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Associations of actigraphy derived rest activity patterns and circadian phase with clinical symptoms and polysomnographic parameters in chronic insomnia disorders.
Roh, Hyun Woong; Choi, Su Jung; Jo, Hyunjin; Kim, Dongyeop; Choi, Jung-Gu; Son, Sang Joon; Joo, Eun Yeon.
Afiliación
  • Roh HW; Department of Psychiatry, Ajou University School of Medicine, Suwon, Republic of Korea.
  • Choi SJ; Department of Brain Science, Ajou University School of Medicine, Suwon, Republic of Korea.
  • Jo H; Graduate School of Clinical Nursing Science, Sungkyunkwan University, Seoul, Republic of Korea.
  • Kim D; Department of Neurology, Neuroscience Center, Samsung Biomedical Research Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.
  • Choi JG; Department of Neurology, Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Republic of Korea.
  • Son SJ; Yonsei Graduate Program in Cognitive Science, Yonsei University, Seoul, Republic of Korea.
  • Joo EY; Department of Psychiatry, Ajou University School of Medicine, Suwon, Republic of Korea.
Sci Rep ; 12(1): 4895, 2022 03 22.
Article en En | MEDLINE | ID: mdl-35318367
We explored the associations of actigraphy-derived rest-activity patterns and circadian phase parameters with clinical symptoms and level 1 polysomnography (PSG) results in patients with chronic insomnia to evaluate the clinical implications of actigraphy-derived parameters for PSG interpretation. Seventy-five participants underwent actigraphy assessments and level 1 PSG. Exploratory correlation analyses between parameters derived from actigraphy, PSG, and clinical assessments were performed. First, participants were classified into two groups based on rest-activity pattern variables; group differences were investigated following covariate adjustment. Participants with poorer rest-activity patterns on actigraphy (low inter-day stability and high intra-daily variability) exhibited higher insomnia severity index scores than participants with better rest-activity patterns. No between-group differences in PSG parameters were observed. Second, participants were classified into two groups based on circadian phase variables. Late-phase participants (least active 5-h and most active 10-h onset times) exhibited higher insomnia severity scores, longer sleep and rapid eye movement latency, and lower apnea-hypopnea index than early-phase participants. These associations remained significant even after adjusting for potential covariates. Some actigraphy-derived rest-activity patterns and circadian phase parameters were significantly associated with clinical symptoms and PSG results, suggesting their possible adjunctive role in deriving plans for PSG lights-off time and assessing the possible insomnia pathophysiology.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actigrafía / Trastornos del Inicio y del Mantenimiento del Sueño Tipo de estudio: Diagnostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Sci Rep Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actigrafía / Trastornos del Inicio y del Mantenimiento del Sueño Tipo de estudio: Diagnostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Sci Rep Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido