Cognitive-behavioural therapy for insomnia mechanism of action: Exploring the homeostatic K-complex involvement

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023752%3A_____%2F25%3A43921415" target="_blank" >RIV/00023752:_____/25:43921415 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11120/25:43927836

Result on the web

<a href="https://onlinelibrary.wiley.com/doi/epdf/10.1111/jsr.14452" target="_blank" >https://onlinelibrary.wiley.com/doi/epdf/10.1111/jsr.14452</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1111/jsr.14452" target="_blank" >10.1111/jsr.14452</a>

Result language

angličtina

Original language name

Cognitive-behavioural therapy for insomnia mechanism of action: Exploring the homeostatic K-complex involvement

Original language description

Investigating the mechanisms of action of cognitive-behavioural therapy for insomnia (CBT-I), the first-line treatment for chronic insomnia disorder (ID), can contribute to the overall understanding of insomnia and its treatment. To date, no study has examined the relationship between K-complexes (KC) and CBT-I, despite the known homeostatic and protective function of this relevant sleep brainwave. This retrospective multicentre study aims to explore the relationship between electroencephalographic (EEG) indices and CBT-I, with a particular focus on evaluating an index of sleep homeostasis identified by KC. This research is designed to assess the predictive value of this index for treatment outcomes and to examine its variations before and after intervention. Ninety eight patients with ID underwent a 6-8 week in-person CBT-I programme, with pre-and post-treatment evaluation conducted using polysomnography (PSG) and the Insomnia Severity Index (ISI). The main outcome was determined by calculating the slope of the linear equation indexing the KC density (number of KC/minutes of N2) in each non-artifacted NREM stage 2 epoch throughout the night (KCSlope). Furthermore, the sample was categorised into Responders (ISIdecrease &gt;= 8) and non-Responders (ISIdecrease &lt;8). The results indicate that the KC Slope is effective not only to predict treatment response (one-way ANOVA, F = 7.831 p = 0.007; Responders = -2.954*10(-5) +/- 3.346*10(-5), non-Responders = -5.583*10(-5) +/- 5.305*10(-5); adjusted for PSG wake after sleep onset at the baseline), but also to detect a statistically significant improvement in sleep pressure following CBT-I (Wilcoxon signed-rank test W = 3074.000 p = 0.022; KCSlope pre-treatment = -4.054*10(-5) +/- 4.446*10(-5), KCSlope post-treatment = -4.797*10(-5) +/- 5.710*10(-5)). These findings suggest that CBT-I increases sleep pressure in patients with chronic insomnia, highlighting a novel and relevant biomarker in this context.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30103 - Neurosciences (including psychophysiology)

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Sleep Research

ISSN

0962-1105

e-ISSN

1365-2869

Volume of the periodical

34

Issue of the periodical within the volume

4

Country of publishing house

GB - UNITED KINGDOM

Number of pages

13

Pages from-to

"e14452"

UT code for WoS article

001389172300001

EID of the result in the Scopus database

2-s2.0-85213529568