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Childhood Traumatic Experiences and Dissociative Symptoms in Patients with Parasomnia
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Original Article
VOLUME: 8 ISSUE: 3
P: 222-229
September 2021

Childhood Traumatic Experiences and Dissociative Symptoms in Patients with Parasomnia

J Turk Sleep Med 2021;8(3):222-229
DOI: 10.4274/jtsm.galenos.2021.40085
Fatma Doğan 1
Sacit İçten 2
Serap Erdoğan Taycan 3
1. Tuzla Devlet Hastanesi, Psikiyatri Kliniği, İstanbul, Türkiye
2. Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi, Göğüs Hastalıkları Kliniği, İstanbul, Türkiye
3. İstanbul Okan Üniversitesi İnsan ve Toplum Bilimleri Fakültesi, Psikoloji Anabilim Dalı, İstanbul, Türkiye
No information available.
No information available
Received Date: 12.10.2020
Accepted Date: 08.04.2021
Publish Date: 11.08.2021
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ABSTRACT

Objective:

Parasomnias are sleep disorders that are characterised by abnormal or unwanted movements, behaviours, emotions, perceptions, dreams and autonomic nervous system dysfunction. This study aimed to investigate the presence of childhood traumatic experiences and dissociative symptoms in patients with parasomnia.

Materials and Methods:

This study included 38 patients with parasomnias and 40 patients with obstructive sleep apnoea syndrome (OSAS), who were diagnosed according to International sleep disorders classification 3 in the sleep outpatient clinics of İstanbul Provincial Health Directorate İstanbul 2nd Division Public Hospitals Association Sleep Disorders Diagnosis and Treatment Centers, between March 2018 and July 2018. All participants were evaluated with the childhood trauma scale, dissociative experience scale (DES), Beck depression scale and Beck anxiety scale. Mediator analyses were applied to process data.

Results:

A significant difference was found between the parasomnia and OSAS groups in terms of the cut-off scores of the childhood trauma questionnaire (childhood trauma questionnaire; p=0.004) and depressive symptoms (p=0.005). No significant differences were found in terms of DES scores (p=0.456) and anxiety symptoms (p=0.934). A significant difference was noted in the scores of the sexual abuse (p=0.038) and emotional abuse (p=0.001) subscales of childhood trauma questionnaire. No significant difference was found in other subscales.

Conclusion:

The finding that childhood trauma is higher in patients in the parasomnia group than in those in the control group emphasises the importance of cooperation with psychiatrists in order to diagnose and treat these patients.

Keywords: Parasomnia, dissociation, childhood trauma, sleep disorders, obstructive sleep apnoea syndrome

