior or experience during sleep. Sleep terrors are a disorder of arousal, meaning they occur during N3 sleep, the deepest stage of non-rapid eye movement (NREM) sleep. Another NREM disorder is sleepwalking, which can occur together with sleep terrors.

Various factors can contribute to sleep terrors, such as:

  • Sleep deprivation and extreme tiredness
  • Stress
  • Sleep schedule disruptions, travel or sleep interruptions
  • Fever

Sleep terrors sometimes can be triggered by underlying conditions that interfere with sleep, such as:

  • Sleep-disordered breathing — a group of disorders that include abnormal breathing patterns during sleep, the most common of which is obstructive sleep apnea
  • Restless legs syndrome
  • Some medications
  • Mood disorders, such as depression and anxiety
  • In adults, alcohol use

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