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The REM Sleep Behavior Disorder Single-Question Screen (RBD1Q)
Availability
Please visit this website for more information about the instrument: The REM Sleep Behavior Disorder Single-Question Screen
Classification
Supplemental: Parkinson's Disease (PD)
Short Description of Instrument
A single self-administered question that can be answered with a 'yes' or 'no' response: "Have you ever been told, or suspected yourself that you seem to 'act out your dreams' while asleep (for example, punching, flailing your arms in the air, making running movements, etc.)?"
Comments/Special Instructions
RBD1Q may be considered a good screening tool in clinical settings and large-scale epidemiological studies.
Scoring and Psychometric Properties
Psychometric Properties: RBD1Q was shown to have good sensitivity (94%) and specificity (87%) in diagnosing RBD.
Rationale/Justification
Strengths:
    • Translated in several languages
    • Easy and quick to administer

 
Weaknesses:
    • Low positive predictive value in the general elderly population

References
Key Reference:
Postuma RB, Arnulf I, Hogl B, Iranzo A, Miyamoto T, Dauvilliers Y, Oertel W, Ju YE, Puligheddu M, Jennum P, Pelletier A, Wolfson C, Leu-Semenescu S, Frauscher B, Miyamoto M, Cochen De Cock V, Unger MM, Stiasny-Kolster K, Fantini ML, Montplaisir JY. A single-question screen for rapid eye movement sleep behavior disorder: a multicenter validation study. Mov Disord. 2012 Jun;27(7):913-6.
 
Additional References:
Ma JF, Hou MM, Tang HD, Gao X, Liang L, Zhu LF, Zhou Y, Zha SY, Cui SS, Du JJ, Li G, Liu J, Chen SD. REM sleep behavior disorder was associated with Parkinson's disease: a community-based study. BMC Neurol. 2016 Aug 2;16:123.
 
Pujol M, Pujol J, Alonso T, Fuentes A, Pallerola M, Freixenet J, BarbÉ F, Salamero M, Santamaría J, Iranzo A. Idiopathic REM sleep behavior disorder in the elderly Spanish community: a primary care center study with a two-stage design using video-polysomnography. Sleep Med. 2017 Dec;40:116-121.
 
Document last updated August 2022