Affect and arousal in insomnia: through a lens of neuroimaging studies

Abstract: Purpose of Review
Previous research has struggled with identifying clear-cut, objective counterparts to subjective distress in insomnia. Approaching this discrepancy with a focus on hyperarousal and dysfunctional affective processes, studies examining brain structures and neural networks involved in affect and arousal are reviewed and conclusions for an updated understanding of insomnia are drawn.

Recent Findings
Recent studies found that amygdala reactivity, morphometry and adaptation in insomnia are altered, indicating that processing of negative stimuli is intensified and more lasting. Also, patients with insomnia show aberrant connectivity in the default mode network (DMN) and the salience network (SN), which is associated with subjective sleep disturbances, hyperarousal, maladaptive emotion regulation and disturbed integration of emotional states. The limbic circuit is assumed to play a crucial role in enhanced recall of negative experiences.

Summary
There is reason to consider insomnia as a disorder of affect and arousal. Dysregulation of the limbic circuit might perpetuate impaired connectivity in the DMN and the SN. However, the interplay between the networks is yet to be researched

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch
Anmerkungen
Current psychiatry reports. - 22, 9 (2020) , 44, ISSN: 1535-1645

Schlagwort
Schlafstörung
Limbisches System

Ereignis
Veröffentlichung
(wo)
Freiburg
(wer)
Universität
(wann)
2020
Urheber
Schiel, Julian E.
Holub, Florian
Petri, Roxana
Leerssen, Jeanne
Tamm, Sandra
Tahmasian, Masoud
Riemann, Dieter
Spiegelhalder, Kai

DOI
10.1007/s11920-020-01173-0
URN
urn:nbn:de:bsz:25-freidok-1667886
Rechteinformation
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Letzte Aktualisierung
14.08.2025, 10:45 MESZ

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Beteiligte

Entstanden

  • 2020

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