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Yıl:2014; Cilt: 4; Sayı: 2>> Özet
TAM METİN
Journal of Mood Disorders; 2014;4(2):80-87
Seksomnia: Bir gözden geçirme
G Sarısoy, S Özdin
Ondokuz Mayıs Üniversitesi, Samsun
İnsan, ömrünün yaklaşık üçte birini uykuda geçirir. Bu yüzden uykuda görülen bozukluklar yaşam kalitesi ile yakından ilişkilidir. Son yıllarda uyku bozuklukları üzerine giderek artan ilgi yeni bilgilerin açığa çıkmasına neden olmuştur. Bu sayede yeni bazı uyku bozuklukları literatüre girmiştir. Uykuda anormal cinsel davranış (seksomnia) de bunlardan biri olup toplumsal ve adli yönleri nedeniyle önem arzetmektedir. Seksomnia Uluslararası Uyku Bozuklukları Sınıflamasının ikinci baskısında (ICSD-2) NREM bozukluklar (parasomnia) içinde sınıflandırılmaktadır. Diğer parasomnialar gibi genellikle karmaşık, amaca yönelik gözüken ve bilinçli olarak ortaya çıkarılmayan cinsel davranışlardan oluşur. Bazı araştırmacılar bu bozukluğun uyurgezerliğin bir varyantı olduğunu ileri sürmektedir. Tanı koymada en önemli araçlardan biri polisomnografidir. Seksomniaya bağlı ciddi psikososyal sorunlar gelişebilmektedir. Son yıllarda adli olaylara neden olması açısından da önemli olan ve az bilinen bu konuda derleme yapmak amacıyla literatür gözden geçirilmiştir. Bu amaçla “sexomnia” ve “abnormal sexual behavior in sleep” anahtar kelimeleri ile “Pubmed, Google Scholar ve Web of Knowledge” arama motorları taranmıştır. İngilizce makalelerin yanında İspanyolca ve Almanca makalelerden de yararlanılmıştır. Arama motorlarında bulunan tüm makaleler incelenmiştir. Çalışmanın kısıtlılıkları makale sayısının az olması ve çalışmalar arasındaki bazı bilgilerin eksik olmasıdır. Bu derlemeyi az bilinen bir konu hakkında farkındalık yaratmak ve görülmesi muhtemel hastalara karşı bir yaklaşım planı oluşturmak için yazdık
Sexomnia: a review
Human beings spend approximately one-third of their lives asleep. Disorders seen in sleep are therefore closely associated with quality of life. The increasing interest in sleep disorders in recent years has led to the emergence of new information. Various new sleep disorders have thus entered the literature. Abnormal sexual behavior in sleep (sexsomnia) is one of these, and is important because of its societal and medicolegal aspects. Sexsomnia is classified among NREM disorders (parasomnias) in the second edition of the International Classification of Sleep Disorders (ICSD-2). Like other parasomnias, it is generally complex, goal-oriented and consists of non-consciously exhibited sexual behaviour. Some researchers suggest that the disorder is a variant of somnambulism. One of the most important diagnostic tools is polysomnography. Severe psychosocial problems may occur due to sexsomnia. The literature was revised for the purpose of making a review of this less-known subject, important for having led to medicolegal events in recent years. For that purpose, the key words “sexsomnia” and “abnormal sexual behavior in sleep” were scanned using the “Pubmed, Google Scholar and Web of Knowledge” search engines. Articles in German and Spanish in addition English articles were used. All articles found in the search engines were analysed. The limitations of the study are the small number of articles and some missing information among studies. We wrote this review to create awareness about this less known subject and a plan of approach to patients likely to be seen.

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