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Yıl:2013; Cilt: 6; Sayı: 3>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2013;6(3):25-31
Parasomni ve Dissosiyatif Bozukluk
M Bilici, KS Karataş
Medipol Üniversitesi, İstanbul
Parasomniler uykunun değişik evrelerinde ortaya çıkan anormal davranışsal ve fizyolojik olaylarla karakterize uyku bozukluğudur. Birçok psikiyatrik, nörolojik, tıbbi hastalık ve diğer uyku bozuklukları parasomniye neden olabilir. Fiziksel, cinsel, duygusal istismar gibi travma öyküsü parasomniye neden olabilir. Son yıllarda travma sonrasında uyarılmışlık başlığı altında ele alınan yaşantıların uykuda da sürdüğünün gösterilmesi travmanın parasomni araştırmalarına değişik bir bakış açısı getirebilir. Çocukluk çağından başlayarak kronik tekrarlayan travmaların dissosiyatif bozuklukla ilişkili olduğunun ve travmatik olaya maruz kalanların kalmayanlara göre daha fazla dissosiye olduğunun bildirilmesi parasomni hastalarının gün içinde görülen dissosiyatif deneyimlerin gece de ortaya çıkabileceğini düşündürmüştür. Parasomni etyolojisindeki heterojenite ve parasomnilerle dissosiyatif bozuklukların semptom düzeyinde örtüşmesi, araştırmacıları bu hastalıklarda ortak noktaların araştırılmasına yöneltmiştir. Dissosiyatif bozukluklarla uyku bozuklukları ilişkisi çok az çalışılmıştır. Yazımızda Parasomni ve Dissosiyatif bozukluk ile ilişkili literatürleri gözden geçireceğiz.
Parasomnia and Dissociative Disorder
Parasomnias are sleep-related disorders characterized by abnormal behavioral and physiological events during various stages of sleep. Most of psychiatric, neurologic, medical disorders and the other sleep disorders can caused parasomnia. Trauma history like physical, sexual and emotional abuse can also caused parasomnia. Recent years the experiences which are after arousal title can continue in sleep that become other perspective of parasomnia. The trauma which is chronic repetitive and come from childhood has relation with dissociative disorders. It is claimed that dissociative experiences of these individuals during the day may also occur in the night and cause parasomnia. The matching between heterogeneity in parasomnia etiology and dissociative disorders with parasomnia on symptom level has led researchers to research common points of these diseases. There are a few study about relation parasomnia and dissociative disorders. In this article, the literatures about parasomnia and dissociative disorders have been reviewed.

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