Enhanced intrathalamic morphological connectivity in patients with chronic insomnia
Xi Ye1,2, Yuping Yang3, Guang Xu4
1Jinan University, No. 601, Huangpu Avenue West, Guangzhou, Guangdong, 510632, People's Republic of China.
Insights
Patients with chronic insomnia show increased intrathalamic morphological connectivity. This finding offers new insights into brain connectivity in insomnia and potential avenues for clinical diagnosis and treatment.
Area of Science:
- Neuroscience
- Medical Imaging
- Psychiatry
Background:
- Chronic insomnia is a prevalent sleep disorder affecting millions worldwide.
- The thalamus plays a crucial role in sleep regulation and sensory processing.
- Abnormal brain connectivity is increasingly implicated in the pathophysiology of insomnia.
Purpose of the Study:
- To investigate differences in morphological connectivity within and between thalamic subregions in patients with chronic insomnia compared to healthy controls.
- To explore the clinical relevance of observed connectivity alterations in chronic insomnia.
Main Methods:
- Utilized the Human Brainnetome Atlas to define thalamic subregions.
- Computed and compared intrathalamic and thalamocortical morphological connectivity between chronic insomnia patients (n=102) and healthy controls (n=101).
- Employed Spearman's correlation to assess associations between connectivity and clinical variables.
Main Results:
- Patients with chronic insomnia exhibited significantly higher intrathalamic morphological connectivity compared to controls.
- No significant differences in thalamocortical morphological connectivity were found between groups.
- No significant correlation was identified between altered intrathalamic connectivity and clinical/behavioral scales.
Conclusions:
- Findings suggest increased intrathalamic morphological connectivity in chronic insomnia.
- These results contribute to understanding the neural underpinnings of insomnia at an individual level.
- The study provides novel perspectives for potential clinical interventions and diagnostic imaging in chronic insomnia.
Abstract:
This study aimed to systematically investigate abnormal morphological connectivity in subregions of the thalamus and examine the clinical relevance of this connectivity in patients with chronic insomnia. One hundred and two patients with chronic insomnia (aged 45.50 [34.75 ~ 58.00] years; 24 men, 78 women) and one hundred and one healthy controls (aged 45.00 [34.00 ~ 55.00] years; 32 men, 69 women) were recruited. Intrathalamic and thalamocortical morphological connectivity in the thalamic subregions defined in the Human Brainnetome Atlas were computed and compared between the two groups. Spearman's correlation was used to estimate the association between thalamic morphological connectivity alterations and clinical variables. Compared with the control group, the insomnia group exhibited higher intrathalamic mean morphological connectivity than the control group, though no alterations in thalamocortical morphological connectivity were observed. However, no correlation was found between altered intrathalamic morphological connectivity and behavioral scales. In addition, alterations in morphological connectivity among thalamic subregions were found mainly in the left medial premotor thalamus, left medial prefrontal thalamus, and left sensory thalamus; however, these results were no longer significant after correction. Our findings suggest increased intrathalamic morphological connectivity in patients with chronic insomnia, thus enriching the understanding of morphological connectivity at the individual level and providing new perspectives for clinical interventions and diagnostic imaging.
Related Concept Videos
Management of Insomnia
Insomnia
Multiple factors contribute...
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
REM Sleep Behavior Disorder
RBD is significantly associated with...


