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Sexsomnia: abnormal sexual behavior during sleep
Monica L Andersen1, Dalva Poyares, Rosana S C Alves
1Department of Psychobiology - Universidade Federal de São Paulo, Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, SP, Brazil. mandersen@psicobio.epm.br
Brain Research Reviews
|August 21, 2007
Summary
This review synthesizes information on sexsomnia, a sleepwalking variant characterized by sexual arousal during sleep. It examines associated behaviors, precipitating factors, and clinical, diagnostic, and legal implications.
Area of Science:
- Neurology
- Sleep Medicine
- Forensic Psychiatry
Background:
- Sexsomnia, a variant of sleepwalking (somnambulism), involves engaging in sexual behaviors during sleep.
- Literature on sexsomnia is scarce, necessitating a consolidated understanding of its characteristics and implications.
Purpose of the Study:
- To compile and theoretically frame the distinct characteristics of sexsomnia from existing literature.
- To review the clinical, diagnostic, treatment, and medico-legal aspects of sexsomnia.
Main Methods:
- Systematic review of available literature on sexsomnia.
- Analysis of reported cases, focusing on behavioral patterns and patient history.
Main Results:
- Sexsomnia commonly presents with sexual arousal and autonomic activation during sleep.
- Associated behaviors include nocturnal erections, vaginal lubrication, and dream orgasms.
- The review details precipitating factors, diagnostic challenges, and treatment approaches.
Conclusions:
- Sexsomnia is a distinct parasomnia requiring specific diagnostic and management strategies.
- Understanding sexsomnia is crucial for addressing its clinical and medico-legal ramifications.
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