Wamsley Erin, Donjacour Claire E H M, Scammell Thomas E, Lammers Gert Jan, Stickgold Robert
Department of Psychiatry, Harvard Medical School, Boston, MA ; Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA ; Department of Psychology, Furman University, Greenville, SC.
Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
Sleep. 2014 Feb 1;37(2):419-22. doi: 10.5665/sleep.3428.
We investigated a generally unappreciated feature of the sleep disorder narcolepsy, in which patients mistake the memory of a dream for a real experience and form sustained delusions about significant events.
We interviewed patients with narcolepsy and healthy controls to establish the prevalence of this complaint and identify its predictors.
Academic medical centers in Boston, Massachusetts and Leiden, The Netherlands.
Patients (n = 46) with a diagnosis of narcolepsy with cataplexy, and age-matched healthy healthy controls (n = 41).
N/A.
"Dream delusions" were surprisingly common in narcolepsy and were often striking in their severity. As opposed to fleeting hypnagogic and hypnopompic hallucinations of the sleep/wake transition, dream delusions were false memories induced by the experience of a vivid dream, which led to false beliefs that could persist for days or weeks.
The delusional confusion of dreamed events with reality is a prominent feature of narcolepsy, and suggests the possibility of source memory deficits in this disorder that have not yet been fully characterized.
我们调查了发作性睡病这一睡眠障碍中一个普遍未被重视的特征，即患者会将梦境记忆错当成真实经历，并对重大事件形成持续的妄想。
我们对发作性睡病患者和健康对照者进行访谈，以确定这种主诉的发生率并找出其预测因素。
马萨诸塞州波士顿和荷兰莱顿的学术医疗中心。
46名确诊为伴有猝倒的发作性睡病患者以及年龄匹配的41名健康对照者。
无。
“梦境妄想”在发作性睡病中出人意料地常见，且严重程度往往惊人。与睡眠/觉醒转换时短暂的入睡幻觉和醒前幻觉不同，梦境妄想是由生动梦境的体验引发的错误记忆，会导致持续数天或数周的错误信念。
将梦境事件与现实混淆的妄想是发作性睡病的一个突出特征，这表明该疾病可能存在尚未完全明确的源记忆缺陷。
