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Sleep Related Dissociative Disorders

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Parasomnias

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Abstract

Sleep related dissociative disorders are characterized by dissociative episodes that occur near sleep–wake transitions, and unlike other parasomnias, they arise from well-established EEG wakefulness. Affected individuals commonly have a history of trauma, especially in childhood, and other psychiatric disorders such as PTSD and borderline personality disorder. Episodes may involve violent reenactments of previous traumas and can result in injury. This chapter reviews various aspects of this disorder, differentiating features from other parasomnias, case presentations that illustrate a broad range of behaviors, and recommended therapies.

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References

  1. American Academy of Sleep Medicine. The international classification of sleep disorders: diagnostic and coding manual. 2nd ed. American Academy of Sleep Medicine: Westbrook (IL); 2005.

    Google Scholar 

  2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association; 2000.

    Google Scholar 

  3. Sadock B, Kaplan SV. Delirium, dementia, and amnestic and other cognitive disorders. In: Sadock’s synopsis of psychiatry. 10th ed. Philidelphia: Lippincott, Williams, & Wilkins; 2007. pp. 665–79.

    Google Scholar 

  4. Schenck C, Milner D, Hurwitz T, Bundlie S, Mahowald M. A polysomnographic and clinical report on sleep-related injury in 100 patients. Am J Psychiatry. 1989;146:1166–73.

    PubMed  CAS  Google Scholar 

  5. Mason TBA, Pack AI. Pediatric parasomnias. Sleep. 2007;28:140–50.

    Google Scholar 

  6. Chu JA, Dill DI. Dissociative symptoms in relation to childhood physical and sexual abuse. Am J Psychiatry. 1990;147:882–92.

    Google Scholar 

  7. Feeny N, Zoellner L, Fitzgibbons L, Foa E. Exploring the roles of emotional numbing, depression, and dissociation in PTSD. J Trauma Stress. 2000;13:489–98.

    Article  PubMed  CAS  Google Scholar 

  8. Bremner JD, Southwick S, Brett E, Fontana A, Rosenheck R, Charney DS. Dissociation and posttraumatic stress disorder in Vietnam combat veterans. Am J Psychiatry. 1992;149:328–32.

    PubMed  CAS  Google Scholar 

  9. Cardena E, Speigel D. Dissociative reactions to the San Francisco Bay Area Earthquake of 1989. Am J Psychiatry. 1993;150:474–8.

    PubMed  CAS  Google Scholar 

  10. Molaie M, Deutsch GK. Psychogenic events presenting as parasomnia. Sleep. 1997;20:402–5.

    PubMed  CAS  Google Scholar 

  11. Schenck C, Milner D, Hurwitz T, Bundlie S, Mahowald MW. Dissociative disorders presenting as somnambulism: polysomnographic, video and clinical documentation (8 cases). Dissociation: Progress in the Dissociative Disorders. 1989;2(4):194–204.

    Google Scholar 

  12. Schenck C, Milner D, Hurwitz T, Bundlie S, Mahowald M. A polysomnographic and clinical report on sleep-related injury in 100 patients. Am J Psychiatry. 1989;146:1166–73.

    PubMed  CAS  Google Scholar 

  13. Mahowald MW, Schenck CH. Evolving concepts of human state dissociation. Archives. Italiennes de Biologie. 2001;139:269–300.

    PubMed  CAS  Google Scholar 

  14. Mahowald M, Schenck C. Nocturnal dissociation—awake? asleep? both? or neither? Sleep Hypnosis. 2001;3:129–30.

    Google Scholar 

  15. Naylor MW, Aldrich MS. The distribution of confusional arousals across sleep stages and time of night in children and adolescents with sleep terrors. Sleep Res. 1991;20:308.

    Google Scholar 

  16. Mahowald MW, Bornemann MAC. Non-REM arousal parasomnias. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 5th ed. St. Louis: Elsevier; 2011. pp. 1075–82.

    Chapter  Google Scholar 

  17. Aurora RN, Zak RS, Maganti RK, Auerbach SH, Casey KR, Chowdhuri S, et al. Practice guide for the treatment of REM sleep behavior disorder (RBD). J Clin Sleep Med. 2010;6(1):89–90.

    Google Scholar 

  18. Provini F, Plazzi G, Tinuper P, Vandi S, Lugaresi E, Montagna P. Nocturnal frontal lobe epilepsy: a clinical and polygraphic overview of 100 consecutive cases. Brain. 1999;122:1017–31.

    Article  PubMed  Google Scholar 

  19. Hwang TJ, Ni HC, Chen HC, Lin YT, Liao SC. Risk predictors for hypnosedative-related complex sleep behaviors: a retrospective, cross-sectional pilot study. Clin J Psychiatry. 2010;71:1331–5.

    Article  Google Scholar 

  20. Inagaki T, Miyaoka T, Tsuji S, Inami Y, Nishida A, Horiguchi J. Adverse reactions to zolpidem: case reports and a review of the literature. Prim Care Companion J Clin Psychiatry. 2010;12(6):PCC.09r00849.

    Google Scholar 

  21. Paquet V, Strul J, Servais L, Pelc I, Fossion P. Sleep-related eating disorder induced by olanzapine. J Clin Psychiatry. 2002;63(7):597.

    Article  PubMed  Google Scholar 

  22. Pressman M. Factors that predispose, prime and precipitate NREM parasomnias in adults: clinical and forensic implications. Sleep Med Rev. 2007;11(1):5–30.

    Article  PubMed  Google Scholar 

  23. Cartwright RD. Parasomnias due to medications or substances. In: Thorpy MJ, Plazzi G, editors. The parasomnias and other sleep-related movement disorders. Cambridge: Cambridge University Press; 2010. pp. 42–53.

    Google Scholar 

  24. International Society for the Study of Trauma and Dissociation. Guidelines for treating dissociative identity disorder in adults, third revision. J Trauma Dissociation. 2011;12(2):188–212.

    Article  Google Scholar 

  25. Molaie M, Deutsch GK. Psychogenic events presenting as parasomnia. Sleep. 1997;20(6):402–5.

    PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Sleep Medicine, Chicago Sleep Group, Winfield, IL, USA

    Keith R. Warren

Authors
  1. Keith R. Warren
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Correspondence to Keith R. Warren .

Editor information

Editors and Affiliations

  1. Harvard Medical School, Associate Professor, Department of Neuro, Boston Children's Hospital, Longwood Avenue 300, Boston, 02115, Massachusetts, USA

    Sanjeev V. Kothare

  2. Feinberg School of Medicine, Alexian Brothers Medical Center, Northwestern University, Biesterfield Road 800, Elk Grove Village, 60007, Illinois, USA

    Anna Ivanenko

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Warren, K. (2013). Sleep Related Dissociative Disorders. In: Kothare, S., Ivanenko, A. (eds) Parasomnias. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7627-6_18

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  • DOI: https://doi.org/10.1007/978-1-4614-7627-6_18

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7626-9

  • Online ISBN: 978-1-4614-7627-6

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