Psychopathology and NREM sleep parasomnias: A systematic review

IF 11.2 1区医学 Q1 CLINICAL NEUROLOGY

Sleep Medicine Reviews Pub Date : 2024-12-15 DOI:10.1016/j.smrv.2024.102043

Tijana Tomic , Samantha Mombelli , Stan Oana , Luigi Ferini-Strambi , Andrea Raballo , Mauro Manconi , Andrea Galbiati , Anna Castelnovo

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引用次数: 0

Abstract

Non-rapid eye movement (NREM) sleep parasomnias are abnormal motor and/or emotional behaviors originating from "deep" slow-wave sleep and with a multifactorial origin. The relationship between NREM parasomnias and psychopathology has been a topic of ongoing debate, but a comprehensive and systematic perspective has been lacking. This systematic review, conducted according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA-P) guidelines, aims to fill this gap in the literature.

Databases including PubMed, Scopus, Embase, and Web of Science were searched from their inception until March 2024. Only studies written in English were included. We selected case-control studies that reported either psychopathological or neurodevelopmental data in NREM sleep parasomnias, or NREM sleep parasomnia data across different mental disorders, across children and adults.

Our review found that psychopathological and neurodevelopmental issues are common in NREM parasomnias, with a higher prevalence in affected patients compared to non-affected individuals. Additionally, NREM parasomnias are more common among patients with various psychopathological conditions than in the general population. Medications did not significantly bias these results. These findings suggest that psychopathological aspects should become a core focus of research and treatment strategies for NREM parasomnias.

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精神病理学和非快速眼动睡眠异象：系统综述。

非快速眼动（NREM）睡眠异象是源于“深度”慢波睡眠的异常运动和/或情绪行为，具有多因素的起源。非快速眼动睡眠与精神病理之间的关系一直是一个争论不休的话题，但缺乏一个全面和系统的视角。本系统综述根据系统综述和荟萃分析（PRISMA-P）指南的首选报告项目进行，旨在填补文献中的这一空白。包括PubMed， Scopus， Embase和Web of Science在内的数据库从成立到2024年3月进行了搜索。只包括用英语写的研究。我们选择了病例对照研究，这些研究报告了非快速眼动睡眠睡眠异常的精神病理或神经发育数据，或不同精神障碍儿童和成人的非快速眼动睡眠睡眠异常数据。我们的综述发现，精神病理和神经发育问题在NREM睡眠异常中很常见，与未受影响的个体相比，受影响的患者的患病率更高。此外，非快速眼动睡眠异常在各种精神病理状况的患者中比在一般人群中更常见。药物治疗对这些结果没有明显的影响。这些发现表明，精神病理方面应成为NREM睡眠异常研究和治疗策略的核心焦点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep Medicine Reviews 医学-临床神经学

CiteScore

20.10

自引率

3.80%

发文量

107

期刊介绍： Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.