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Spindle-related brain activation in patients with insomnia disorder: An EEG-fMRI study
Ist Teil von
Brain imaging and behavior, 2022-04, Vol.16 (2), p.659-670
Ort / Verlag
New York: Springer US
Erscheinungsjahr
2022
Link zum Volltext
Quelle
SpringerLink (Online service)
Beschreibungen/Notizen
Sleep spindles have been implicated in sleep protection, depression and anxiety. However, spindle-related brain imaging mechanism underpinning the deficient sleep protection and emotional regulation in insomnia disorder (ID) remains elusive. The aim of the current study is to investigate the relationship between spindle-related brain activations and sleep quality, symptoms of depression and anxiety in patients with ID. Participants (
n
= 46,
28
females, 18–60 years) were recruited through advertisements including 16 with ID, according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and 30 matched controls. Group differences in spindle-related brain activations were analyzed using multimodality data acquired with simultaneous electroencephalography and functional magnetic resonance imaging during sleep. Compared with controls, patients with ID showed significantly decreased bilateral spindle-related brain activations in the cingulate gyrus (familywise error corrected
p
˂ 0.05, cluster size
4401
mm
3
). Activations in the cingulate gyrus were negatively correlated with
Pittsburgh Sleep Quality Index scores (
r
= -0.404,
p
= 0.005)
and
Self-Rating Anxiety Scale scores (
r
= -0.364,
p
= 0.013)
, in the pooled sample. These findings underscore the key role of spindle-related brain activations in the cingulate gyrus in subjective sleep quality and emotional regulation in ID.