Cotard parasomnia: le délire de negation that occur during the sleep-wake dissociation?

Gnoni, Valentina; Higgins, Seán; Nesbitt, Alexander; Wasserman, Danielle; Duncan, Iain; Birdseye, Adam; Pérez-Carbonell, Laura; Drakatos, Panagis; Koutramanidis, Michaelis; Ferini‐Strambi, Luigi; Leschziner, Guy; Rosenzweig, Ivana

doi:10.5664/jcsm.8430

Cited by 10 publications

(15 citation statements)

References 12 publications

(23 reference statements)

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“…The understanding of the exact neurobiology and the maladaptive arousal mechanisms that underlie phenotypes of NREM parasomnia remains in its infancy (3,(6)(7)(8). Management is commonly multifaceted with an emphasis on psychoeducation and ideally on non-pharmacological measures (3).…”

Section: Introductionmentioning

confidence: 99%

A Novel Group Cognitive Behavioral Therapy Approach to Adult Non-rapid Eye Movement Parasomnias

et al. 2021

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Background: Following the success of Cognitive Behavioral Therapy (CBT) for insomnia, there has been a growing recognition that similar treatment approaches might be equally beneficial for other major sleep disorders, including non-rapid eye movement (NREM) parasomnias. We have developed a novel, group-based, CBT-program for NREM parasomnias (CBT-NREMP), with the primary aim of reducing NREM parasomnia severity with relatively few treatment sessions.Methods: We investigated the effectiveness of CBT-NREMP in 46 retrospectively-identified patients, who completed five outpatient therapy sessions. The outcomes pre- and post- CBT-NREMP treatment on clinical measures of insomnia (Insomnia Severity Index), NREM parasomnias (Paris Arousal Disorders Severity Scale) and anxiety and depression (Hospital Anxiety and Depression Scale), were retrospectively collected and analyzed. In order to investigate the temporal stability of CBT-NREMP, we also assessed a subgroup of 8 patients during the 3 to 6 months follow-up period.Results: CBT-NREMP led to a reduction in clinical measures of NREM parasomnia, insomnia, and anxiety and depression severities [pre- vs. post-CBT-NREMP scores: P (Insomnia Severity Index) = 0.000054; P (Paris Arousal Disorders Severity Scale) = 0.00032; P (Hospital Anxiety and Depression Scale) = 0.037]. Improvements in clinical measures of NREM parasomnia and insomnia severities were similarly recorded for a subgroup of eight patients at follow-up, demonstrating that patients continued to improve post CBT-NREMP.Conclusion: Our findings suggest that group CBT-NREMP intervention is a safe, effective and promising treatment for NREM parasomnia, especially when precipitating and perpetuating factors are behaviorally and psychologically driven. Future randomized controlled trials are now required to robustly confirm these findings.

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Section: Introductionmentioning

confidence: 99%

A Novel Group Cognitive Behavioral Therapy Approach to Adult Non-rapid Eye Movement Parasomnias

et al. 2021

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“…Of the 16 articles, 10 (62.5%) were case reports ( 38 - 47 ) and 6 (37.5%) were cohort studies ( 24 - 27 , 48 , 49 ). All of the studies were conducted in high-income countries.…”

Section: Resultsmentioning

confidence: 99%

“…All of the included articles reported at least one dream mentation content, however seven characterized the dream content in relation to the NREM parasomnia observed ( 26 , 40 , 41 , 43 , 47 - 49 ). A total of 115 patients reported dreamlike mentation.…”

Section: Resultsmentioning

confidence: 99%

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Non-REM parasomnias: a scoping review of dreams and dreamlike mentation

Longe

Omodan²,

Leschziner³

et al. 2022

Croat Med J

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Aim To establish patterns or themes of dreams and dreamlike mentation content reported in all forms of non-rapid eye movement (NREM) parasomnias and to identify gaps in the current understanding of this topic. Methods A scoping review of available evidence on dreams and dreamlike mentation in NREM parasomnias was conducted in accordance with the PRISMA-ScR guidelines. We searched peer-reviewed literature using Google Scholar, PubMed, Ovid (Embase), Ovid Medline®, Global Health, and APA Psych Info. The Mixed Method Appraisal Tool (MMAT) was used to appraise the quality of selected articles. Results The final analysis included 16 studies. All of the studies were from high-income countries. The studies reported on dreams and dreamlike mentation in NREM parasomnias, but there was scarcity of literature for sexsomnia, sleep-related eating disorder, and confusional arousal. All of the studies had the highest quality as shown by the MMAT (76%-100%). Emotions such as apprehension and misfortune were associated with sleepwalking and sleep terrors. Conclusion Sleep studies involving collection of dream content immediately following NREM parasomnia could significantly minimize reporting bias and improve dream data quality.

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“…DOA represent a form of sleep-wake state dissociation ( 2 , 11 , 27 , 28 ). During transitions between NREM sleep and wakefulness, in predisposed subjects, a dissociation of states can occur among different brain structures manifesting as DOA episodes ( 2 , 11 ).…”

Section: Discussionmentioning

confidence: 99%

Nocturnal visual hallucinations in patients with disorders of arousal: a novel behavioral and EEG pattern

et al. 2022

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Cotard parasomnia: le délire de negation that occur during the sleep-wake dissociation?

Cited by 10 publications

References 12 publications

A Novel Group Cognitive Behavioral Therapy Approach to Adult Non-rapid Eye Movement Parasomnias

A Novel Group Cognitive Behavioral Therapy Approach to Adult Non-rapid Eye Movement Parasomnias

Non-REM parasomnias: a scoping review of dreams and dreamlike mentation

Nocturnal visual hallucinations in patients with disorders of arousal: a novel behavioral and EEG pattern

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