Polysomnographische Befunde bei Insomnie & anderen psychischen Störungen

Beeinträchtigungen des Schlafes als Symptom psychischer Störungen sind ein wichtiges Forschungsfeld. Folgender Artikel wertet die Ergebnisse zweier Metaanalysen aus der Universität Freiburg aus, bei denen Polysomnographie als wichtige Methode zur Erkennung von Schlafauffälligkeiten eingesetzt wurde. Untersucht wurden die polysomnographischen Daten bei Insomnie sowie einer Reihe anderer psychischer Störungen: Affektive Störungen, Ess- Angst- und Persönlichkeitsstörungen, sowie ADHS, Asperger-Syndrom, Autismus und Schizophrenie.

• Literatur

• 1 Rechtschaffen A, Kales A. A manual of standardized terminology, techniques and scoring system of sleep stages in human subjects.. Los Angeles, CA: Brain Information Service/Brain Research Institute, University of California; 1968
• 2 Kupfer DJ. et al. Aspects of short REM latency in affective states: A revisit. Psych Res 1986; 17: 49-59.
• 3 Lauer CJ, Riemann D, Wiegand M, Berger M. From early to late adulthood. Changes in EEG sleep of depressed patients and healthy volunteers. Biological Psychiatry 1991; 29: 979-993.
• 4 Benca RM, Obermeyer WH, Thisted RA, Gillin JC. Sleep and psychiatric disorders. A meta-analysis. Archives of General Psychiatry 1992; 49: 651-668.
• 5 Riemann D. et al. Sleep in depression: The influence of age, gender and diagnostic subtype on baseline sleep and the cholinergic REM induction test with RS. Eur Arch Psychiatry Clin Neurosci 1994; 243 (05) 279-290.
• 6 Riemann D, Voderholzer U. Primary Insomnia: a risk factor to develop depression?. J Affective Disorders 2003; 76: 255-259.
• 7 Chouinard S, Poulin J, Stip E, Godbout R. Sleep in untreated patients with schizophrenia: A meta-analysis. Schizophrenia Bulletin 2004; 30: 957-967.
• 8 Baglioni C, Battagliese G, Feige B. et al. Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies. J Affect Disorders 2010; 135: 10-19.
• 9 Baglioni C. et al. Sleep and emotions: A focus on insomnia. Sleep Med Rev 2010; 14: 227-238.
• 10 World Health Organization. International statistical classification of diseases and related health problems. (10^th revision 2010). Geneva: WHO Library Cataloguing-in-publication Data; 2010
• 11 Pillai V, Kalmbach DA, Ciesla JA. A meta-analysis of electroencephalographic sleep in depression: Evidence for genetic biomarkers. Biological Psychiatry 2011; 70: 912-919.
• 12 Newell J, Mairesse O, Verbanck P, Neu D. Is a one-night stay in the lab really enough to conclude?. Psychiatry Research 2012; 200: 795-801.
• 13 Riemann D, Spiegelhalder K, Nissen C. et al. REM sleep instability - A new pathway for insomnia?. Pharmacopsychiatry 2012; 45: 167-176.
• 14 Palagini L. et al. REM sleep dysregulation in depression: State of the art. Sleep Med Rev 2013; 17: 377-390.
• 15 Baglioni C, Regen W, Teghen A. et al. Sleep changes in the disorder of insomnia: A meta-analysis of polysomnographic studies. Sleep Med Rev 2014; 18: 195-213.
• 16 AASM Manual for the Scoring of Sleep and Associated Events 2.2 ed. Westchester, Il: AASM 2015
• 17 American Psychiatric Association Diagnostic and statistical manual of mental disorders. (4^th ed.) Arlington, VA: American Psychiatc Publishing; 2013
• 18 American Psychiatric Association Diagnostic and statistical manual of mental disorders. (5^th ed.) Arlington, VA: American Psychiatc Publishing; 2015
• 19 Baglioni C, Nanovska S, Regen W. et al. Sleep and Mental Disorders: A Meta-Analysis of Polysomnographic Research. Psychological Bullet in 2015. http://dx.doi.org/ 10.1037/bul0000053.supp