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Wieczorek T, Wieckiewicz M, Smardz J, Wojakowska A, Michalek‐Zrabkowska M, Mazur G, Martynowicz H. Sleep structure in sleep bruxism: A polysomnographic study including bruxism activity phenotypes across sleep stages. J Sleep Res 2020; 29:e13028. [DOI: 10.1111/jsr.13028] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Revised: 02/05/2020] [Accepted: 02/18/2020] [Indexed: 12/27/2022]
Affiliation(s)
- Tomasz Wieczorek
- Department and Clinic of Psychiatry Wroclaw Medical University Wroclaw Poland
| | - Mieszko Wieckiewicz
- Department of Experimental Dentistry Wroclaw Medical University Wroclaw Poland
| | - Joanna Smardz
- Department of Experimental Dentistry Wroclaw Medical University Wroclaw Poland
| | - Anna Wojakowska
- Department of Internal Medicine Occupational Diseases, Hypertension and Clinical Oncology Wroclaw Medical University Wroclaw Poland
| | - Monika Michalek‐Zrabkowska
- Department of Internal Medicine Occupational Diseases, Hypertension and Clinical Oncology Wroclaw Medical University Wroclaw Poland
| | - Grzegorz Mazur
- Department of Internal Medicine Occupational Diseases, Hypertension and Clinical Oncology Wroclaw Medical University Wroclaw Poland
| | - Helena Martynowicz
- Department of Internal Medicine Occupational Diseases, Hypertension and Clinical Oncology Wroclaw Medical University Wroclaw Poland
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Grafe LA, O'Mara L, Branch A, Dobkin J, Luz S, Vigderman A, Shingala A, Kubin L, Ross R, Bhatnagar S. Passive Coping Strategies During Repeated Social Defeat Are Associated With Long-Lasting Changes in Sleep in Rats. Front Syst Neurosci 2020; 14:6. [PMID: 32140101 PMCID: PMC7043017 DOI: 10.3389/fnsys.2020.00006] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Accepted: 01/23/2020] [Indexed: 12/20/2022] Open
Abstract
Exposure to severe stress has immediate and prolonged neuropsychiatric consequences and increases the risk of developing Posttraumatic Stress Disorder (PTSD). Importantly, PTSD develops in only a subset of individuals after exposure to a traumatic event, with the understanding of this selective vulnerability being very limited. Individuals who go on to develop PTSD after a traumatic experience typically demonstrate sleep disturbances including persistent insomnia and recurrent trauma-related nightmares. We previously established a repeated social defeat paradigm in which rats segregate into either passively or actively coping subpopulations, and we found that this distinction correlates with measures of vulnerability or resilience to stress. In this study, we examined differences between these two behavioral phenotypes in sleep changes resulting from repeated social defeat stress. Our data indicate that, compared to control and actively coping rats, passively coping rats have less slow-wave sleep (SWS) for at least 2 weeks after the end of a series of exposures to social defeat. Furthermore, resilient rats show less exaggerated motor activation at awakenings from rapid eye movement (REM) sleep and less fragmentation of REM sleep compared to control and passively coping rats. Together, these data associate a passive coping strategy in response to repeated social defeat stress with persisting sleep disturbances. Conversely, an active coping strategy may be associated with resilience to sleep disturbances. These findings may have both prognostic and therapeutic applications to stress-associated neuropsychiatric disorders, including PTSD.
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Affiliation(s)
- Laura A Grafe
- Department of Psychology, Bryn Mawr College, Bryn Mawr, PA, United States
| | - Lauren O'Mara
- Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Anna Branch
- Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Jane Dobkin
- Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Sandra Luz
- Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Abigail Vigderman
- Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Aakash Shingala
- Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Leszek Kubin
- Department of Biomedical Sciences, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, United States
| | - Richard Ross
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.,Behavioral Health Service, Crescenz Veterans Affairs Medical Center, Philadelphia, PA, United States
| | - Seema Bhatnagar
- Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Philadelphia, PA, United States.,Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
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Kishi A, Haraki S, Toyota R, Shiraishi Y, Kamimura M, Taniike M, Yatani H, Kato T. Sleep stage dynamics in young patients with sleep bruxism. Sleep 2019; 43:5573908. [DOI: 10.1093/sleep/zsz202] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2019] [Revised: 07/31/2019] [Indexed: 12/29/2022] Open
Abstract
AbstractStudy ObjectivesWe hypothesized that sleep stage dynamics are different in patients with sleep bruxism (SB) and that these changes are associated with the occurrence of rhythmic masticatory muscle activity (RMMA).MethodsFifteen healthy controls and 15 patients with SB underwent overnight polysomnography. Sleep variables and survival curves of continuous runs of each sleep stage were compared between the groups. Stage transition dynamics and the probability of stage fragmentation were analyzed for three epochs before and after the epoch with RMMA. Survival curves of continuous runs of each sleep stage, terminated with or without RMMA, were also compared.ResultsThere were no significant differences in sleep variables between the groups, except for shorter sleep latency, shorter rapid eye movement (REM) latency, and longer total N1 duration in SB patients than in controls. REM sleep and N2 were significantly less continuous in SB patients than in controls. In the SB group, stage fragmentation probability was significantly increased for the epoch with RMMA compared with the baseline for all stages. Meanwhile, the occurrence of RMMA did not affect the continuity of N2 or REM; however, the occurrence of RMMA was preceded by more continuous N3 runs.ConclusionsSleep stage dynamics differed between SB patients and controls. RMMA does not result in sleep disruption but is likely associated with dissipation of sleep pressure. Less continuity of REM sleep in SB may provide insights into the underlying pathophysiological mechanisms of SB, which may be related to REM sleep processes such as cortical desynchronized states or brainstem activation.
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Affiliation(s)
- Akifumi Kishi
- Graduate School of Education, The University of Tokyo, Tokyo, Japan
| | - Shingo Haraki
- Department of Oral Physiology, Osaka University Graduate School of Dentistry, Osaka, Japan
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka, Japan
| | - Risa Toyota
- Department of Oral Physiology, Osaka University Graduate School of Dentistry, Osaka, Japan
- Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Osaka, Japan
| | - Yuki Shiraishi
- Department of Oral Physiology, Osaka University Graduate School of Dentistry, Osaka, Japan
- Department of Orthodontics and Dentofacial Orthopedics, Osaka University Graduate School of Dentistry, Osaka, Japan
| | - Mayo Kamimura
- Department of Oral Physiology, Osaka University Graduate School of Dentistry, Osaka, Japan
| | - Masako Taniike
- Department of Child Development, Osaka University United Graduate School of Child Development, Suita, Osaka, Japan
- Department of Pediatrics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Hirofumi Yatani
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka, Japan
| | - Takafumi Kato
- Department of Oral Physiology, Osaka University Graduate School of Dentistry, Osaka, Japan
- Department of Child Development, Osaka University United Graduate School of Child Development, Suita, Osaka, Japan
- Sleep Medicine Center, Osaka University Hospital, Osaka, Japan
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