The emotional component of insomnia disorder: A focus on emotion regulation and affect dynamics in relation to sleep quality and insomnia

Theoretical models of insomnia disorder recognise an emotional component in the main-tenance of the disorder. Nonetheless, the field of emotions is vast and different pro-cesses are involved in psychological well-being. The present narrative review focusseson emotion regulation and affect dynamics, synthesising some of the most recent andrelevant evidence on emotions in relationto the quality of sleep and to insomnia disor-der. The literature underlines the close association between impaired sleep quality anddifficulties in regulating emotions. Impairedsleep quality is also associated with reducedpositive affect and increased negative affect,but little evidence supports a bi-directionalassociation between affective states and sleep. Affect variability in relation to sleep hasbeen less investigated. Initial evidence suggests that high variability in positive affect hasa negative impact on sleep. Neurobiological and behavioural evidence indicates thatinsomnia disorder is associated with emotion dysregulation, negative affect, and a dis-tinct daily profile of affective states. Moreresearch is needed on the affective experi-ence of patients with insomnia disorder, adopting multiple sampling of affect across theday and the week. Understanding how the unfolding of emotions over time interact withsleep alterations may help to improve the tailoring and monitoring of treatments addres-sing disturbed emotional processes in insomnia disorder

Brain alterations in children/adolescents with ADHD revisited: a neuroimaging meta-analysis of 96 structural and functional studies

The findings of neuroimaging studies in children/adolescents with ADHD, and even those of previous meta-analyses, are divergent. Here, Activation Likelihood Estimation meta-analysis, following the current best-practice guidelines, was conducted. We searched multiple databases and traced the references up to June 2018. Then, we extracted the reported coordinates reflecting group comparison between ADHD and healthy subjects from 96 eligible studies, containing 1914 unique participants. The analysis of pooled structural and functional, sub-analyses restricted to modality, and in-/decreased contrast did not yield any significant findings. However, further sub-analyses in the task-fMRI experiments (neutral stimuli only) led to aberrant activity in the left pallidum/putamen and decreased activity (male subjects only) in the left inferior frontal gyrus. The overall findings indicate a lack of regional convergence in children/adolescents with ADHD, which might be due to heterogeneous clinical populations, various experimental design, preprocessing, statistical procedures in individual publications. Our results highlight the need for further high-powered investigations, but may also indicate ADHD pathophysiology might rest in network interactions rather than just regional abnormality

A lack of consistent brain alterations in insomnia disorder: An activation likelihood estimation meta-analysis

Insomnia disorder is a prevalent sleep disorder, which affects about 10% of general population. However, its neural mechanisms are poorly understood. Recently, several structural and functional neuroimaging studies have been conducted in patients with insomnia disorder, but these studies have yielded diverse findings. Here, we aimed to identify consistent patterns of abnormal brain alterations in insomnia disorder by performing a quantitative coordinate-based meta-analysis. Following the preferred reporting for systematic reviews and meta-analyses statement, we searched PubMed database and used reference tracking and finally retrieved 19 eligible studies (six task-based functional magnetic resonance imaging, eight resting-state functional magnetic resonance imaging, three voxel-based morphometry, and two positron emission tomography). We extracted peak coordinates from these studies and tested for convergence using the activation likelihood estimation method. Using this method, we found no significant convergent evidence for combination of structural atrophy and functional disturbances across previous studies (p = 0.914). Inconsistencies across these studies might be related to heterogonous clinical populations, the explorative nature of these studies in combination with small sample sizes, different experimental designs, and various preprocessing and statistical approaches. Future neuroimaging studies on insomnia disorder should include larger well-characterized samples, as well as standard imaging and analysis protocols

Practical recommendations to conduct a neuroimaging meta‐analysis for neuropsychiatric disorders

Over the past decades, neuroimaging has become widely used to investigate structural and functional brain abnormality in neuropsychiatric disorders. The results of individual neuroimaging studies, however, are frequently inconsistent due to small and heterogeneous samples, analytical flexibility, and publication bias toward positive findings. To consolidate the emergent findings toward clinically useful insight, meta-analyses have been developed to integrate the results of studies and identify areas that are consistently involved in pathophysiology of particular neuropsychiatric disorders. However, it should be considered that the results of meta-analyses could also be divergent due to heterogeneity in search strategy, selection criteria, imaging modalities, behavioral tasks, number of experiments, data organization methods, and statistical analysis with different multiple comparison thresholds. Following an introduction to the problem and the concepts of quantitative summaries of neuroimaging findings, we propose practical recommendations for clinicians and researchers for conducting transparent and methodologically sound neuroimaging meta-analyses. This should help to consolidate the search for convergent regional brain abnormality in neuropsychiatric disorders

PHENOTYPIC AND GENETIC CORRELATION BETWEEN SLEEP, BEHAVIOR, AND MACROSCALE CORTICAL GREY MATTER

Humans need about 7 to 9 hours of sleep per night. Sleep habits are heritable, associated with brain function and structure, and intrinsically related to well-being, mental and physical health. This raises the question whether associations between sleep, mental and physical health can be attributed to a shared macroscale neurobiology.Combining neuroimaging and behavioral genetic approaches in two independent large-scale datasets (n=1887) we demonstrate phenotypic and genetic correspondence between sleep, intelligence, and BMI. Sleep was associated with local thickness variation in frontal, temporal, and occipital cortices. Using a comprehensive multivariate approach, we identified two robust latent components highlighting the interdigitation of sleep, intelligence, BMI, and depression and their shared relation to regions in unimodal and heteromodal association cortices. Latent relationships were heritable and driven by shared additive genetic factors. These observations provide a system-level perspective on the interrelation of sleep, mental, and physical conditions, anchored in grey-matter neuroanatomy

The interrelation of sleep and mental and physical health is anchored in grey-matter neuroanatomy and under genetic control

Humans need about seven to nine hours of sleep per night. Sleep habits are heritable, associated with brain function and structure, and intrinsically related to well-being, mental, and physical health. However, the biological basis of the interplay of sleep and health is incompletely understood. Here we show, by combining neuroimaging and behavioral genetic approaches in two independent large-scale datasets (HCP (n = 1106), age range: 22–37, eNKI (n = 783), age range: 12–85), that sleep, mental, and physical health have a shared neurobiological basis in grey matter anatomy; and that these relationships are driven by shared genetic factors. Though local associations between sleep and cortical thickness were inconsistent across samples, we identified two robust latent components, highlighting the multivariate interdigitation of sleep, intelligence, BMI, depression, and macroscale cortical structure. Our observations provide a system-level perspective on the interrelation of sleep, mental, and physical conditions, anchored in grey-matter neuroanatomy

Author Correction: The interrelation of sleep and mental and physical health is anchored in grey-matter neuroanatomy and under genetic control

10.1038/s42003-020-1017-yCommunications biology3129