双相情感障碍患者皮肤电活动的睡眠-觉醒变化。

IF 5.3 2区 医学 Q1 PSYCHIATRY Acta Psychiatrica Scandinavica Pub Date : 2024-06-18 DOI:10.1111/acps.13718
Clàudia Valenzuela-Pascual, Ariadna Mas, Roger Borràs, Gerard Anmella, Miriam Sanabra, Meritxell González-Campos, Marc Valentí, Isabella Pacchiarotti, Antoni Benabarre, Iria Grande, Michele De Prisco, Vincenzo Oliva, Anna Bastidas, Isabel Agasi, Allan H Young, Marina Garriga, Andrea Murru, Filippo Corponi, Bryan M Li, Peter de Looff, Eduard Vieta, Diego Hidalgo-Mazzei
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引用次数: 0

摘要

背景:情绪状态会影响交感神经系统,诱发皮电活动(EDA)的变化,然而,在现实世界中,由于身体活动和温度等混杂因素,EDA与双相情感障碍(BD)的关系仍不确定。由于混杂因素的不同以及情绪状态辨别能力的潜在差异,我们分别分析了睡眠和清醒时的EDA:我们对102名BD患者(包括35名躁狂症患者、29名抑郁症患者、38名优郁患者和38名健康对照组(HC))进行了48小时的EDA监测:结果:13 个 EDA 特征模型受到睡眠状态的显著影响,特别是包括阶段性峰值(p 结论:从清醒记录中测量的 EDA 更好地反映了睡眠状态:在控制混杂因素的情况下,从清醒记录中测得的 EDA 比睡眠记录更能区分 BD 状态。
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Sleep-wake variations of electrodermal activity in bipolar disorder.

Background: Affective states influence the sympathetic nervous system, inducing variations in electrodermal activity (EDA), however, EDA association with bipolar disorder (BD) remains uncertain in real-world settings due to confounders like physical activity and temperature. We analysed EDA separately during sleep and wakefulness due to varying confounders and potential differences in mood state discrimination capacities.

Methods: We monitored EDA from 102 participants with BD including 35 manic, 29 depressive, 38 euthymic patients, and 38 healthy controls (HC), for 48 h. Fifteen EDA features were inferred by mixed-effect models for repeated measures considering sleep state, group and covariates.

Results: Thirteen EDA feature models were significantly influenced by sleep state, notably including phasic peaks (p < 0.001). During wakefulness, phasic peaks showed different values for mania (M [SD] = 6.49 [5.74, 7.23]), euthymia (5.89 [4.83, 6.94]), HC (3.04 [1.65, 4.42]), and depression (3.00 [2.07, 3.92]). Four phasic features during wakefulness better discriminated between HC and mania or euthymia, and between depression and euthymia or mania, compared to sleep. Mixed symptoms, average skin temperature, and anticholinergic medication affected the models, while sex and age did not.

Conclusion: EDA measured from awake recordings better distinguished between BD states than sleep recordings, when controlled by confounders.

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来源期刊
Acta Psychiatrica Scandinavica
Acta Psychiatrica Scandinavica 医学-精神病学
CiteScore
11.20
自引率
3.00%
发文量
135
审稿时长
6-12 weeks
期刊介绍: Acta Psychiatrica Scandinavica acts as an international forum for the dissemination of information advancing the science and practice of psychiatry. In particular we focus on communicating frontline research to clinical psychiatrists and psychiatric researchers. Acta Psychiatrica Scandinavica has traditionally been and remains a journal focusing predominantly on clinical psychiatry, but translational psychiatry is a topic of growing importance to our readers. Therefore, the journal welcomes submission of manuscripts based on both clinical- and more translational (e.g. preclinical and epidemiological) research. When preparing manuscripts based on translational studies for submission to Acta Psychiatrica Scandinavica, the authors should place emphasis on the clinical significance of the research question and the findings. Manuscripts based solely on preclinical research (e.g. animal models) are normally not considered for publication in the Journal.
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