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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Atypical sexual behavior during sleep.
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Atypical sexual behavior during sleep.

机译：睡眠中的非典型性行为。

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OBJECTIVE: This article reports a case series of atypical sexual behavior during sleep, which is often harmful to patients or bed partners. METHODS: Eleven subjects underwent clinical evaluation of complaints of sleep-related atypical sexual behavior. Complaints included violent masturbation, sexual assaults, and continuous (and loud) sexual vocalizations during sleep. One case was a medical-legal case. Sleep logs, clinical evaluations, sleep questionnaires, structured psychiatric interviews, polysomnography, actigraphy, home electroencephalographic monitoring during sleep, and clinical electroencephalographic monitoring while awake and asleep were used to determine clinical diagnoses. RESULTS: Atypical sexual behaviors during sleep were associated with feelings of guilt, shame, and depression. Because of these feelings, patients and bed partners often tolerated the abnormal behavior for long periods of time without seeking medical attention. The following pathologic sleep disorders were demonstrated on polysomnography: partial complex seizures, sleep-disordered breathing, stage 3 to 4 non-rapid eye movement (REM) sleep parasomnias, and REM sleep behavior disorder. These findings were concurrent with morning amnesia. CONCLUSIONS: The atypical behaviors were related to different syndromes despite the similarity of complaints from bed partners. In most cases the disturbing and often harmful symptoms were controlled when counseling was instituted and sleep disorders were treated. In some cases treatment of seizures or psychiatric disorders was also needed. Clonazepam with simultaneous psychotherapy was the most common successful treatment combination. The addition of antidepressant or antiepileptic medications was required in specific cases.
机译：目的：本文报道了一系列睡眠中的非典型性行为，通常对患者或床伴有害。方法：11名受试者接受了与睡眠有关的非典型性行为投诉的临床评估。投诉包括暴力手淫，性侵犯，以及在睡眠中持续（大声）发声。一个案件​​是医疗法律案件。睡眠记录，临床评估，睡眠问卷，结构化的精神病学访谈，多导睡眠图，心动描记术，睡眠期间的家庭脑电图监测以及清醒和入睡时的临床脑电图监测被用于确定临床诊断。结果：睡眠期间的非典型性行为与内，羞耻和沮丧感相关。由于这些感觉，患者和床伴经常忍受很长一段时间的异常行为而没有寻求医疗救助。多导睡眠图检查证实了以下病理性睡眠障碍：部分复杂性癫痫发作，睡眠呼吸障碍，3至4期非快速眼动（REM）睡眠性失眠和REM睡眠行为障碍。这些发现与晨遗症并发。结论：尽管床伴侣的抱怨相似，但非典型行为与不同的综合征相关。在大多数情况下，当进行咨询并治疗睡眠障碍时，可以控制令人不安且通常有害的症状。在某些情况下，还需要治疗癫痫或精神疾病。氯硝西am同时进行心理治疗是最常见的成功治疗组合。在特定情况下，需要添加抗抑郁药或抗癫痫药。

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