睡眠异常和分离性障碍

K. Karatas, M. Bilici, Z. Pelin
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引用次数: 3

摘要

目的:睡眠障碍是一种以异常行为和生理事件为特征的睡眠障碍。解离障碍中发生的解离体验可能在夜间出现,可能是副睡眠的原因。本研究的目的是比较伴有和不伴有解离障碍的睡眠障碍患者的睡眠特征,以调查在睡眠期间解离体验是否会持续,以及它们在多大程度上改变睡眠障碍。方法:在入住睡眠障碍中心后接受评估的患者(n=2217)和多导睡眠图患者(n=822)中,根据国际睡眠障碍分类-2诊断标准,对36名诊断为睡眠障碍的患者进行研究。对被诊断为伴睡眠障碍的患者进行心理测量测试,如解离体验量表、儿童创伤问卷、匹兹堡睡眠质量指数、爱荷华州睡眠体验调查、汉密尔顿抑郁评定量表、贝克抑郁量表和解离障碍结构化临床访谈。伴睡眠障碍和解离障碍的患者组称为I组,单独伴睡眠障碍的患者称为II组。结果:41.6%的伴睡眠障碍患者存在解离障碍。第一组和第二组之间的心理测试得分差异具有统计学意义。在多导睡眠图检查中,I组和II组的受试者均为浅表睡眠德尔塔波。结论:分离经历和童年创伤在患有寄生虫病的人中更为常见。根据临床医生和他们自己对这一主题的看法,患有妄想症和解离障碍的患者更抑郁。德尔塔慢波爆发在两组中是相似的。
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Parasomnia and Dissociative Disorders
Objective: Parasomnias are Sleep Disorders characterized by abnormal behavioral and physiological events. Dissociative experiences that occur in dissociative Disorders can emerge at night and may be the cause of parasomnia. The aim of this study is to compare the Sleep characteristics of parasomnia patients with and without dissociative disorder in order to investigate whether dissociative experiences may continue while aSleep and to what extent they change parasomnia. Method: Of patients who were evaluated after admission to the Center of Sleep Disorders (n: 2217) and polysomnography patients (n: 822), the study was conducted with 36 patients diagnosed with parasomnia according to the International Clasification of Sleep Disorder-2 diagnostic criteria. To patients diagnosed with parasomnia were evaluated with psychometric tests such as Dissociative Experiences Scale, Childhood Trauma Questionnaire, Pittsburg Sleep Quality Index, Iowa Sleep Experiences Survey, Hamilton Depression Rating Scale, Beck Depression Inventory, and Structured Clinical Interview for Dissociative Disorders. The patient group with parasomnia and dissociative disorder was called group I, and the patient group with parasomnia alone was called group II. Results: Dissociative disorder was detected in 41.6% of patients with parasomnia. The difference in psychometric test scores between Group I and Group II was statistically significant. In polysomnographic examination, all subjects in Group I and Group II were superficial with Sleep delta wave. Conclusion: Dissociative experiences and childhood trauma are more common in people with Parasomnia conditions. Patients with Parasomnia and Dissociative Disorder are more depressed, according to both the clinician’s and their own views on the subject. Delta slow wave bursts are similar in both groups.
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