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Parasomnias in patients with addictions—a systematic review

Published online by Cambridge University Press:  23 October 2020

Ulises Jiménez-Correa ,
Rafael Santana-Miranda ,
Andrés Barrera-Medina ,
Juan M. Martínez-Núñez ,
Hernán A. Marín-Agudelo ,
Adrián Poblano Open the ORCID record for Adrián Poblano [Opens in a new window] ,
Carlos H. Schenck  and
Irma Hernández-Berber
Ulises Jiménez-Correa
Affiliation:
Clinic of Sleep Disorders, Research Division, School of Medicine, National University of México (UNAM), Mexico City, Mexico Program in Behavioral Neuroscience, Postgraduate Division, School of Psychology, National University of Mexico (UNAM), Mexico City, México
Rafael Santana-Miranda
Affiliation:
Clinic of Sleep Disorders, Research Division, School of Medicine, National University of México (UNAM), Mexico City, Mexico
Andrés Barrera-Medina
Affiliation:
Clinic of Sleep Disorders, Research Division, School of Medicine, National University of México (UNAM), Mexico City, Mexico
Juan M. Martínez-Núñez
Affiliation:
Department of Biological Systems, Metropolitan Autonomous University Campus Xochimilco Mexico City, México
Hernán A. Marín-Agudelo
Affiliation:
Neurology Center and Institute of Behavioral Sleep Medicine, Medellín, Colombia
Adrián Poblano*
Affiliation:
Clinic of Sleep Disorders, Research Division, School of Medicine, National University of México (UNAM), Mexico City, Mexico Laboratory of Cognitive Neurophysiology, National Institute of Rehabilitation, Mexico City, México
Carlos H. Schenck
Affiliation:
Department of Psychiatry, Hennepin County Medical Center and University of Minnesota Medical School; Minnesota Regional Sleep Disorders Center, Minneapolis, MN, USA
Irma Hernández-Berber
Affiliation:
Center for Help to Alcoholics and Families, National Institute of Psychiatry, Mexico City, México
*
*Author for correspondence: Adrián Poblano, Email: [email protected]
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Abstract

Parasomnias are involuntary behaviors or subjective experiences during sleep. Our objective was to review existing information on the presence of parasomnias in patients with addictions or during treatment for addictions. Information about parasomnias related to rapid-eye-movement (REM) and non-REM sleep in patients with addictions, while using substances or in abstinence, was reviewed. A systematic search of published articles reporting parasomnias as a consequence of drug use or abuse was conducted in the PubMed and SciELO databases. The search for the studies was performed in three phases: (1) by title, (2) by abstract, and (3) by complete text. The search was performed independently by two researchers, who then compared their results from each screening phase. Seventeen articles were found. The consumption of alcohol was reported in association with arousal disorders, such as sexsomnia and sleep-related eating disorder; and REM sleep behavior disorder was reported during alcohol withdrawal. Cocaine abuse was associated with REM sleep behavior disorder with drug consumption dream content. Overall, we found that several types of parasomnias were very frequent in patients with addictions. To avoid accidents in bedroom, legal problems, and improve evolution and prognosis; must be mandatory to include security measures related to sleep period; avoid pharmacological therapy described as potential trigger factor; improve sleep hygiene; and give pharmacological and behavioral treatments for patients with these comorbid sleep disorders.

Keywords

Abstinenceaddictionnon-REM parasomniasREM parasomniaswithdrawal
Type
Review
Information
CNS Spectrums , Volume 27 , Issue 1 , February 2022 , pp. 58 - 65
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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