Are sleepwalkers evil?

People are used to talking about sleepwalking, which is medically called "sleepwalking". It refers to the mixed state of sleep and awakening when waking up in sleep, walking indoors or outdoors, or doing some simple activities. Such patients usually get up and walk in repeated sleep for several minutes to half an hour. During the attack, the sleepwalker suddenly stared at his eyes during sleep, but didn't look at anything, and then got out of bed to do some activities under the condition of vague consciousness. When walking out of bed, although it is dark around, patients usually walk freely without touching anything. It is understood that sleepwalkers' eyes are half-open or full-open, their walking posture is the same as usual, and they can even carry out some complicated activities. Sleepwalking is a strange state of consciousness. Patients seem to live only in their own world and lose contact with others. Their emotions sometimes fluctuate greatly, and they even talk a lot of nonsense, which is difficult for others to understand. When sleepwalking, the patient's expression is dull, and he basically has no response to the stimulation of others, so it is difficult to be forcibly awakened. Although the patient is unconscious, his actions seem to have a purpose, and he seems to be engaged in a meaningful job. After the attack, I can automatically go back to bed and go back to sleep. Sleepwalking usually occurs in the deep sleep period of the first 1/3 sleep, and wakes up the next morning, completely unaware of what happened at night and completely forgetting.

1) In fact, sleepwalking has nothing to do with dreaming, because according to EEG records, sleepwalking is in a deep sleep stage, not a rapid eye movement sleep stage, and people can't dream at this stage, so sleepwalking may be more in line with the facts. There are different opinions about the causes of sleepwalking, and it is still unknown. It is estimated that there may be the following four aspects:

1. Psychosocial factors

Some children's sleepwalking is related to psychosocial factors. Such as daily life disorder, environmental stress, anxiety and fear; Family disharmony, bad parent-child relationship, nervous study and poor exam results are all related to sleepwalking.

2. Sleep too hard

Because sleepwalking often occurs in the early 1/3 deep sleep period, various factors that deepen sleep, such as overwork during the day, lack of sleep caused by staying up late for several days, taking sleeping pills before going to bed, etc. , can induce sleepwalking.

3. Genetic factors

Family investigation shows that sleepwalkers have more positive family history, and the comorbidity rate of identical twins is 6 times higher than that of identical twins, which shows that the disease has certain relationship with genetic factors.

4. Development factors

Because the disease mostly occurs in childhood, it gradually stops with the increase of age, indicating that sleepwalking may be related to cerebral cortex development retardation.

2) The treatment of sleepwalking includes the following two aspects:

1. Psychotherapy

① Supportive psychotherapy

Sleepwalking mostly happens in the growth and development of boys aged 6~ 12. On the basis of excluding organic factors, it is mostly related to social and psychological factors, life rhythm and growth and development factors. Therefore, first of all, we should explain the characteristics and causes of the disease to family members and patients, reduce the psychological burden of patients and their families, and avoid the anxiety and tension caused by children's occasional sleepwalking behavior, and even aggravate sleepwalking symptoms. Explain clearly to family and children that as long as the number of attacks is small, treatment is generally not needed, but care should be paid when attacks occur to prevent accidents. Children who are having an attack should be woken up or put to bed. Generally, with the increase of age, the symptoms of children's sleepwalking will be gradually alleviated and finally completely relieved.

② Sleep health education

Arrange work and rest time reasonably, cultivate good sleep habits and daily life rules, avoid excessive fatigue and high tension, pay attention to going to bed early and getting up early, exercise, and adjust the sleep rhythm to the best state; Secondly, we should pay attention to the control of the sleeping environment, close the doors and windows before going to bed, and collect all kinds of dangerous goods to avoid getting lost when sleepwalking attacks, or causing incidents that hurt ourselves and others; Third, we should pay attention to the protective medical system for children with this disease, and don't talk about the seriousness of their illness and sleepwalking in front of children, so as not to increase their tension, anxiety and fear.

2. Drug therapy

The frequency of the disease is small, and generally no drug treatment is needed; For frequent authors, diazepam 2.5 mg can be taken shortly before going to bed to reduce or control seizures.

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