梦游中的复杂梦境演绎行为。
Complex dream-enacting behavior in sleepwalking.
作者信息
Pillmann Frank
机构信息
Department of Psychiatry, Psychotherapy and Psychosomatics, Martin Luther University, Halle-Wittenberg Julius-Kuehn-Str.7 06097, Halle, Saale, Germany.
出版信息
Psychosom Med. 2009 Feb;71(2):231-4. doi: 10.1097/PSY.0b013e318190772e. Epub 2008 Dec 10.
OBJECTIVE
Currently, dream-enacting behaviors are viewed as occurring typically in association with a REM-sleep behavior disorder. In some cases, dream-like mentation is found also in non-REM parasomnia.
METHODS
We report a case of complex and dramatic sleepwalking behavior in a 26-year-old adult male who tied his 4-month-old daughter to the clothesline in the attic of his house.
RESULTS
The explanation of this seemingly senseless behavior, which was related to psychosocial stressors, was found in a detailed dream-like mentation that was reported by the patient. At the same time, an organic factor, namely, a worsening of the patient's asthma, was identified as the cause of an increased fragmentation of sleep.
CONCLUSIONS
In some cases of non-REM parasomnia, detailed dream-like mentation may act as a bridge between psychosocial stressors and the specific parasomnic behavior.
目的
目前，梦呓行为通常被视为与快速眼动睡眠行为障碍相关。在某些情况下，非快速眼动期异态睡眠中也会出现类似梦境的思维活动。
方法
我们报告了一例26岁成年男性的复杂且戏剧性的梦游行为，他将自己4个月大的女儿绑在了自家阁楼的晾衣绳上。
结果
患者报告的详细的类似梦境的思维活动揭示了这种看似毫无意义且与心理社会应激源相关的行为的原因。同时，一个器质性因素，即患者哮喘病情恶化，被确定为睡眠碎片化增加的原因。
结论
在某些非快速眼动期异态睡眠病例中，详细的类似梦境的思维活动可能充当心理社会应激源与特定异态睡眠行为之间的桥梁。
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