双相情感障碍
脑电图
睡眠(系统调用)
心理学
萧条(经济学)
听力学
人口
睡眠纺锤
精神科
临床心理学
重性抑郁障碍
慢波睡眠
医学
心情
宏观经济学
经济
操作系统
环境卫生
计算机科学
作者
Caroline Zangani,Cecilia Casetta,Alejandro Serrano Saunders,Francesco Donati,Emanuela Maggioni,Armando D’Agostino
标识
DOI:10.1016/j.neubiorev.2020.07.031
摘要
Sleep disturbances are highly prevalent across all stages of Bipolar Disorder. Despite a wealth of research on the neurophysiological features of sleep in this population, progress in this field has been slow. We aimed to review the literature on sleep electroencephalography (EEG) studies in Bipolar Disorder, considering sleep architecture and microstructural oscillatory activity. We included a total of 22 studies: six on sleep during manic episodes, seven during depressive episodes, seven in euthymic patients and two in high-risk individuals. The most consistent findings were increased SOL and REM density across all stages of the disorder. Only two studies reported a reduced spindle count during bipolar depression and euthymia, respectively. Although not specific for Bipolar Disorder, SOL and REM density have been repeatedly found to be increased across all stages of illness in this population. Whereas the former reflects a difficulty initiating sleep, the latter can be considered a neurophysiological signature of patients’ overall reduced sleep need, independent of illness stage.
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