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21.02.2019 | Insomnia

Reducing bedtime physiological arousal levels using immersive audio-visual respiratory bio-feedback: a pilot study in women with insomnia symptoms

verfasst von: Massimiliano de Zambotti, Mikhail Sizintsev, Stephanie Claudatos, Giacinto Barresi, Ian M. Colrain, Fiona C. Baker

Erschienen in: Journal of Behavioral Medicine | Ausgabe 5/2019

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Abstract

Hyperarousal is a critical component of insomnia, particularly at bedtime when individuals are trying to fall asleep. The current study evaluated the effect of a novel, acute behavioral experimental manipulation (combined immersive audio-visual relaxation and biofeedback) in reducing bedtime physiological hyperarousal in women with insomnia symptoms. After a clinical/adaptation polysomnographic (PSG) night, sixteen women with insomnia symptoms had two random-order PSG nights: immersive audio-visual respiratory bio-feedback across the falling asleep period (manipulation night), and no pre-sleep arousal manipulation (control night). While using immersive audio-visual respiratory bio-feedback, overall heart rate variability was increased and heart rate (HR) was reduced (by ~ 5 bpm; p < 0.01), reflecting downregulation of autonomic pre-sleep arousal, relative to no-manipulation. HR continued to be lower during sleep, and participants had fewer awakenings and sleep stage transitions on the manipulation night relative to the control night (p < 0.05). The manipulation did not affect sleep onset latency or other PSG parameters. Overall, this novel behavioral approach targeting the falling asleep process emphasizes the importance of pre-sleep hyperarousal as a potential target for improving sleep and nocturnal autonomic function during sleep in insomnia.

Baglioni, C., Battagliese, G., Feige, B., Spiegelhalder, K., Nissen, C., Voderholzer, U., et al. (2011). Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies. Journal of Affective Disorders, 135(1–3), 10–19.CrossRefPubMed

Baglioni, C., Regen, W., Teghen, A., Spiegelhalder, K., Feige, B., Nissen, C., et al. (2014). Sleep changes in the disorder of insomnia: A meta-analysis of polysomnographic studies. Sleep Medicine Reviews, 18(3), 195–213.CrossRefPubMed

Bastien, C., Vallières, A., & Morin, C. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297–307.CrossRefPubMed

Baust, W., & Bohnert, B. (1969). The regulation of heart rate during sleep. Experimental Brain Research, 7(2), 169–180.CrossRefPubMed

Beck, A., Steer, R., & Brown, G. (1996). Beck depression inventory-II (BDI-II). San Antonio, TX: Psychological Corporation.

Bonnet, M., & Arand, D. (2010). Hyperarousal and insomnia: State of the science. Sleep Medicine Reviews, 14(1), 9–15.CrossRefPubMed

Buysse, D., Reynolds, C., III, Monk, T., Berman, S., & Kupfer, D. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213.CrossRefPubMed

Cervena, K., Espa, F., Perogamvros, L., Perrig, S., Merica, H., & Ibanez, V. (2014). Spectral analysis of the sleep onset period in primary insomnia. Clinical Neurophysiology, 125(5), 979–987.CrossRefPubMed

Cortoos, A., De Valck, E., Arns, M., Breteler, M., & Cluydts, R. (2010). An exploratory study on the effects of tele-neurofeedback and tele-biofeedback on objective and subjective sleep in patients with primary insomnia. Applied Psychophysiology and Biofeedback, 35(2), 125–134.CrossRefPubMed

de Zambotti, M., Cellini, N., Baker, F., Colrain, I., Sarlo, M., & Stegagno, L. (2014). Nocturnal cardiac autonomic profile in young primary insomniacs and good sleepers. International Journal of Psychophysiology, 93(3), 332–339.CrossRefPubMed

de Zambotti, M., Covassin, N., De Min, T. G., Sarlo, M., & Stegagno, L. (2011). Sleep onset and cardiovascular activity in primary insomnia. Journal of Sleep Research, 20(2), 318–325.CrossRefPubMed

