Can Neuromodulation Improve Sleep and Psychiatric Symptoms?

IF 5.5 2区医学 Q1 PSYCHIATRY Current Psychiatry Reports Pub Date : 2024-10-01 DOI:10.1007/s11920-024-01540-1

Charlotte E Luff, Luis de Lecea

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Abstract

Purpose of review: In this review, we evaluate recent studies that employ neuromodulation, in the form of non-invasive brain stimulation, to improve sleep in both healthy participants, and patients with psychiatric disorders. We review studies using transcranial electrical stimulation, transcranial magnetic stimulation, and closed-loop auditory stimulation, and consider both subjective and objective measures of sleep improvement.

Recent findings: Neuromodulation can alter neuronal activity underlying sleep. However, few studies utilizing neuromodulation report improvements in objective measures of sleep. Enhancements in subjective measures of sleep quality are replicable, however, many studies conducted in this field suffer from methodological limitations, and the placebo effect is robust. Currently, evidence that neuromodulation can effectively enhance sleep is lacking. For the field to advance, methodological issues must be resolved, and the full range of objective measures of sleep architecture, alongside subjective measures of sleep quality, must be reported. Additionally, validation of effective modulation of neuronal activity should be done with neuroimaging.

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神经调节能改善睡眠和精神症状吗？

综述的目的：在这篇综述中，我们评估了近期采用非侵入性脑部刺激形式的神经调节来改善健康参与者和精神疾病患者睡眠的研究。我们回顾了使用经颅电刺激、经颅磁刺激和闭环听觉刺激的研究，并考虑了睡眠改善的主观和客观测量方法：最新研究结果：神经调控可以改变睡眠所依赖的神经元活动。最新研究结果：神经调控可改变睡眠的神经元活动，但很少有利用神经调控的研究报告客观睡眠指标有所改善。主观睡眠质量的改善是可以复制的，但这一领域的许多研究都存在方法上的局限性，而且安慰剂效应很强。目前，神经调控能有效改善睡眠的证据还很缺乏。要想推动该领域的发展，必须解决方法学问题，并在报告睡眠质量主观测量结果的同时，报告睡眠结构的全部客观测量结果。此外，还应该通过神经影像学来验证神经元活动的有效调节。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.