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本文引用的文献

1
Sleep homeostasis in alcohol-dependent, depressed and healthy control men.酒精依赖、抑郁和健康对照组男性的睡眠稳态。
Eur Arch Psychiatry Clin Neurosci. 2011 Dec;261(8):559-66. doi: 10.1007/s00406-011-0195-5. Epub 2011 Feb 11.
2
Adolescent ethanol exposure: does it produce long-lasting electrophysiological effects?青少年乙醇暴露:是否会产生持久的电生理效应?
Alcohol. 2010 Feb;44(1):27-37. doi: 10.1016/j.alcohol.2009.09.033.
3
Impact of alcoholism on sleep architecture and EEG power spectra in men and women.酗酒对男性和女性睡眠结构及脑电图功率谱的影响。
Sleep. 2009 Oct;32(10):1341-52. doi: 10.1093/sleep/32.10.1341.
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Sleep electroencephalogram in children with a parental history of alcohol abuse/dependence.儿童睡眠脑电图与父母酒精滥用/依赖史。
J Sleep Res. 2010 Mar;19(1 Pt 2):165-74. doi: 10.1111/j.1365-2869.2009.00763.x. Epub 2009 Sep 7.
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Long-term efficacy and safety of zolpidem extended-release 12.5 mg, administered 3 to 7 nights per week for 24 weeks, in patients with chronic primary insomnia: a 6-month, randomized, double-blind, placebo-controlled, parallel-group, multicenter study.唑吡坦缓释片12.5毫克每周服用3至7晚,连续服用24周,对慢性原发性失眠患者的长期疗效和安全性:一项为期6个月的随机、双盲、安慰剂对照、平行组、多中心研究。
Sleep. 2008 Jan;31(1):79-90. doi: 10.1093/sleep/31.1.79.
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The impact of a 4-hour sleep delay on slow wave activity in twins discordant for chronic fatigue syndrome.4小时睡眠延迟对患慢性疲劳综合征不一致的双胞胎慢波活动的影响。
Sleep. 2007 May;30(5):657-62. doi: 10.1093/sleep/30.5.657.
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Sleep and circadian rhythms in mood disorders.情绪障碍中的睡眠与昼夜节律
Acta Psychiatr Scand Suppl. 2007(433):104-15. doi: 10.1111/j.1600-0447.2007.00968.x.
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Sleep electroencephalographic spectral power after withdrawal from alcohol in alcohol-dependent patients.酒精依赖患者戒酒后的睡眠脑电图频谱功率
Alcohol Clin Exp Res. 2007 Jan;31(1):19-27. doi: 10.1111/j.1530-0277.2006.00260.x.
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Insomnia, alcoholism and relapse.失眠、酗酒与复发。
Sleep Med Rev. 2003 Dec;7(6):523-39. doi: 10.1016/s1087-0792(03)90005-0.
10
Psychometric properties of the short index of problems as a measure of recent alcohol-related problems.作为近期酒精相关问题衡量指标的简短问题指数的心理测量特性。
Alcohol Clin Exp Res. 2003 Sep;27(9):1436-41. doi: 10.1097/01.ALC.0000087582.44674.AF.

酒精依赖成年人中 3 小时睡眠延迟对睡眠内稳态的影响。

Effects of a 3-hour sleep delay on sleep homeostasis in alcohol dependent adults.

机构信息

University of Michigan Department of Psychiatry, Sleep & Chronophysiology Laboratory, 4250 Plymouth Rd, SPC 5740, Ann Arbor, MI 48109-2700, USA.

出版信息

Sleep. 2012 Feb 1;35(2):273-8. doi: 10.5665/sleep.1638.

DOI:10.5665/sleep.1638
PMID:22294818
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3250367/
Abstract

OBJECTIVES

This study evaluated slow wave activity homeostatic response to a mild sleep challenge in alcohol-dependent adults compared to healthy controls.

DESIGN

Participants maintained a 23:00-06:00 schedule for 5 days verified by actigraphy and diary, followed by 3 nights in the lab: adaptation, baseline, and a sleep delay night with an 02:00-09:00 schedule.

SETTING

Sleep ' Chronophysiology laboratory.

PARTICIPANTS

48 alcohol-dependent adults (39 men, 9 women) who were abstinent for at least 3 weeks and 16 healthy control adults (13 men, 3 women), 21-55 years of age participated in study.

INTERVENTIONS

N/A.

MEASUREMENTS AND RESULTS

Slow wave EEG activity (SWA) in consecutive NREM periods was compared between baseline and sleep delay nights and between AD and HC groups, using age and sex as statistical covariates. The AD group showed a blunted SWA response to sleep delay with significantly lower SWA power than the HC group. Exponential regression analyses confirmed lower asymptotic SWA with a slower decay rate over NREM sleep time in the AD group. Results were similar for raw SWA and %SWA on the delay night expressed relative to baseline SWA.

CONCLUSIONS

Alcohol dependence is associated with impaired SWA regulation and a blunted response to a mild homeostatic sleep challenge.

摘要

目的

本研究评估了酒精依赖成年人与健康对照组相比,对轻度睡眠挑战的慢波活动稳态反应。

设计

参与者按照活动记录仪和日记记录的 23:00-06:00 时间表维持 5 天,然后在实验室进行 3 个晚上的适应、基线和睡眠延迟,时间表为 02:00-09:00。

地点

睡眠“生物钟生理学实验室”。

参与者

48 名酒精依赖成年人(39 名男性,9 名女性),至少戒酒 3 周,16 名健康对照组成年人(13 名男性,3 名女性),年龄在 21-55 岁之间参加了研究。

干预措施

无。

测量和结果

使用年龄和性别作为统计协变量,比较基线和睡眠延迟夜间以及 AD 和 HC 组之间连续 NREM 期的慢波 EEG 活动(SWA)。与 HC 组相比,AD 组对睡眠延迟的 SWA 反应迟钝,SWA 功率明显较低。指数回归分析证实,AD 组在 NREM 睡眠期间 SWA 的渐近值较低,衰减率较慢。在延迟夜间相对于基线 SWA 表达的原始 SWA 和 %SWA 上,结果相似。

结论

酒精依赖与 SWA 调节受损和对轻度稳态睡眠挑战的反应迟钝有关。