References

1
Tuncel D, Orhan F. Parasomniler: tanı, sınıflama ve klinik Özellikleri. Psikiyatride Güncel Yaklaşımlar 2009;1:280-97.
2
Matwiyoff G, Lee-Chiong T. Parasomnias: an overview. Indian J Med Res 2010;131:333-7.
3
Keskin N, Tamam L. Uyku bozuklukları: sınıflama ve tedavi. Arşiv Kaynak Tarama Dergisi 2018;27:241-60.
4
Guilleminault C, Kirisoglu C, da Rosa AC, Lopes C, Chan A. Sleep walking, a disorder of NREM sleep instability. Sleep Med 2006;7:163-70.
5
Nevsimalova S, Prihodova I, Kemlink D, Lin L, Mignot E. REM behavior disorder (RBD) can be one of the first symptoms of childhood narcolepsy. Sleep Med 2007;8:784-6.
6
Yöyen EG. Childhood trauma and self-respect. Int J Soc Sci Educ Res 2017;3:67-282.
7
Kara B, Biçer Ü, Gökalp AS. Çocuk istismarı. Çocuk Sağlığı ve Hastalıkları Dergisi 2004;47:140-51.
8
Güler N, Uzun S, Boztaş Z, Aydoğan S. Anneleri tarafından çocuklara uygulanan duygusal ve fiziksel istismar/ihmal davranışı ve bunu etkileyen faktörler. Cumhuriyet Üniversitesi Tıp Fakültesi Dergisi 2002;24:128-34.
9
Gökler I. Çocuk istismarı ve ihmali: Erken dönem stresin nörobiyolojik gelişime etkisi. Çocuk ve Gençlik Ruh Sağlığı Dergisi 2002;9:47-57.
10
Penza KM, Heim C, Nemeroff CB. Neurobiological effects of childhood abuse: implications for the pathophysiology of depression and anxiety. Arch Womens Ment Health 2003;6:15-22.
11
Gast U, Rodewald F, Nickel V, Emrich HM. Prevalence of dissociative disorders among psychiatric inpatients in a German university clinic. J Nerv Ment Dis 2001;189:249-57.
12
Şar V. Travmatik Stres ve Bedensel Hastalıklar. Turkiye Klinikleri Psychiatry-Special Topics 2018;11:1-5.
13
Şar V. Çoğul Kişilik Kavramı ve Dissosiyatif Bozukluklar. Psikiyatri Dünyası 2000;4:7-11.
14
Zoroglu SS, Sar V, Tuzun U, Tutkun H, Savas HA. Reliability and validity of the Turkish version of the adolescent dissociative experiences scale. Psychiatry Clin Neurosci 2002;56:551-6.
15
Bernstein DP, Fink L, Handelsman L, Foote J, Lovejoy M, Wenzel K, Sapareto E, Ruggiero J. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry 1994;151:1132-6.
16
Şar V, Öztürk PE, İkikardeş E. Çocukluk çağı ruhsal travma ölçeğinin türkçe uyarlamasının geçerlilik ve güvenilirliği. Türkiye Klinikleri Journal of Medical Sciences 2012;32:1054-63.
17
Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-71.
18
Hisli N. Beck Depresyon Envanteri’nin geçerliliği üzerine bir çalışma. Turkish Journal of Psychology 1988;6:118-22.
19
Hisli N. A reliability and validity study of Beck Depression Inventory in a university student sample. J Psychol 1989;7:3-13.
20
Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988;56:893-7.
21
Ulusoy M, Şahin NH, Erkmen H. The beck anxiety ınventory: psychometric properties. J Cogn Psychother 1998;12163-72.
22
Öztura I. Parasomniler. J Turk Sleep Med 2016;3:15.
23
Marin JM, Carrizo SJ, Vicente E, Agusti AG. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 2005;365:1046-53.
24
Karakoç Ö, Akçam T, Gerek M, Birkent H. Obstrüktif uyku apnesi ve kronik hastalıklar. KBB-Forum. 2008;7:15-20.
25
Levent S, Albayrak L, Sarıkaya P, Yolcu S. A diagnosis with ıncreased awareness in emergency service: obstructive sleep apnea syndrome. Bozok Tıp Dergisi 2018;8:100-3.
26
Karataş K, Bilici M, Pelin Z. Parasomnia and dissociative disorders. J Sleep Disord Ther 2017;6:275.
27
Rezaeitalab F, Moharrari F, Saberi S, Asadpour H, Rezaeetalab F. The correlation of anxiety and depression with obstructive sleep apnea syndrome. J Res Med Sci 2014;19:205-10.
28
Trapolini T, Ungerer JA, McMahon CA. Maternal depression: relations with maternal caregiving representations and emotional availability during the preschool years. Attach Hum Dev 2008;10:73-90.
29
McDonald R, Jouriles EN, Ramisetty-Mikler S, Caetano R, Green CE. Estimating the number of American children living in partner-violent families. J Fam Psychol 2006;20:137-42.
30
Zanarini MC, Yong L, Frankenburg FR, Hennen J, Reich DB, Marino MF, Vujanovic AA. Severity of reported childhood sexual abuse and its relationship to severity of borderline psychopathology and psychosocial impairment among borderline inpatients. J Nerv Ment Dis 2002;190:381-7.
31
Agid O, Shapira B, Zislin J, Ritsner M, Hanin B, Murad H, Troudart T, Bloch M, Heresco-Levy U, Lerer B. Environment and vulnerability to major psychiatric illness: a case control study of early parental loss in major depression, bipolar disorder and schizophrenia. Mol Psychiatry 1999;4:163-72.
32
Taner Y, Gökler B. Çocuk istismarı ve ihmali: Psikiyatrik yönleri. ActaMedica 2004;35:82-6.
33
Turhan E, Sangün Ö, İnandı T. Birinci basamakta çocuk istismarı ve önlenmesi. Sürekli Tıp Eğitimi Dergisi 2006;15:153-7.
34
Zoroglu SS, Tüzün Ü, Şar V, Öztürk M, Kora EM, Alyanak B. Probable results of childhood abuse and neglect. Anatolian Journal of Psychiatry  2001;2:69-78.
35
Örsel S, Karadağ H, Kahiloğullari AK, Aktaş EA. Psikiyatri hastalarında çocukluk çağı travmalarının sıklığı ve psikopatoloji ile ilişkisi. Anatolian Journal of Psychiatry 2011;12:130-6.
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