Dissociative disorder related to the sleep

The dissociative Trouble related to the sleep is a sleep disorder rare, included/understood in the Parasomnie S implying of the psychopathological phenomena.

Dissociative disorder

A dissociative disorder consists of the disturbance of normally integrated functions. Psychic dissociation is found in the disorders psychotics the such Schizophrénie and one of the 3 pillars of the clinical demonstrations constitutes some. The dissociative states are also related so that one could call the Hystérie formerly. The DSM-IV counts 4 great types of dissociative disorders:
  • the dissociative disorder of the identity (called in the past disorder of multiple personalities)
  • the dissociative amnesia, which consists of an impossibility by the patient to remind certain memories, in particular traumatic; in the absence of mnemic disorder.
  • dissociative runnings away (or travels pathological)
  • the disorder of Dépersonnalisation

The dissociative disorder related to the sleep

Diagnosis

Predisposition

The great majority of the subjects concerned with this disorder lived one traumatic, more particularly concerning sexual abuses. The vast majority of the people suffering from this Parasomnie suffer or already suffered from a psychiatric disorder.

Clinical aspects

It consists of episodes of behavioral problem night, corresponding in dissociative states (cf will infra) categorized well, or less. The clinical demonstrations are varied:
  • night Ambulations, runnings away night
  • Cries, moanings, howls
  • Behaviors hétéro and car-aggressive, being able to go until the suicidal gesture
  • unsuited sexual Behaviors
  • unsuited Behaviors of food
  • …

At much of subjects, the night behaviors can be the acting out of a traumatic event. An episode can last of a few seconds to several tens of minutes, and be repeated several times per night. It occurs either shortly after drowsiness, or shortly after a night alarm clock. Similar episodes can also occur during the day at these same subjects.

There always exists, either an amnesia of the episode to the alarm clock, or a recollection of the night events in the form of a recall of Rêve (impression to have made a Cauchemar).

Complementary examinations

The Polysomnographie is essential to the diagnosis, it makes it possible to eliminate the differential diagnoses which are: Indeed the night recording finds a layout electro-encéphalo-graph of day before, which is not the case of the others Parasomnie S.

Treatment

The assumption of responsibility is not codified, it requires a multidisciplinary intervention, in particular on the psychiatric level.

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