先兆亨廷顿病的睡眠片段化、24小时休息-活动模式和认知功能:一项活动描记研究

IF 2.6 3区 心理学 Q3 NEUROSCIENCES
Neuropsychology Pub Date : 2025-03-03 DOI:10.1037/neu0001001
Emily S Fitzgerald, Yifat Glikmann-Johnston, Jessica E Manousakis, Meg Rankin, Clare Anderson, Melinda L Jackson, Julie C Stout
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引用次数: 0

摘要

目的:在亨廷顿舞蹈病(HD)中,认知症状、睡眠片段化和日常活动模式改变可在诊断前15年出现。然而,睡眠和休息-活动模式是否与hd前期的认知功能有关尚不清楚。我们研究了与健康对照(hc)相比,hd前期患者的休息-活动模式、睡眠和认知功能之间的关系。方法:所有参与者完成了为期14天的活动记录、在线问卷调查和远程认知评估。结果:Pre-HD组(n = 36)在快速叩击方面的表现较HC组(n = 42)差。睡眠碎片化程度高的hd前期参与者在轨迹测试(TMT)和霍普金斯语言学习测试(HVLT-R)中的表现更差。在hd前期,较低的日内变异性和较高的日间稳定性(更稳定,更少碎片化的休息-活动模式)与轨迹测试B部分,符号数字模式测试,情绪识别任务,Rey复杂图形测试,视觉记忆任务,节奏敲击和HVLT-R总试验中的较差表现相关。较高的日间稳定性也与较差的HVLT-R性能有关。相对波幅和睡眠规律指数与成绩无关。匹兹堡睡眠质量指数中较差的睡眠质量与较差的HVLT-R延迟和节奏敲击得分相关。失眠越严重(失眠严重指数得分越高),Rey Complex Figure Test副本越低。结论:我们的研究结果强调了不间断睡眠对hd前期认知功能的重要性,并揭示了旨在改善认知症状的干预目标。更大的队列按接近诊断分层是至关重要的,以提高我们的理解这些关系在整个前期表现。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sleep fragmentation, 24-hr rest-activity patterns, and cognitive function in premanifest Huntington's disease: An actigraphy study.

Objective: In Huntington's disease (HD), cognitive symptoms, sleep fragmentation, and daily activity pattern alterations can occur up to 15 years before diagnosis in premanifest HD (Pre-HD). Whether sleep and rest-activity patterns relate to cognitive function in Pre-HD, however, remains unclear. We investigated the relationships between rest-activity patterns, sleep, and cognitive function in Pre-HD compared to healthy controls (HCs).

Method: All participants completed 14 days of actigraphy, online questionnaires, and remote cognitive assessments.

Results: The Pre-HD group (n = 36) performed worse on Speeded Tapping than the HC group (n = 42). Pre-HD participants with heightened sleep fragmentation performed more poorly on the Trail Making Test (TMT) and Hopkins Verbal Learning Test-Revised (HVLT-R). In Pre-HD, lower intra-daily variability and higher interdaily stability (more stable, less fragmented rest-activity patterns) were associated with poorer performance on the trail making test Part B, Symbol Digit Modalities Test, Emotion Recognition Task, Rey Complex Figure Test, visual memory task, paced tapping, and HVLT-R total trial. Higher interdaily stability was also linked to poorer HVLT-R performance. Relative amplitude and sleep regularity index were not related to performance. Poorer sleep quality on the Pittsburgh Sleep Quality Index correlated with worse HVLT-R delayed and paced tapping scores. More severe insomnia (higher Insomnia Severity Index scores) correlated with lower Rey Complex Figure Test copy.

Conclusions: Our findings emphasize the importance of uninterrupted sleep on cognitive function in Pre-HD and reveal targets for interventions aimed at improving cognitive symptoms. Larger cohorts stratified by proximity to diagnosis are critical to improving our understanding of these relationships across the premanifest period. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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来源期刊
Neuropsychology
Neuropsychology 医学-神经科学
CiteScore
4.10
自引率
4.20%
发文量
132
审稿时长
6-12 weeks
期刊介绍: Neuropsychology publishes original, empirical research; systematic reviews and meta-analyses; and theoretical articles on the relation between brain and human cognitive, emotional, and behavioral function.
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