The association between emotional dysregulation and REM sleep features in insomnia disorder.

Abstract:

:Rapid Eye Movement (REM) sleep is involved in nightly emotional processing; therefore, its disruption might be associated with an impaired ability of emotional regulation during daytime. Accordingly, the aim of the present study was to evaluate the presence of emotional dysregulation in insomnia patients and to test its correlation with REM sleep features. Forty-six subjects (23 insomnia patients and 23 healthy controls) were enrolled. All subjects underwent an assessment for the evaluation of emotion dysregulation (Difficulties in Emotion Regulation Scale, DERS), sleep quality, insomnia severity, excessive daytime sleepiness, worry, rumination, depressive and anxious symptomatology. Insomnia patients underwent a nocturnal polysomnographic recording to characterize sleep macrostructure and REM sleep microstructure variables. Insomnia patients reported increased values of emotional dysregulation. REM sleep percentage and REM sleep latency significantly correlated with DERS total score, and with the subscales "Lack of Confidence in Emotional Regulation Skills", "Difficulties in Behavioral Control" and "Difficulty in recognizing emotions". Furthermore, positive correlations between REM arousal index and emotion dysregulation were found, whereas REM density negatively correlated with DERS. Our results suggest the presence of a relationship between REM sleep and emotional regulation in insomnia patients.

journal_name

Brain Cogn

journal_title

Brain and cognition

authors

Galbiati A,Sforza M,Fasiello E,Casoni F,Marrella N,Leitner C,Zucconi M,Ferini-Strambi L

doi

10.1016/j.bandc.2020.105642

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

105642

eissn

0278-2626

issn

1090-2147

pii

S0278-2626(20)30245-1

journal_volume

146

pub_type

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