Evidence map›Paper›PMID 41188871›Full record

ArticleBMC medicine2025

Impaired emotional processing in insomnia: REM sleep beta power and frontal cortex activation.

Shuo Wang, Yun Tian, Xinyi Deng, Simon Theodor Jülich, Xu Lei

Abstract read
In one paragraph

Article in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

5 authors.

Shuo WangSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing, 400715, China.
Yun TianInstitute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu, 610000, China.
Xinyi DengDepartment of Psychology, Cornell University, Ithaca, NY, 14850, USA.
Simon Theodor JülichSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing, 400715, China.
Xu LeiSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing, 400715, China. xlei@swu.edu.cn.

Funding

the National Natural Science Foundation of China 32471095the National Social Science Foundation of China No. 22&ZD184
6 · The paper itself

Abstract

backgroundInsomnia disorder is frequently associated with emotional dysregulation, but the underlying neural basis of emotion processing and its relationship to hyperarousal biomarkers, such as beta power during rapid eye movement (REM) sleep, remain unclear. In this study, we investigated the neural basis of emotional processing in patients with insomnia disorder (ID) and explored its association with electroencephalography (EEG) measures, focusing on REM sleep beta power.

methodsThirty-five ID and 34 age- and gender-matched healthy controls (HC) completed questionnaires, underwent whole-night portable single-channel EEG at home, and performed an emotion-matching task under functional Magnetic Resonance Imaging (fMRI). Between-group comparisons were conducted on behavioral measures and brain activations. Partial correlations were used to examine the relationships between significantly activated brain regions during the emotion-matching task and REM sleep beta power recorded overnight.

resultsBehavioral results showed that, regardless of emotional valence, ID had significantly longer mean reaction times than HC. Whole-brain analysis of variance of task fMRI revealed that, in response to happy faces, ID exhibited significantly greater activation in the right superior temporal gyrus, medial orbital frontal cortex (mOFC), superior occipital gyrus, precentral gyrus, and left paracentral lobule compared to HC. Furthermore, after controlling for depression and anxiety symptoms, a significant negative correlation was observed in ID between REM sleep beta power and right mOFC activation in response to happy faces (r = - 0.628, p = 0.005), whereas no such correlation was found in HC.

conclusionsThis study suggests that increased mOFC activation in response to positive emotional stimuli may reflect altered emotion regulation in ID. Sleep-related hyperarousal may be linked to changes in emotion processing, providing preliminary insight into the neural basis of emotional dysregulation in insomnia.

Indexed as

EmotionsFrontal LobeSleep Initiation and Maintenance DisordersSleep, REMAdultCase-Control StudiesElectroencephalographyFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedYoung AdultEmotion-matching taskInsomnia disorderPortable EEGTask fMRI

Identifiers

PMID41188871
PMCPMC12584528

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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.