Benzodiazepines and Sleep Architecture : A Systematic Review

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BACKGROUND: Insomnia, defined as a difficulty in initiating or maintaining sleep, is a relevant medical issue. Benzodiazepines (BZDs) are commonly prescribed to treat insomnia. Two phases characterize human sleep structure: sleep with Non-Rapid Eye Movement (NREM) and sleep with Rapid Eye Movement (REM). Physiological sleep includes NREM and REM phases in a continuous cycle known as "Sleep Architecture.".

OBJECTIVE: This systematic review summarizes the studies that have investigated effects of BZDs on Sleep Architecture.

METHODS: The articles selection included human clinical trials (in English, Portuguese, or Spanish) only, specifically focused on BZDs effects on sleep architecture. PubMed, BVS, and Google Scholar databases were searched.

RESULTS: Findings on BZDs effects on sleep architecture confirm an increase in stage 2 of NREM sleep and a decrease in time of stages 3 and 4 of NREM sleep with a reduction in time of REM sleep during the nocturnal sleep.

CONCLUSION: Variations in NREM and REM sleep may lead to deficits in concentration and working memory and weight gain. The increase in stage 2 of NREM sleep may lead to a subjective improvement of sleep quality with no awakenings. BZDz should be prescribed with zeal and professional judgment. These patients should be closely monitored for possible long-term side effects.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:22

Enthalten in:

CNS & neurological disorders drug targets - 22(2023), 2 vom: 05., Seite 172-179

Sprache:

Englisch

Beteiligte Personen:

de Mendonça, Felipe Maraucci Ribeiro [VerfasserIn]
de Mendonça, Giulia Paulo Rossi Ribeiro [VerfasserIn]
Souza, Laura Costa [VerfasserIn]
Galvão, Lucas Pequeno [VerfasserIn]
Paiva, Henrique Soares [VerfasserIn]
de Azevedo Marques Périco, Cintia [VerfasserIn]
Torales, Julio [VerfasserIn]
Ventriglio, Antonio [VerfasserIn]
Castaldelli-Maia, Joao Maurício [VerfasserIn]
Sousa Martins Silva, Anderson [VerfasserIn]

Links:

Volltext

Themen:

12794-10-4
Benzodiazepines
Journal Article
Sleep
Sleep REM
Sleep architecture
Sleep slow-wave
Sleep stages
Systematic Review

Anmerkungen:

Date Completed 15.12.2022

Date Revised 21.03.2023

published: Print

Citation Status MEDLINE

doi:

10.2174/1871527320666210618103344

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM326934707