{"id":3523,"date":"2017-09-30T13:34:50","date_gmt":"2017-09-30T12:34:50","guid":{"rendered":"http:\/\/psicopico.com\/?p=3523"},"modified":"2017-09-30T19:41:20","modified_gmt":"2017-09-30T18:41:20","slug":"terrores-nocturnos-expresando-los-peores-suenos","status":"publish","type":"post","link":"https:\/\/psicopico.com\/gl\/terrores-nocturnos-expresando-los-peores-suenos\/","title":{"rendered":"Terrores nocturnos: expresando os peores so\u00f1os."},"content":{"rendered":"Durante unha viaxe con amigos un deles avisounos de que non nos preocup\u00e1semos si de noite falaba, alter\u00e1base ou gritaba cousas sen demasiado sentido. Ti\u00f1a terrores nocturnos<\/strong>. Era a primeira vez que me coincid\u00eda ter preto a unha persoa que tivese este tipo de trastorno do so\u00f1o.\u00a0<\/strong>Chegou a noite e sucedeu. O meu amigo espertounos a todos recreando de forma conductual, mediante palabras e mesmo movementos, o que estaba a suceder nas s\u00faas fantas\u00edas.\u00a0Sinceramente impresionoume o que o noso cerebro pode chegar a facer de maneira inconsciente. Tranquiliz\u00e1molo e seguiu durmindo.<\/p>\n

Terrores nocturnos: a recreaci\u00f3n conductual dos so\u00f1os.<\/strong><\/h2>\n

Os terrores nocturnos son un tipo de trastornos do so\u00f1o, concretamente chamados parasomnias<\/strong>, caracterizados por episodios de espertar bruscos. A pesar de ter os ollos abertos a persoa non est\u00e1 completamente esperta e non \u00e9 f\u00e1cil tranquilizala. Si esp\u00e9rtase de maneira consciente m\u00f3strase aterrorizada e confusa. Previamente ao espertar ad\u00f3itanse preceder prantos ou berros de angustia. Ademais, poden acompa\u00f1ar ao episodio comportamentos t\u00edpicos dunha situaci\u00f3n de medo como golpes inconscientes da contorna e unha gran activaci\u00f3n auton\u00f3mica (suor, hiperventilaci\u00f3n, taquicardias, pupilas dilatadas…).<\/p>\n

\u00c9 dicir, a persoa que os sofre leva \u00e1 realidade conductual a situaci\u00f3n de medo que est\u00e1 a vivir nas s\u00faas fantas\u00edas <\/strong>a cal non coincide coa realidade do contexto, o que \u00e9 moi impactante para a xente que o presencia ou dorme con estas persoas.\u00a0 \u00c9 un exemplo de que as emoci\u00f3ns non descansan nin durmindo.<\/p>\n

A duraci\u00f3n dos episodios de terror nocturno adoitan oscilar entre 10 e 20 minutos para despois volverse a durmir. Prod\u00facense case exclusivamente durante as fases de ondas lentas (I e IV) do so\u00f1o profundo no primeiro terzo da noite. \u00c9 dicir, nas fases non-REM.\u00a0Normalmente \u00e1 ma\u00f1\u00e1 seguinte a persoa non lembra o sucedido ou o fai de maneira moi fragmentada (amnesia retr\u00f3grada).<\/p>\n

Os terrores nocturnos, como sucede cos pesadelos, son m\u00e1is frecuentes na infancia. Segundo, Wilson e Nutt (2010) at\u00e9 un 30-40% dos nenos te\u00f1en polo menos un episodio destas caracter\u00edsticas durante a s\u00faa infancia a\u00ednda que a s\u00faa prevalencia \u00e9 moito m\u00e1is baixa (1-6%). Os casos nos que se inicia na infancia ou na adolescencia temper\u00e1 poden ser debidos a unha inmadurez no sistema nervioso central mentres que os orixinados en etapas m\u00e1is maduras relaci\u00f3nanse cun trastorno psicol\u00f3xico (1%, segundo datos APA, 2002). N\u00f3tese que este tipo de trastorno ten unha importante predisposici\u00f3n xen\u00e9tica, polo que adoitan existir antecedentes familiares similares.<\/p>\n

>> Artigo relacionado: 15 pautas para durmir mellor: a hixiene do so\u00f1o<\/a>.<\/p>\n

Tratamento dos terrores nocturnos.<\/strong><\/h2>\n

Si tes un problema relacionado co so\u00f1o, o primeiro que debes facer \u00e9 consultalo cun especialista e un psic\u00f3logo adoita ser a mellor opci\u00f3n. O problema como trastorno a tratar s\u00f3 \u00e9 tal si espert\u00e1relos impiden realizar unha vida normal ou ten unha repercusi\u00f3n cl\u00ednica na persoa que o sofre debido a non descansar ben ou \u00e1 ansiedade<\/strong><\/a> que xera. Os terrores nocturnos te\u00f1en moitas similitudes con outra parasomnia, o sonambulismo. Ambas se produce nas mesmas fases de so\u00f1o non-REM de ondas lentas e na mesma franxa horaria. En ambos os casos, a persoa adoita ter unha falta de contacto coa realidade externa<\/strong>.<\/p>\n

