Evidence map›Paper›PMID 33171860›Full record

ArticleBrain sciences2020

Enhanced Vigilance Stability during Daytime in Insomnia Disorder.

Ariane Losert, Christian Sander, Michael Schredl, Ivonne Heilmann-Etzbach, Michael Deuschle, Ulrich Hegerl, Claudia Schilling

Abstract read
In one paragraph

Article in Brain sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ariane LosertDepartment of Psychiatry and Psychotherapy, Central Institute of Mental Health, Sleep laboratory, Medical Faculty Mannheim/Heidelberg University, 68159 Mannheim, Germany.
Christian SanderDepartment of Psychiatry and Psychotherapy, University Leipzig Medical Center, 04103 Leipzig, Germany.ORCID 0000-0002-5402-6631
Michael SchredlDepartment of Psychiatry and Psychotherapy, Central Institute of Mental Health, Sleep laboratory, Medical Faculty Mannheim/Heidelberg University, 68159 Mannheim, Germany.ORCID 0000-0002-8031-6608
Ivonne Heilmann-EtzbachDepartment of Psychiatry and Psychotherapy, Central Institute of Mental Health, Sleep laboratory, Medical Faculty Mannheim/Heidelberg University, 68159 Mannheim, Germany.
Michael DeuschleDepartment of Psychiatry and Psychotherapy, Central Institute of Mental Health, Sleep laboratory, Medical Faculty Mannheim/Heidelberg University, 68159 Mannheim, Germany.
Ulrich HegerlDepartment of Psychiatry, Psychosomatics, and Psychotherapy, Goethe-Universität Frankfurt am Main, 60528 Frankfurt am Main, Germany.
Claudia SchillingDepartment of Psychiatry and Psychotherapy, Central Institute of Mental Health, Sleep laboratory, Medical Faculty Mannheim/Heidelberg University, 68159 Mannheim, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Central nervous hyperarousal is as a key component of current pathophysiological concepts of chronic insomnia disorder. However, there are still open questions regarding its exact nature and the mechanisms linking hyperarousal to sleep disturbance. Here, we aimed at studying waking state hyperarousal in insomnia by the perspective of resting-state vigilance dynamics. The VIGALL (Vigilance Algorithm Leipzig) algorithm has been developed to investigate resting-state vigilance dynamics, and it revealed, for example, enhanced vigilance stability in depressive patients. We hypothesized that patients with insomnia also show a more stable vigilance regulation. Thirty-four unmedicated patients with chronic insomnia and 25 healthy controls participated in a twenty-minute resting-state electroencephalography (EEG) measurement following a night of polysomnography. Insomnia patients showed enhanced EEG vigilance stability as compared to controls. The pattern of vigilance hyperstability differed from that reported previously in depressive patients. Vigilance hyperstability was also present in insomnia patients showing only mildly reduced sleep efficiency. In this subgroup, vigilance hyperstability correlated with measures of disturbed sleep continuity and arousal. Our data indicate that insomnia disorder is characterized by hyperarousal at night as well as during daytime.

Indexed as

arousalinsomniapolysomnographyRDoCresting EEGvigilance

Identifiers

PMID33171860
PMCPMC7695157

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.