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  • Cited by 1
  • Print publication year: 2010
  • Online publication date: November 2010

Chapter 17 - Sleep-related dissociative disorder

from Section 4 - Other parasomnias

Summary

Sexual arousal and sleep have never been at odds. Some of the well-known physiological phenomena associated with sleep were described centuries ago, most notably wet dreams, nocturnal emissions in males, and nocturnal orgasms in females. A significant number of case reports and first epidemiological and Meta studies suggest that sexual behavior in sleep primarily represents a distinctive variation of known types of NREM arousal parasomnias. Sexsomnia treatment has two objectives. First is to educate patients concerning their disorder. The second treatment objective is to provide pharmacological intervention when necessary, most often in the form of clonazepam, a common medication that is easily administered and titrated. Patients who suffer from sexsomnia are at higher risk of being charged for sexual offences. The legislatures across the world differ considerably when dealing with this issue, and those jurisprudent differences are present even at national levels.

References

1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association, 2000.
2. BernsteinEM, PutnamFW. Development, reliability and validity of a dissociation scale. J Nerv Ment Dis 1986; 174: 727–35.
3. ChuJA, DillDI. Dissociative symptoms in relation to childhood physical and sexual abuse. Am J Psychiatry 1990; 147: 882–92.
4. PutnamFW. Dissociation of Children and Adolescents: A Developmental Perspective. New York: Guilford Press, 1997.
5. American Academy of Sleep Medicine. The International Classification of Sleep Disorders – 2. Westbrook, IL: American Academy of Sleep Medicine, 2005.
6. SchenckC, MilnerD, HurwitzT, BundlieS, MahowaldM. A polysomnographic and clinical report on sleep-related injury in 100 patients. Am J Psychiatry 1989; 146: 1166–73.
7. MasonTBA, PackAI. Pediatric parasomnias. Sleep 2007; 28: 140–50.
8. BremnerJD, SouthwickS, BrettE, FontanaA, RosenheckR, CharneyDS. Dissociation and posttraumatic stress disorder in Vietnam combat veterans. Am J Psychiatry 1992; 149: 328–32.
9. FeenyN, ZoellnerL, FitzgibbonsL, FoaE. Exploring the roles of emotional numbing, depression, and dissociation in PTSD. J Trauma Stress 2000; 13: 489–98.
10. CardenaE, SpeigelD. Dissociative reactions to the San Francisco Bay Area Earthquake of 1989. Am J Psychiatry 1993; 150: 474–8.
11. BriereJ. Dissociative symptoms and trauma exposure: Specificity, affect dysregulation, and posttraumatic stress. J Nerv Ment Dis 2006; 194: 78–82.
12. HartmanD, CrispAH, SedgwickP, BorrowS. Is there a dissociative process in sleepwalking and night terrors?Postgrad Med J 2001; 77: 244–9.
13. GershunyB, ThayerJ. Relations among psychological trauma, dissociative phenomena, and trauma-related distress: A review and integration. Clin Psychol Rev 1999; 19: 631–57.
14. FooteB, SmolinY, KaplanM, LegattM, LipschitzD. Prevalence of dissociative disorders in psychiatric outpatients. Am J Psychiatry 2006; 163: 623–9.
15. KisielCL, LyonsJS. Dissociation as a mediator of psychopathology among sexually abused children and adolescents. Am J Psychiatry 2001; 158: 1034–9.
16. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders-IV-TR. Washington, DC: American Psychiatric Association, 2000.
17. WallerNG, RossC. The prevalence and biometric structure of pathological dissociation in the general population: Taxometric and behavior genetic findings. J Abnorm Psychiatry 1997; 106: 499–510.
