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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV1263

Parasomnia in the context of obesity: a case highlighting metabolic influences on sleep instability

PARASOMNIA IN THE CONTEXT OF OBESITY: A CASE HIGHLIGHTING METABOLIC INFLUENCE ON SLEEP INSTABILITY

An increase in episode frequency was observed during weight management in a patient with obesity and a history of sleepwalking since childhood; although this suggests a temporal association, causality cannot be established.

The aim is to highlight the clinical interaction between obesity and parasomnia and its implications for psychiatric assessment and patient safety. The design is a single case report; the method is based on psychiatric and clinical assessment, including a sleep history, and the exclusion of neurological and substance-related causes. The patient is a 23-year-old woman with obesity who was being followed in a weight management program and had a history of sleepwalking since childhood; at presentation, she reported a recent increase in episode frequency. The findings include recurrent nocturnal episodes characterized by abrupt awakenings, complex motor behaviors, speech, and disorganized activity; the presentation was considered consistent with a parasomnia arising from non-rapid eye movement (NREM) sleep. The increase in episode frequency was observed during active weight management, but the poster explicitly states that causality cannot be established and that only a temporal association is suggested. During the clinical course, the increased frequency was associated with functional impairment and safety risks. Management included sleep hygiene, psychoeducation, melatonin, and referral to neurology. In conclusion, parasomnia in adults requires assessment of neurobehavioral, metabolic, and safety-related factors; co-occurring obesity supports consideration of metabolic and behavioral contributions to sleep disorders.

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