睡眠开始的神经生理景观:一个系统的审查
Nazanin Biabani1, Adam Birdseye1,2, Sean Higgins1,2
1Sleep and Brain Plasticity Centre, Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, UK.
Journal of thoracic disease
|September 11, 2023
概括
睡眠开始过程仍然不太清楚,对其生物标志物和机制缺乏共识. 为了更好的表征和改善睡眠障碍治疗,需要进一步的研究.
科学领域:
- 神经科学是一个神经科学.
- 睡眠医学 睡眠医学
- 身体生理学 身体生理学
背景情况:
- 从清醒过渡到睡眠 (睡眠开始) 是复杂的,缺乏标准化的定义.
- 现有的研究表明,睡眠开始期间的主观,行为,认知和生理变化存在显著的异质性.
- 关于如何临床描述睡眠开始过程,目前还没有国际共识.
研究的目的:
- 系统地审查和综合当前关于睡眠开始过程自然异质性背后的机制的知识.
- 确定对睡眠开始生物标志物和潜在机制的理解中的共识和差距.
主要方法:
- 一项关于从1970年到2022年睡眠开始的研究的系统审查.
- 在PsychINFO,MEDLINE和Embase数据库中进行了搜索.
- 包括139项研究:110项是健康个体,29项是睡眠障碍者.
主要成果:
- 关于睡眠开始的不同生物标志物存在有限的共识.
- 关于睡眠开始的生理学,神经生理学和行为机制的数据很少.
- 许多研究重点关注非快速眼动第二阶段 (NREM2) 睡眠作为一个更明确的标志物.
结论:
- 睡眠开始的神经生理学方面是复杂的,不太了解,受到众多标志物的影响.
- 方法变化和不一致的清醒睡眠过渡的定义有助于目前的知识差距.
- 睡眠开始的原则性表征对于提高我们对其机制的理解和改善睡眠障碍治疗至关重要.
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