Schiel Julian E, Tamm Sandra, Holub Florian, Petri Roxana, Dashti Hassan S, Domschke Katharina, Feige Bernd, Lane Jacqueline M, Riemann Dieter, Rutter Martin K, Saxena Richa, Tahmasian Masoud, Wang Heming, Kyle Simon D, Spiegelhalder Kai
Department of Psychiatry and Psychotherapy, Medical Centre - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Psychiatry, University of Oxford, Oxford, United Kingdom.
Biol Psychiatry. 2022 Nov 1;92(9):693-700. doi: 10.1016/j.biopsych.2022.05.023. Epub 2022 May 27.
Sleep health (SH) is considered a key determinant of human physiological and psychological well-being. In line with this, previous studies have found that poor sleep is associated with various psychiatric disorders, in particular, with anxiety and depression. Although little is known about the neural mechanisms underlying these associations, recent findings suggest that essential dimensions of SH are associated with altered amygdala reactivity (AR); however, evidence to date is inconsistent and reliant on small sample sizes.
To address this problem, the current preregistered study investigated associations between SH and AR to negative facial expressions in the UK Biobank cohort (25,758 participants). Drawing on a large sample size and consistent data acquisition, 5 dimensions of SH (insomnia symptoms, sleep duration, daytime sleepiness, chronotype, and sleep medication) were examined.
Exploratory analyses revealed that short sleep duration was associated with decreased AR. The remaining SH dimensions and a composite measure of all SH dimensions were not associated with AR.
To our knowledge, this is the largest study to test associations between SH and AR. Habitual short sleep duration may be associated with decreased AR, possibly indicating compensation for impaired prefrontal processes and hampered emotion regulation.
睡眠健康(SH)被认为是人类生理和心理健康的关键决定因素。与此一致的是,先前的研究发现,睡眠不佳与各种精神疾病有关,特别是与焦虑和抑郁有关。尽管对于这些关联背后的神经机制知之甚少,但最近的研究结果表明,睡眠健康的基本维度与杏仁核反应性(AR)改变有关;然而,迄今为止的证据并不一致,且依赖于小样本量。
为了解决这个问题,当前这项预先注册的研究在英国生物银行队列(25758名参与者)中调查了睡眠健康与对负面面部表情的杏仁核反应性之间的关联。利用大样本量和一致的数据采集,研究了睡眠健康的5个维度(失眠症状、睡眠时间、日间嗜睡、昼夜节律类型和助眠药物)。
探索性分析显示,睡眠时间短与杏仁核反应性降低有关。其余的睡眠健康维度以及所有睡眠健康维度的综合测量与杏仁核反应性均无关联。
据我们所知,这是检验睡眠健康与杏仁核反应性之间关联的最大规模研究。习惯性睡眠时间短可能与杏仁核反应性降低有关,这可能表明对前额叶功能受损和情绪调节受阻的一种补偿。