Recomendaci\u00f3ns previas.\u00a0<\/strong><\/p>\n

    \n
  1. Informar os pais, familiares ou achegados. Non son problemas graves e adoitan desaparecer na infancia.\u00a0<\/strong><\/li>\n
  2. Recomendaci\u00f3ns: tranquilizar<\/strong>, reconducir \u00e1 cama (sobre todo en sonambulismo).<\/li>\n
  3. Non \u00e9 conveniente tratar de espertar<\/strong> (a\u00ednda que non \u00e9 perigoso) xa que a persoa ten unha falta de contacto coa realidade e non servir\u00eda de nada espertalo, o \u00fanico que se conseguir\u00eda \u00e9 que a persoa se asuste e confunda sen necesidade.<\/li>\n
  4. Adoptar medidas de seguridade<\/strong> xa que a persoa non coordina os seus movementos adecuadamente, sobre todo si tr\u00e1tase dun caso con sonambulismo. Por exemplo: non durmir na litera superior, pechar a porta da r\u00faa con chave, retirar obxectos perigosos, etc.<\/li>\n
  5. Regularizar horarios<\/strong> de so\u00f1o asegurando unha cantidade suficiente de so\u00f1o.<\/li>\n
  6. Evitar consumo de ansiol\u00edticos e alcol.\u00a0<\/strong><\/li>\n
  7. Regular actividades que impliquen unha alteraci\u00f3n emocional<\/strong>, principalmente durante a tarde-noite.<\/li>\n<\/ol>\n

    Espertares programados.\u00a0<\/strong><\/h3>\n

    Espert\u00e1relos programados \u00e9 a estratexia de tratamento m\u00e1is utilizada para os casos tanto de terrores nocturnos como de sonambulismo. O procedemento require a axuda dun familiar ou achegado que durma coa persoa afectada polo que se require certo adestramento resumido nestes pasos a seguir:<\/p>\n

      \n
    1. Observar e rexistrar<\/strong> a hora de aparici\u00f3n dos episodios ao longo de aproximadamente d\u00faas semanas para co\u00f1ecer coa maior exactitude posible o momento no que se adoitan producir.<\/li>\n
    2. Espertar \u00e1 persoa cada noite entre 15 e 30 minutos antes da hora<\/strong> \u00e1 que se adoitan producir os episodios. O espertar ser\u00e1 o menos brusco posible, toc\u00e1ndoo ou mov\u00e9ndoo con delicadeza ata que abra os ollos.<\/li>\n
    3. Deixar que se volva a durmir<\/strong> xusto despois de que abra os ollos.<\/li>\n
    4. Manter os pasos anteriores polo menos durante 7 noites<\/strong> seguidas sen episodios.<\/li>\n
    5. Retirar gradualmente o procedemento<\/strong>: primeiro d\u00e9ixase de espertar unha noite, logo d\u00faas, etc.<\/li>\n<\/ol>\n

      No caso dos nenos, como os episodios suc\u00e9dense no primeiro terzo da noite, normalmente os pais non se deitaron polo que o procedemento v\u00f3lvese m\u00e1is sinxelo e de f\u00e1cil cumprimento.<\/p>\n

      _<\/p>\n

      Referencias:<\/p>\n

      American Psychiatric Association (2000) . Diagnostic and statistical manual of mental disorders.<\/em> (4th ed. text revised). Washington, D.C. : APA. Traduci\u00f3n a l espa\u00f1ol: Madrid: Masson (2002).<\/p>\n

      Comeche Moreno, I., Vallejo Parella, M.A. (2016). Lecci\u00f3ns de Terapia de Conduta<\/em>. Madrid: Dykinson<\/p>\n

      _","protected":false},"excerpt":{"rendered":"

      Durante unha viaxe con amigos un deles avisounos de que non nos preocup\u00e1semos si de noite falaba, alter\u00e1base ou gritaba cousas sen demasiado sentido. Ti\u00f1a terrores nocturnos. Era a primeira vez que me coincid\u00eda ter preto a unha persoa que tivese este tipo de trastorno do so\u00f1o.\u00a0Chegou a noite e sucedeu. O meu amigo espertounos […]<\/p>\n","protected":false},"author":1,"featured_media":3524,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"_joinchat":[],"footnotes":""},"categories":[93],"tags":[11,486],"class_list":["post-3523","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-salud","tag-psicologia","tag-suenos"],"yoast_head":"\nTerrores nocturnos: expresando os peores so\u00f1os. - PsicoPico<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/psicopico.com\/en\/terrores-nocturnos-expresando-los-peores-suenos\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Terrores nocturnos: expresando os peores so\u00f1os. - PsicoPico\" \/>\n<meta property=\"og:description\" content=\"Durante unha viaxe con amigos un deles avisounos de que non nos preocup\u00e1semos si de noite falaba, alter\u00e1base ou gritaba cousas sen demasiado sentido. Ti\u00f1a terrores nocturnos. Era a primeira vez que me coincid\u00eda ter preto a unha persoa que tivese este tipo de trastorno do so\u00f1o.\u00a0Chegou a noite e sucedeu. 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Ti\u00f1a terrores nocturnos. Era a primeira vez que me coincid\u00eda ter preto a unha persoa que tivese este tipo de trastorno do so\u00f1o.\u00a0Chegou a noite e sucedeu. 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