Benca Ruth M, Peterson Michael J
Department of Psychiatry, University of Wisconsin-Madison, Madison, WI 53719-1176, USA.
Sleep Med. 2008 Sep;9 Suppl 1:S3-9. doi: 10.1016/S1389-9457(08)70010-8.
It is clear that insomnia and depression are intimately related, which may suggest an overlapping neurobiology. Although much progress has been made toward understanding how these disorders relate to each other, the exact neurobiological mechanisms that link them remain elusive. Sleep changes in depression may be associated with abnormal neurotransmission, genetic polymorphisms, HPA overactivity, impaired plasticity, or most likely a combination of factors. It is therefore crucial that sleep assessments go beyond traditional polysomnography to include a more expanded set of objective measures in the hope that these will uncover the common neurobiology that is thought to underlie insomnia and depression.
显然,失眠与抑郁症密切相关,这可能意味着它们存在重叠的神经生物学机制。尽管在理解这些疾病如何相互关联方面已经取得了很大进展,但将它们联系起来的确切神经生物学机制仍然难以捉摸。抑郁症中的睡眠变化可能与神经递质传递异常、基因多态性、下丘脑 - 垂体 - 肾上腺(HPA)轴过度活跃、可塑性受损有关,或者很可能是多种因素共同作用的结果。因此,至关重要的是,睡眠评估要超越传统的多导睡眠图,纳入更广泛的客观测量方法,以期发现被认为是失眠和抑郁症潜在基础的共同神经生物学机制。