Sleep dysfunction mediates the relationship between hypothalamic-insula connectivity and anxiety-depression symptom severity bidirectionally in young adults

Copyright © 2023. Published by Elsevier Inc..

BACKGROUND: The hypothalamus plays a crucial role in regulating sleep-wake cycle and motivated behavior. Sleep disturbance is associated with impairment in cognitive and affective functions. However, how hypothalamic dysfunction may contribute to inter-related sleep, cognitive, and emotional deficits remain unclear.

METHODS: We curated the Human Connectome Project dataset and investigated how hypothalamic resting state functional connectivities (rsFC) were associated with sleep dysfunction, as evaluated by the Pittsburgh Sleep Quality Index (PSQI), cognitive performance, and subjective mood states in 687 young adults (342 women). Imaging data were processed with published routines and evaluated with a corrected threshold. We examined the inter-relationship amongst hypothalamic rsFC, PSQI score, and clinical measures with mediation analyses.

RESULTS: In whole-brain regressions with age and drinking severity as covariates, men showed higher hypothalamic rsFC with the right insula in correlation with PSQI score. No clusters were identified in women at the same threshold. Both hypothalamic-insula rsFC and PSQI score were significantly correlated with anxiety and depression scores in men. Further, mediation analyses showed that PSQI score mediated the relationship between hypothalamic-insula rsFC and anxiety/depression symptom severity bidirectionally in men.

CONCLUSIONS: Sleep dysfunction is associated with negative emotions and hypothalamic rsFC with the right insula, a core structure of the interoceptive circuits. Notably, anxiety-depression symptom severity and altered hypothalamic-insula rsFC are related bidirectionally by poor sleep quality. These findings are specific to men, suggesting potential sex differences in the neural circuits regulating sleep and emotional states that need to be further investigated.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:279

Enthalten in:

NeuroImage - 279(2023) vom: 01. Okt., Seite 120340

Sprache:

Englisch

Beteiligte Personen:

Li, Guangfei [VerfasserIn]
Chen, Yu [VerfasserIn]
Chaudhary, Shefali [VerfasserIn]
Li, Clara S [VerfasserIn]
Hao, Dongmei [VerfasserIn]
Yang, Lin [VerfasserIn]
Li, Chiang-Shan R [VerfasserIn]

Links:

Volltext

Themen:

Anxiety
FMRI
Hypothalamus
Journal Article
PSQI
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
RsFC

Anmerkungen:

Date Completed 05.09.2023

Date Revised 03.10.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.neuroimage.2023.120340

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361102526