de Zambotti, M., Covassin, N., Sarlo, M., De Min, T. G., Trinder, J., & Stegagno, L. (2013). Nighttime cardiac sympathetic hyper-activation in young primary insomniacs. Clinical Autonomic Research, 23(1), 49–56.CrossRefPubMed

de Zambotti, M., Sugarbaker, D., Trinder, J., Colrain, I., & Baker, F. (2016). Acute stress alters autonomic modulation during sleep in women approaching menopause. Psychoneuroendocrinology, 66, 1–10.CrossRefPubMed

de Zambotti, M., Trinder, J., Colrain, I., & Baker, F. (2017). Menstrual cycle-related variation in autonomic nervous system functioning in women in the early menopausal transition with and without insomnia disorder. Psychoneuroendocrinology, 75, 44–51.CrossRefPubMed

de Zambotti, M., Trinder, J., Silvani, A., Colrain, I., & Baker, F. C. (2018). Dynamic coupling between the central and autonomic nervous systems during sleep: A review. Neuroscience and Biobehavioral Reviews, 90, 84–103. https://doi.org/10.1016/j.neubiorev.2018.03.027 CrossRefPubMedPubMedCentral

de Zambotti, M., Willoughby, A. R., Sassoon, S. A., Colrain, I. M., & Baker, F. C. (2015). Menstrual cycle-related variation in physiological sleep in women in the early menopausal transition. Journal of Clinical Endocrinology and Metabolism, 100(8), 2918–2926.CrossRefPubMed

Dodds, K. L., Miller, C. B., Kyle, S. D., Marshall, N. S., & Gordon, C. J. (2017). Heart rate variability in insomnia patients: A critical review of the literature. Sleep Medicine Reviews, 33, 88–100.CrossRefPubMed

Ebben, M., Kurbatov, V., & Pollak, C. (2009). Moderating laboratory adaptation with the use of a heart-rate variability biofeedback device (StressEraser). Applied Psychophysiology and Biofeedback, 34(4), 245–249.CrossRefPubMed

Edinger, J., Fins, A., Sullivan, R., Jr., Marsh, G., Dailey, D., Hope, T., et al. (1997). Sleep in the laboratory and sleep at home: Comparisons of older insomniacs and normal sleepers. Sleep, 20(12), 1119–1126.CrossRefPubMed

Farina, B., Dittoni, S., Colicchio, S., Testani, E., Losurdo, A., Gnoni, V., et al. (2014). Heart rate and heart rate variability modification in chronic insomnia patients. Behavioral Sleep Medicine, 12(4), 290–306.CrossRefPubMed

Freedman, R. (1986). EEG power spectra in sleep-onset insomnia. Electroencephalography and Clinical Neurophysiology, 63(5), 408–413.CrossRefPubMed

Freedman, R., & Sattler, H. (1982). Physiological and psychological factors in sleep-onset insomnia. Journal of Abnormal Psychology, 91(5), 380–389.CrossRefPubMed

Hall, M., Vasko, R., Buysse, D., Ombao, H., Chen, Q., Cashmere, J., et al. (2004). Acute stress affects heart rate variability during sleep. Psychosomatic Medicine, 66(1), 56–62.CrossRefPubMed

Harvey, A. (2000). Pre-sleep cognitive activity: A comparison of sleep-onset insomniacs and good sleepers. British Journal of Clinical Psychology, 39, 275–286.CrossRefPubMed

Harvey, A. (2002). A cognitive model of insomnia. Behaviour Research and Therapy, 40(8), 869–893.CrossRefPubMed

Harvey, K., & Espie, C. (2004). Development and preliminary validation of the Glasgow Content of Thoughts Inventory (GCTI): A new measure for the assessment of pre-sleep cognitive activity. British Journal of Clinical Psychology, 43(Pt 4), 409–420.CrossRefPubMed

Harvey, A., & Payne, S. (2002). The management of unwanted pre-sleep thoughts in insomnia: Distraction with imagery versus general distraction. Behaviour Research and Therapy, 40(3), 267–277.CrossRefPubMed

Iber, C. (2007). The AASM manual for the scoring of sleep and associated events: Rules, terminology and technical specifications. Darien: American Academy of Sleep Medicine.

