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Sleep disorders: Research in psychopathology and its practical implications
Author(s) -
Soldatos C. R.,
Kales A.
Publication year - 1982
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.1982.tb00862.x
Subject(s) - psychopathology , sleepwalking , insomnia , psychology , sleep disorder , clinical psychology , psychiatry , aggression , etiology
This is a summary of research studies indicating a primary role of psychotherapy in the etiology of certain sleep disorders. Thus, chronic insomnia is associated with high levels of psychopathology and a personality profile characterized by internalization of emotions. Also, a greater number of stressful life events occurs at the year of onset of insomnia. Two additional sleep disorders (sleepwalking and night terrors in adults) are similarly associated with high levels of psychopathology. Although these two disorders share many common clinical and physiological characteristics, their psychological profiles and psychopathological correlates differ considerably. Sleepwalkers show a high incidence of personality disorders with generally active, outward behavioral patterns, whereas night terror sufferers are mostly anxious, depressed and phobic with an inhibition of outward expression of aggression. Based on these research findings a series of therapeutic recommendations is presented for the effective management of patients with insomnia, sleepwalking or night terrors.