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Gepubliceerd in: Journal of Behavioral Medicine 5/2019

21-02-2019

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

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

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 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.
Literatuur
go back to reference 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., 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
go back to reference 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 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
go back to reference 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 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
go back to reference Baust, W., & Bohnert, B. (1969). The regulation of heart rate during sleep. Experimental Brain Research, 7(2), 169–180.CrossRefPubMed Baust, W., & Bohnert, B. (1969). The regulation of heart rate during sleep. Experimental Brain Research, 7(2), 169–180.CrossRefPubMed
go back to reference Beck, A., Steer, R., & Brown, G. (1996). Beck depression inventory-II (BDI-II). San Antonio, TX: Psychological Corporation. Beck, A., Steer, R., & Brown, G. (1996). Beck depression inventory-II (BDI-II). San Antonio, TX: Psychological Corporation.
go back to reference Bonnet, M., & Arand, D. (2010). Hyperarousal and insomnia: State of the science. Sleep Medicine Reviews, 14(1), 9–15.CrossRefPubMed Bonnet, M., & Arand, D. (2010). Hyperarousal and insomnia: State of the science. Sleep Medicine Reviews, 14(1), 9–15.CrossRefPubMed
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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., 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
go back to reference 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., 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
go back to reference 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., 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
go back to reference 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., 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
go back to reference 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., 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference Freedman, R. (1986). EEG power spectra in sleep-onset insomnia. Electroencephalography and Clinical Neurophysiology, 63(5), 408–413.CrossRefPubMed Freedman, R. (1986). EEG power spectra in sleep-onset insomnia. Electroencephalography and Clinical Neurophysiology, 63(5), 408–413.CrossRefPubMed
go back to reference Freedman, R., & Sattler, H. (1982). Physiological and psychological factors in sleep-onset insomnia. Journal of Abnormal Psychology, 91(5), 380–389.CrossRefPubMed Freedman, R., & Sattler, H. (1982). Physiological and psychological factors in sleep-onset insomnia. Journal of Abnormal Psychology, 91(5), 380–389.CrossRefPubMed
go back to reference 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 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
go back to reference 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. (2000). Pre-sleep cognitive activity: A comparison of sleep-onset insomniacs and good sleepers. British Journal of Clinical Psychology, 39, 275–286.CrossRefPubMed
go back to reference Harvey, A. (2002). A cognitive model of insomnia. Behaviour Research and Therapy, 40(8), 869–893.CrossRefPubMed Harvey, A. (2002). A cognitive model of insomnia. Behaviour Research and Therapy, 40(8), 869–893.CrossRefPubMed
go back to reference 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, 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
go back to reference 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 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
go back to reference 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. 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.
go back to reference 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 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
go back to reference 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 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
go back to reference Léger, D., & Bayon, V. (2010). Societal costs of insomnia. Sleep Medicine Reviews, 14(6), 379–389.CrossRefPubMed Léger, D., & Bayon, V. (2010). Societal costs of insomnia. Sleep Medicine Reviews, 14(6), 379–389.CrossRefPubMed
go back to reference 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 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
go back to reference Merica, H., & Gaillard, J. (1992). The EEG of the sleep onset period in insomnia: A discriminant analysis. Physiology & Behavior, 52(2), 199–204.CrossRef Merica, H., & Gaillard, J. (1992). The EEG of the sleep onset period in insomnia: A discriminant analysis. Physiology & Behavior, 52(2), 199–204.CrossRef
go back to reference 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. 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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. (2002). Epidemiology of insomnia: What we know and what we still need to learn. Sleep Medicine Reviews, 6(2), 97–111.CrossRefPubMed
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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. 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.
go back to reference 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 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
go back to reference Trinder, J. (2007). Cardiac activity and sympathovagal balance during sleep. Sleep Medicine Clinics, 2(2), 199–208.CrossRef Trinder, J. (2007). Cardiac activity and sympathovagal balance during sleep. Sleep Medicine Clinics, 2(2), 199–208.CrossRef
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
Metagegevens
Titel
Reducing bedtime physiological arousal levels using immersive audio-visual respiratory bio-feedback: a pilot study in women with insomnia symptoms
Auteurs
Massimiliano de Zambotti
Mikhail Sizintsev
Stephanie Claudatos
Giacinto Barresi
Ian M. Colrain
Fiona C. Baker
Publicatiedatum
21-02-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2019
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-019-00020-9

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