Krasnikov, G., Tyurina, M., Tankanag, A., Piskunova, G., & Chemeris, N. (2013). Analysis of heart rate variability and skin blood flow oscillations under deep controlled breathing. Respiratory Physiology & Neurobiology, 185(3), 562–570.CrossRef

Lamarche, C., & Ogilvie, R. (1997). Electrophysiological changes during the sleep onset period of psychophysiological insomniacs, psychiatric insomniacs, and normal sleepers. Sleep, 20(9), 724–733.CrossRefPubMed

Léger, D., & Bayon, V. (2010). Societal costs of insomnia. Sleep Medicine Reviews, 14(6), 379–389.CrossRefPubMed

Lehrer, P. M., & Gevirtz, R. (2014). Heart rate variability biofeedback: How and why does it work? Frontiers in Psychology, 5, 756.CrossRefPubMedPubMedCentral

Liu, G.-Z., Guo, Y.-W., Zhu, Q.-S., Huang, B.-Y., & Wang, L. (2011). Estimation of respiration rate from three-dimensional acceleration data based on body sensor network. Telemedicine and E-Health, 17(9), 705–711.CrossRefPubMed

Merica, H., & Gaillard, J. (1992). The EEG of the sleep onset period in insomnia: A discriminant analysis. Physiology & Behavior, 52(2), 199–204.CrossRef

Morin, C. M., Belleville, G., Bélanger, L., & Ivers, H. (2011). The Insomnia Severity Index: Psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep, 34(5), 601–608.CrossRefPubMedPubMedCentral

Morin, C., LeBlanc, M., Daley, M., Gregoire, J., & Mérette, C. (2006). Epidemiology of insomnia: Prevalence, self-help treatments, consultations, and determinants of help-seeking behaviors. Sleep Medicine, 7(2), 123–130.CrossRefPubMed

Nicassio, P., Mendlowitz, D., Fussell, J., & Petras, L. (1985). The phenomenology of the pre-sleep state: The development of the pre-sleep arousal scale. Behaviour Research and Therapy, 23(3), 263–271.CrossRefPubMed

Ohayon, M. (2002). Epidemiology of insomnia: What we know and what we still need to learn. Sleep Medicine Reviews, 6(2), 97–111.CrossRefPubMed

Ohayon, M. M., & Reynolds, C. F., III. (2009). Epidemiological and clinical relevance of insomnia diagnosis algorithms according to the DSM-IV and the International Classification of Sleep Disorders (ICSD). Sleep Medicine, 10(9), 952–960.CrossRefPubMedPubMedCentral

Perlis, M. L., Ellis, J. G., Kloss, J. D., & Riemann, D. W. (2017). Chapter 82—Etiology and pathophysiology of insomnia. In M. Kryger, T. Roth, & W. C. Dement (Eds.), Principles and practice of sleep medicine (6th ed., pp. 769–784). Amsterdam: Elsevier.CrossRef

Repetto, C., Gaggioli, A., Pallavicini, F., Cipresso, P., Raspelli, S., & Riva, G. (2013). Virtual reality and mobile phones in the treatment of generalized anxiety disorders: A phase-2 clinical trial. Personal and Ubiquitous Computing, 17(2), 253–260.CrossRef

Riemann, D. (2007). Insomnia and comorbid psychiatric disorders. Sleep Medicine, 8, S15–S20.CrossRefPubMed

Riemann, D., Spiegelhalder, K., Feige, B., Voderholzer, U., Berger, M., Perlis, M., et al. (2010). The hyperarousal model of insomnia: A review of the concept and its evidence. Sleep Medicine Reviews, 14(1), 19–31.CrossRefPubMed

