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失眠障碍与大脑的默认模式网络。

Insomnia Disorder and Brain's Default-Mode Network.

机构信息

Department of Education and Psychology, University of Aveiro, Campus Universitário de Santiago, 3810-193, Aveiro, Portugal.

CINEICC - Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.

出版信息

Curr Neurol Neurosci Rep. 2018 Jun 9;18(8):45. doi: 10.1007/s11910-018-0861-3.

Abstract

PURPOSE OF REVIEW

Insomnia disorder (ID) is a prevalent sleep disorder that significantly compromises the physical and mental health of individuals. This article reviews novel approaches in the study of brain networks and impaired function in ID through the application of modern neuroimaging techniques such as functional magnetic resonance imaging (fMRI).

RECENT FINDINGS

The default-mode network (DMN) is presumed to be correlated with self-referential information processing, and it appears to be altered or unbalanced in insomnia. A growing body of evidence suggests the lack of deactivation of brain regions comprising the DMN when insomnia patients are at rest. Moreover, core areas of the DMN demonstrate greater activation in insomnia patients when compared to healthy controls in self-referential related tasks. Despite the few studies on the topic, underpinning the correlation between abnormal DMN activity and ID deserves further attention in the future. Implications for therapeutics are briefly outlined.

摘要

目的综述

失眠障碍(ID)是一种普遍的睡眠障碍,严重损害个体的身心健康。本文通过应用现代神经影像学技术,如功能磁共振成像(fMRI),综述了在研究 ID 中的脑网络和功能障碍方面的新方法。

最近的发现

默认模式网络(DMN)被认为与自我参照信息处理相关,在失眠中似乎发生了改变或失衡。越来越多的证据表明,失眠患者在休息时,组成 DMN 的脑区没有去激活。此外,与健康对照组相比,失眠患者在进行自我参照相关任务时,DMN 的核心区域表现出更高的激活。尽管关于这一主题的研究很少,但异常的 DMN 活动与 ID 之间的相关性值得未来进一步关注。本文简要概述了治疗的意义。

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