Lamarche C H, Ogilvie R D
Department of Psychology, Brock University, St. Catharines, Ontario, Canada.
Sleep. 1997 Sep;20(9):724-33.
The electroencephalograms (EEGs) of the sleep onset period (SOP) of psychophysiogical insomniacs. psychiatric insomniacs, and controls were compared using power spectral analysis. We predicted that psychophysiological insomniacs would show elevated cortical arousal throughout their entry into sleep. Electroencephalograms, electrooculograms (EOGs), and electromyograms (EMGs) were recorded for two consecutive nights. Power spectral analysis of EEG from the sleep onset period was performed on all standard frequency bands. Psychophysiological insomniacs had less alpha during the first part of the SOP and did not show the dramatic drop in alpha across the SOP that characterizes normal sleep. They showed less delta in the last quartile of the chronological analysis of the SOP. Psychiatric insomniacs showed lower relative beta power values overall, while psychophysiological insomniacs showed higher relative beta power values during wakefulness. This microanalysis indicates that the SOP is generally similar for psychiatric insomniacs and normal sleepers but that clear differences in the SOP of psychophysiological insomniacs exist. They have higher cortical arousal during the SOP than do psychiatric insomniacs and controls. The dramatic changes in power values in the latter two groups as sleep begins are not seen in the psychophysiological insomniacs, which may help explain the difficulty that psychophysiological insomniacs have discriminating between wakefulness and sleep.
使用功率谱分析比较了心理生理性失眠症患者、精神性失眠症患者和对照组入睡期(SOP)的脑电图(EEG)。我们预测,心理生理性失眠症患者在整个入睡过程中会表现出皮质觉醒增强。连续两晚记录脑电图、眼电图(EOG)和肌电图(EMG)。对入睡期EEG的所有标准频段进行功率谱分析。心理生理性失眠症患者在SOP的第一部分α波较少,并且在整个SOP期间没有表现出正常睡眠所特有的α波急剧下降。在SOP的时间分析的最后四分之一时间段内,他们的δ波较少。精神性失眠症患者总体上相对β功率值较低,而心理生理性失眠症患者在清醒时相对β功率值较高。这种微观分析表明,精神性失眠症患者和正常睡眠者的SOP通常相似,但心理生理性失眠症患者的SOP存在明显差异。他们在SOP期间的皮质觉醒高于精神性失眠症患者和对照组。心理生理性失眠症患者没有出现后两组在睡眠开始时功率值的急剧变化,这可能有助于解释心理生理性失眠症患者区分清醒和睡眠的困难。