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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11120/25:43927836

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30103 - Neurosciences (including psychophysiology)

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2025

Kód důvěrnosti údajů

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

Název periodika

Journal of Sleep Research

ISSN

0962-1105

e-ISSN

1365-2869

Svazek periodika

34

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

13

Strana od-do

"e14452"

Kód UT WoS článku

001389172300001

EID výsledku v databázi Scopus

2-s2.0-85213529568