Waking EEG in primary insomnia

• Autorzy: Wolynczyk-Gmaj D. , Szelenberger W.
• Języki publikacji: EN

Abstrakty

EN

Quantitative analysis of the waking EEG has been proposed as an objective method for measuring neurobehavioral impairment in primary insomnia. Thirty six patients with DSM-IV primary insomnia diagnosis (mean age 36 years) and 29 controls, matched for age and education, participated in the study. Waking EEG from 21 scalp electrodes was subjected to spectral analyses using a fast Fourier transform algorithm. Significantly lower values of power in the theta range and higher values of beta power were found in insomniacs as compared to control subjects. This theta power decrease in patients suffering from insomnia was not uniform throughout the brain, but it was pronounced in prefrontal derivations. Lower values of theta power correlated negatively and higher values of beta power correlated postively with Hyperarousal Scale score. Results of the research presented here support the notion of twenty-four hour hyperarousal in primary insomnia. Attenuated theta and enhanced beta power can be electrophysiological correlates of dysfunctional arousal in insomnia. Less waking theta power in insomniacs suggests a decrease in homeostatic sleep propensity.

• Wydawca: -
• Czasopismo: Acta Neurobiologiae Experimentalis
• Rocznik: 2011
• Tom: 71
• Numer: 3
• Opis fizyczny: p.387-392,fig.,ref.

Twórcy

autor

Wolynczyk-Gmaj D.

• Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland

autor

Szelenberger W.

• Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland

Bibliografia

• Aeschbach D, Matthews JR, Postolache TT, Jackson MA, Giesen HA, Wehr TA (1997) Dynamics of the human EEG during prolonged wakefulness: evidence for fre­quency- specific circadian and homeostatic influences. Neurosci Lett 239: 121-124. Aeschbach D, Matthews JR, Postolache TT, Jackson MA, Giesen HA, Wehr TA (1999) Two circadian rhythms in the human electroencephalogram during wakefulness. Am J Physiol 277: R1771-R1779.
• American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders. 4th ed. American Psychiaric Press, Washington, D.C. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4: 561-571.
• Besset A, Villemin E, Tafti M, Billiard M (1998) Homeostatic process and sleep spindles in patients with sleep-mainte­nance insomnia: effect of partial (21 h) sleep deprivation. Electroencephalogr Clin Neurophysiol 107: 122-132.
• Bonnet MH, Arand DL (1995) 24-hour metabolic rate in insom­nia and matched normal sleepers. Sleep 18: 581-588.
• Borbely AA (1982) A two-process model of sleep regulation. Hum Neurobiol 1: 195-204.
• Cajochen C, Brunner DP, Kräuchi K, Graw P, Wirz-Justice A (1995) Power density in theta/alpha frequencies of the waking EEG progressively increases during sustained wakefulness. Sleep18: 890-894.
• Cajochen C, Brunner DP, Kräuchi K, Graw P, Wirz-Justice A (2000) EEG and subjective sleepiness during extended wakefulness in seasonal affective disorder: circadian and homeostatic influences. Biol Psychiatry 47: 610-617.
• Cajochen C, Wyatt JK, Czeisler CA, Dijk DJ (2002) Separation of circadian and wake duration-dependent modulation of EEG activation during wakefulness. Neuroscience 114: 1047-1060.
• Carskadon M (1994) Measuring daytime sleepiness In: Principles and Practice of Sleep Medicine (Kryger MH, Roth T, Dement WC, Eds). WB Saunders Co., Philadelphia, PA, p. 961-966.
• Chapotot F, Jouny C, Muzet A, Buguet A, Brandenberger G (2000) High frequency waking EEG: reflection of a slow ultradian rhythm in daytime arousal. Neuroreport 11: 2223-2227.
• Drake C, Richardson G, Roehrs T, Scofield H, Roth T (2004) Vulnerability to stress-related sleep disturbance and hyperarousal. Sleep 27: 285-291.
• Finelli LA, Baumann H, Borbely AA, Achermann P (2000) Dual electroencephalogram markers of human sleep homeo­stasis: correlation between theta activity in waking and slow-wave activity in sleep. Neuroscience 101: 523-529.
• Freedman RR (1986) EEG power spectra in sleep - onset insom­nia. Electroencephalogr Clin Neurophysiol 63: 408-413.
• Ford DE, Kamerow DB (1989) Epidemiologic study of sleep disturbance and psychiatric disorders: an opportu­nity for prevention? JAMA 262: 1479-1484.
• Fornal-Pawlowska M, Wolynczyk-Gmaj D, Szelenberger W (2011) Validation of the Polish version of the Athens Insomnia Scale (in Polish). Psychiatr Pol 45: 211-221.
• Greneche J, Krieger J, Erhardt C, Bonnefond A, Eschenlauer A, Muzet A, Tassi P (2008) EEG spectral power and sleepiness during 24 h of sustained wakefulness in patients with obstructive sleep apnea syndrome. Clin Neurophysiol 119: 418-428.
• Hamilton M (1967) Development of a rating scale for primary depressive illness. Brit J Soc Clin Psychol 6: 278-296.
• Kales A, Kales J (1984) Evaluation and Treatment of Insomnia. Oxford University Press, New York, NY.
• Lamarche CH, Ogilvie RD (1997) Electrophysiological changes during the sleep onset period of psychophysio- logical insomniacs, psychiatric insomniacs, and normal sleepers. Sleep 20: 724-733.
• Lichstein KL, Wilson NM, Noe SL, Aguillard RN, Bellur SN (1994) Daytime sleepiness in insomnia: behavioral, biological and subjective indices. Sleep 17: 693-702.
• Littner MR, Kushida C, Wise M, Davila DG, Morgenthaler T, Lee-Chiong T, Hirshkowitz M, Loube DL, Bailey D, Berry RB, Kapen S, Kramer M (2005) Practice parame­ters for clinical use of the multiple sleep latency test and the maintenance of wakefulness test. Sleep 28: 113-121.
• Merica H, Gaillard JM (1992) The EEG of the sleep onset period in insomnia: A discriminant analysis. Physiol Behav 52: 199-204.
• Merica H, Blois R, Gaillard JM (1998) Spectral characteris­tics of sleep EEG in chronic insomnia. Eur J Neurosci 10: 1826-1834.
• Moller HJ, Devins GM, Shen J, Shapiro CM (2006) Sleepiness is not the inverse of alertness: evidence from four sleep disorder patient groups. Exp Brain Res 173: 258-266.
• Niemcewicz S, Szelenberger W, Skalski M, Androsiuk W, Piotrowski T, Myszka DM, Moskwa M (2001) Psychophysiological correlates of primary insomnia (in Polish). Psychiatr Pol 35: 583-591.
• Nofzinger EA, Buysse D, Germain A, Price JC, Miewald JM, Kupfer DJ (2004) Functional neuroimaging evidence for hyperarousal in insomnia. Am J Psychiatry 161: 2126-2129.
• Ohayon MM (2002) Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 6: 97-111.
• Rechtschaffen A, Kales A (1968) A Manual of Sandardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects. National Institutes of Health Publications, No 204. US Government Printing Office, Washington DC.
• Regestein QR, Dambrosia J, Hallet M, Murawski B, Paine M (1993) Daytime alertness in patients with primary insomnia. Am J Psychiatry 150: 1529-1534.
• Schwartz S, McDowell Anderson W, Cole SR, Cornoni- Huntley J, Hays JC, Blazer D (1999) Insomnia and heart disease: a review of epidemiologic studies. Psychosom Res 47: 313-333.
• Soldatos CR (2003) The assessment of insomnia: Rationale for a new scale based on ICD-10 principles. In: Sleep Physiology and Pathology (Szelenberger W, Kukwa A, Eds). Elma Books, Warszawa, PL.
• Steriade M, McCormick A, Sejnowski TJ (1993) Thalamocortical oscillations in the sleeping and aroused brain. Science 262: 676-685.
• Tinguely G, Finelli A, Landolt HP, Borbély AA, Achermann P (2006) Functional EEG topography in sleep and wak­ing: state-dependent and state-independent features. Neuroimage 32: 283-292.
• Vandeputte M, de Weerd A (2003) Sleep disorders and depressive feelings: a global survey with the Beck depres­sion scale. Sleep Med 4: 343-345.
• Vgontzas AN, Tsigos C, Bixler EO, Stratakis CA, Zachman K, Kales A, Vela-Bueno A, Chrousos GP (1998) Chronic insomnia and activity of the stress system: A preliminary study. J Psychosom Res 45: 21-31.
• Vgontzas AN, Bixler EO, Lin HM, Prolo P, Mastorakos G, Vela-Bueno A, Kales A, Chrousos GP (2001) Chronic insomnia is associated with nyctohemeral activation of the hypothalamic-pituitary-adrenal axis: clinical implica­tions. J Clin Endocrinol Metab 86: 3787-3794.
• Van Cauter E, Leproult R, Plat L (2000) Age-related chang­es in slow wave sleep and REM sleep and relationship with growth hormone and cortisol levels in healthy men. JAMA 284: 861-868.
• Wróbel A, Ghazaryan A, Bekisz M, Bogdan W, Kamiński J (2007) Two streams of attention-dependent P activity in the striate recipient zone of cat's lateral posterior-pulvinar complex. J Neurosci 27: 2230-2240.

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