18. SarV, KundakçiT, KiziltanE, BakimB, BozkurtO. Differentiating dissociative disorders from other diagnostic groups through somatoform dissociation in Turkey. J Trauma Dissoc 2000; 1: 67–80.
19. BroughtonRS. Sleep disorders: Disorders of arousal?Science 1968; 159: 1070–80.
20. CalamaroCJ, MasonT. Sleep-related dissociative disorder in a 6-year-old female. Behav Sleep Med 2008; 6: 147–57.
21. NakataniY. Dissociative disorders: From Janet to DSM-IV. Seishin Shinkeigaku Zasshi 2000; 102: 1–12.
22. SchenckC, ArnulfI, MahowaldM. Sleep and sex: What can go wrong? A review of the literature on sleep related disorders and abnormal sexual behaviors and experiences. Sleep 2007; 30: 683–702.
23. GuilleminaultC, MoscovitchA, YuenK, PoyaresDA. Atypical sexual behavior during sleep. Psychosom Med 2002; 64: 328–36.
24. AgargunM, KaraH, OzerO, SelviY, KiranU, KiranS. Nightmares and dissociative experiences: The key role of childhood traumatic events. Psychiatr Clin Neurosci 2003; 57: 139–45.
25. MoldofskyH, GilbertR, LueF, MacLeanA. Sleep related violence. Sleep 1995; 18: 731–9.
26. OhayomM, CauletM, PriestR. Violent behavior and sleep. J Clin Psychiatry 1997; 58: 369–78.
27. BroughtonR. NREM arousal parasomnias. In KrygerMR and DecmentW (Eds), Principles and Practice of Sleep Medicine. 3rd edn. Philadelphia: W.B. Saunders Co., 2000; 693–706.
28. SchenckC, MahowaldM. REM sleep behavior: Clinical, developmental and neuroscience perspectives 16 years after its formal identification in SLEEP. Sleep 2002; 25: 120–38.
29. SheldonS, JacobsenJ. REM-sleep motor disorder in children. J Child Neurol 1998; 13: 257–60.
30. ProviniF, PlazziG, TinuperP, VandiS, LugaresiE, MontagnaP. Nocturnal frontal lobe epilepsy: A clinical and polygraphic overview of 100 consecutive cases. Brain 1999; 122: 1017–31.
31. ProviniF, PlazziG, LugaresiE. From nocturnal paroxysmal dystonia to nocturnal frontal lobe epilepsy. Clin Neurophysiol 2000; 111: S2–8.
32. ArmstrongJ, PutnamF, CarlsonE, LiberoD, SmithS. Development and validation of a measure of adolescent dissociation: The Adolescent Dissociative Experiences Scale. J Nerv Ment Dis 1997; 185: 491–7.
33. WatsonD. Dissociations in the night: Individual differences in sleep-related experiences and their relation to dissociation and schizotypy. J Abnorm Psych 2001; 110: 526–35.
34. FarringtonA, WallerG, SmerdenJ, FaupelA. The Adolescent Dissociative Experiences Scale: Psychometric properties and difference in scores across age groups. J Nerv Ment Dis 2001; 189: 722–7.
35. JangKL, ParisJ, Zweig-FrankH, LiveslyWJ. Twin study of dissociative experience. J Nerv Ment Dis 1998; 186: 345–51.
36. Becker-BleaseK, Deater-DeckardK, Eley FreydJ, StevensonJ, PlominR. A genetic analysis of individual differences in dissociative behaviors in childhood and adolescence. J Child Psychol Psychiatry 2004; 45: 522–32.
37. KoenenKC, SaxeG, PurcellS, et al. Polymorphisms in FKBP5 are associated with peritraumatic dissociation in medically injured children. Mol Psychiatry 2005; 10: 1058–9.
38. SavitzJ, Van Der MerweL, NewmanT, SolmsM, SteinD, RamesarR. The relationship between child abuse and dissociation: Is it influenced by catechol-O-methyltransferase (COMT) activity?Int J Neuropsychopharmacol 2008; 11: 149–61.
39. ChuJA. Treatment of traumatic dissociation. In VermettenE, DorahyMJ, SpiegelD (Eds), Traumatic Dissociation: Neurobiology and Treatment. Washington, DC: American Psychiatric Publishing, 2007; 333–52.