睡眠变量是否预测双相情绪障碍的情绪: 一项系统性审查
Andrea Ulrichsen1, Anna Tröger1, Sameer Jauhar2
1King's College London, Institute of Psychiatry, Psychology and Neuroscience, 16 De Crespigny Park, London SE5 8AB, UK; Dresden University of Technology, Department of Psychiatry and Psychotherapy, University Hospital, Dresden, Germany.
Journal of affective disorders
|December 31, 2024
概括
睡眠模式的变化经常预测双相情绪障碍 (BD) 的情绪变化. 睡眠监测可以帮助患者和临床医生预测和预防抑郁和躁狂等情绪发作.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 神经科学是一个神经科学.
背景情况:
- 双极性障碍 (BD) 经常涉及情绪状态的睡眠障碍.
- 在BD患者中,睡眠变化往往先于躁狂或抑郁情节.
- 早期识别睡眠变化可能有助于预防BD复发.
研究的目的:
- 系统地审查现有的关于睡眠变化和躁郁症情绪之间的关系的文献.
- 综合关于睡眠情绪相关性及其在BD中的预测价值的发现.
主要方法:
- 在Embase,APA PsychINFO和MEDLINE数据库中进行系统的文献搜索.
- 遵守PRISMA指导方针和PROSPERO注册 (CRD42023405950) 的要求.
- 发现的叙述综合,使用纽卡斯尔-太华尺度评估偏差风险.
主要成果:
- 包括来自13项研究的17篇出版物,确定了9个睡眠情绪关系类别.
- 增加睡眠时间,更早入睡,更晚醒来时间与随后的抑郁情绪有关.
- 相反,更短睡眠时间的变化和睡眠时间的改变预测了躁狂情绪状态.
结论:
- 睡眠模式的改变似乎是双相情绪障碍情绪变化的可靠早期预警信号.
- 这些睡眠变化有可能被作为患者和临床医生的预防策略.
- 研究之间的高度异质性限制了进行元分析的可能性.
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