Robertson, J., Broomfield, N., & Espie, C. (2007). Prospective comparison of subjective arousal during the pre-sleep period in primary sleep-onset insomnia and normal sleepers. Journal of Sleep Research, 16(2), 230–238.CrossRefPubMed

Sakakibara, M., Hayano, J., Oikawa, L., Katsamanis, M., & Lehrer, P. (2013). Heart rate variability biofeedback improves cardiorespiratory resting function during sleep. Applied Psychophysiology and Biofeedback, 38(4), 265–271.CrossRefPubMed

Schutte-Rodin, S., Broch, L., Buysse, D., Dorsey, C., & Sateia, M. (2008). Clinical guideline for the evaluation and management of chronic insomnia in adults. Journal of Clinical Sleep Medicine, 4(5), 487–504.PubMedPubMedCentral

Sofi, F., Cesari, F., Casini, A., Macchi, C., Abbate, R., & Gensini, G. (2014). Insomnia and risk of cardiovascular disease: A meta-analysis. European Journal of Preventive Cardiology, 21(1), 57–64.CrossRefPubMed

Song, H., & Lehrer, P. (2003). The effects of specific respiratory rates on heart rate and heart rate variability. Applied Psychophysiology and Biofeedback, 28(1), 13–23.CrossRefPubMed

Soules, M., Sherman, S., Parrott, E., Rebar, R., Santoro, N., Utian, W., et al. (2001). Executive summary: Stages of reproductive aging workshop (STRAW). Climacteric, 4(4), 267–272.CrossRefPubMed

Spielberger, C., Gorsuch, R., Lushene, R., Vagg, P., & Jacobs, G. (1983). Manual for the state-trait anxiety inventory: STAI (Form Y). Palo Alto: Consulting Psychologists Press.

Staner, L., Cornette, F., Maurice, D., Viardot, G., Le Bon, O., Haba, J., et al. (2003). Sleep microstructure around sleep onset differentiates major depressive insomnia from primary insomnia. Journal of Sleep Research, 12(4), 319–330.CrossRefPubMed

Trinder, J. (2007). Cardiac activity and sympathovagal balance during sleep. Sleep Medicine Clinics, 2(2), 199–208.CrossRef

Trinder, J., Kleiman, J., Carrington, M., Smith, S., Breen, S., Tan, N., et al. (2001). Autonomic activity during human sleep as a function of time and sleep stage. Journal of Sleep Research, 10(4), 253.CrossRefPubMed

van Straten, A., van der Zweerde, T., Kleiboer, A., Cuijpers, P., Morin, C., & Lancee, J. (2017). Cognitive and behavioral therapies in the treatment of insomnia: A meta-analysis. Sleep Medicine Reviews, 38, 3–16.CrossRefPubMed

Wuyts, J., De Valck, E., Vandekerckhove, M., Pattyn, N., Bulckaert, A., Berckmans, D., et al. (2012). The influence of pre-sleep cognitive arousal on sleep onset processes. International Journal of Psychophysiology, 83(1), 8–15.CrossRefPubMed

Zachariae, R., Lyby, M., Ritterband, L., & O’Toole, M. (2016). Efficacy of internet-delivered cognitive-behavioral therapy for insomnia-A systematic review and meta-analysis of randomized controlled trials. Sleep Medicine Reviews, 30, 1–10.CrossRefPubMed

Titel: Reducing bedtime physiological arousal levels using immersive audio-visual respiratory bio-feedback: a pilot study in women with insomnia symptoms
verfasst von: Massimiliano de Zambotti
Mikhail Sizintsev
Stephanie Claudatos
Giacinto Barresi
Ian M. Colrain
Fiona C. Baker
Publikationsdatum: 21.02.2019
Verlag: Springer US
Schlagwort: Insomnia
Erschienen in: Journal of Behavioral Medicine / Ausgabe 5/2019
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-019-00020-9

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