Muza Rexford, Lawrence Madeleine, Drakatos Panagis
Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Curr Opin Pulm Med. 2016 Nov;22(6):576-82. doi: 10.1097/MCP.0000000000000321.
The purpose of this review is to help further the understanding of the clinical profile of patients with sexsomnia and to better understand the spectrum of the clinical manifestations of sexsomnia. We will review the literature from the past decade on the subject and then compare it with our own clinical experience from patients who were retrospectively identified with sexsomnia at a tertiary sleep clinic over a 6-year period.
The prevalence of sexual behaviours in sleep remains unknown, but it seems to involve predominantly younger male adults who also frequently exhibit other non-rapid eye movement-related parasomnias. Medication-induced cases have been reported and treatment approach of sexsomnia greatly varies.Of 41 individuals with sexsomnia from our centre with a mean age of 32 (37 men), manifestations of sexsomnia were variable; sexual intercourse was most frequently reported overall, but the majority of women carried out masturbation. Violence and aggression were described on 11 occasions. All patients were amnesic of events. 73% had a history of another parasomnia.
Sexsomnia is frequently associated with concurrent sleep conditions or drugs initiation. It is a real clinical disorder which should be properly diagnosed and managed.
本综述旨在帮助进一步了解睡眠性交症患者的临床特征，并更好地理解睡眠性交症的临床表现范围。我们将回顾过去十年关于该主题的文献，然后将其与我们在一家三级睡眠诊所对6年间回顾性确诊为睡眠性交症的患者的临床经验进行比较。
睡眠中性行为的患病率尚不清楚，但似乎主要涉及年轻男性成年人，他们也经常表现出其他与非快速眼动相关的异态睡眠。已有药物诱发病例的报道，且睡眠性交症的治疗方法差异很大。我们中心的41例睡眠性交症患者，平均年龄32岁（37名男性），睡眠性交症的表现各不相同；总体上最常报告的是性交，但大多数女性进行的是自慰。有11次描述了暴力和攻击行为。所有患者对事件均无记忆。73%有另一种异态睡眠病史。
睡眠性交症常与并发的睡眠状况或药物使用有关。它是一种真正的临床疾病，应予以正确诊断和处理。
