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Risk factors
Another explanation for sleep walking is exposure to
additional risk factors. Certain things can increase the
chance of sleep walking such as sleep deprivation, alcohol,
having a fever and stress. Plazzi et al highlighted that
hormonal changes during puberty and menstruation may
also be trigger sleep walking. However, because these risk
factors only trigger some individuals to sleep walk means
they must have some sort of inherited vulnerability for sleep
walking. Hublin et al found that sleepwalking may also be
genetic. In the study of Finnish twins reported that there is a
concordance rate of 60% and these high fi gures suggests a
genetic component.
Why children?
A further explanation looks into the fact that sleepwalking
appears to occur much more in children than adults. One
reason for this might happen is because children have more
SWS than adults. Oliviero et al suggested that the system
A02
There is research evidence to support the idea that
sleepwalking may be inherited. Broughton et al found that if
you have a fi rst degree relative that sleepwalks you are 10x
more likely to sleep walk than the general population.
Lecendreaux et al found a 50% concordance rate in MZ twins
compared to 15% in DZ twins. This supported that
sleepwalking may have a biological cause supporting the
nature side of the nature-nurture debate, however it is
diffi cult to determine to what extent that sleepwalking is
genetic due to MZ twins usually being raised in similar
environments, therefore this could be deterministic, as there
may be psychological explanations such as conditioning in
some form of exposure to people suff ering from
sleepwalking.
The diathesis-stress model suggests that genes provide
vulnerability for a disorder but this will not develop without
an environmental trigger. Zadra et al demonstrated this; in
their study 40 patients were referred to a sleep lab for
suspected sleep walking. In the sleep lab they were sleep
deprived. On the fi rst night 50% of the sleepwalkers had
shown signs of sleepwalking, which rose to 90% on the
second night. Sleep deprivation does not lead to
sleepwalking in normal individuals. Therefore the
sleepwalking was a stressor in individuals who had
vulnerability for sleepwalking.
Explanations that propose sleepwalking is due to genes or
environmental factors alone are reductionist. Theories fail to
explain the complex nature of how sleepwalking occurs
through the interaction of genes and the environment.
Therefore it is deterministic to assume we have no free will
or control over sleepwalking
Explanations that propose sleepwalking is extremely
important in real world application also. In some cases it has