Insomnia and emotion regulation. Recent findings and suggestions for treatment

Recent findings suggest that insomnia and emotion regulation are closely connected. Insomnia is widely associated with medical and psychiatric conditions as well as with impaired quality of life and emotional functioning. Additionally empirical evidence suggests that emotional dysregulation plays a crucial role in the onset and maintenance of psychopathological disorders. Although these seem to interact, very few studies investigated the relationship between disturbed sleep and problems in emotion regulation. Cognitive Behavioral Therapy for Insomnia (CBT-I) has been demonstrated to be effective in comorbid insomnia. However, emotion regulation skills are not included in this intervention. After reviewing the recent findings of the literature, we aim to discuss future directions for the inclusion of emotion regulation training in the treatment of insomnia disorde

Executive functions in insomnia disorder: a systematic review and exploratory meta-analysis

Background: Executive functions (EFs) are involved in the control of basic psychological processes such as attention and memory and also contribute to emotion regulation. Research on the presence of EFs impairments in insomnia yielded inconsistent results. Therefore, we performed a systematic review of the literature on three EFs: inhibitory control, working memory, and cognitive flexibility in adults with insomnia in order to investigate the presence and magnitude of insomnia-related EFs impairments. Methods: PubMed, Scopus, Medline, and PsycINFO were searched. Risk of bias assessment of included studies was performed by two independent researchers. Findings were summarised using both a narrative approach and meta-analysis. Cohen’s d was calculated at 95% confidence interval (CI) as effect size of between groups differences. Results: Twenty-eight studies comparing adult individuals with a diagnosis of insomnia and healthy controls on neuropsychological measures of EFs were included. Narrative synthesis revealed substantial variability across study findings. Factors that were primarily hypothesised to account for this variability are: objective sleep impairments and test sensitivity. Exploratory meta-analysis showed impaired performance of small to moderate magnitude in individuals with insomnia as compared to controls in reaction times, but not accuracy rates, of inhibitory control (d = −0.32, 95% CI: −0.52 to −0.13) and cognitive flexibility tasks (d = −0.30, 95% CI: −0.59 to −0.01). Performance in working memory tasks was also significantly impacted (d = −0.19, 95% CI: −0.38 to −0.00). Effects sizes were larger when insomnia was associated with objective sleep impairments, rather than normal sleep. Conclusions: We gathered evidence supporting small to moderate deficits in EFs in individuals with insomnia. Due to the small sample size results should be considered preliminary and interpreted carefully

Depression and mania symptoms mediate the relationship between insomnia and psychotic-like experiences in the general population

Psychotic-like experiences (PLEs) are subclinical forms of psychosis commonly experienced in the general population. The nature of PLEs has yet to be clearly defined, yet mood and sleep disturbances may be two predictors. Sleep disturbance increases paranoia and hallucinations in experimental studies, and insomnia is considered a longitudinal precursor of psychosis. Mood disturbances including depression and mania, which can be induced by insomnia, can also result in psychotic symptoms. However, whether insomnia may predict PLEs via the mediation of mood disturbance has yet to be fully clarified. To advance this field, the aim of this study was to investigate the mediation role of depression and mania symptoms on the relationship between insomnia and PLEs. 1.086 community members (28.32±9.04 years, 58.1% females) cross-sectionally completed self-reported measures of insomnia severity, depression/mania symptoms, and PLEs. Bivariate correlations, hierarchical multiple regressions and mediation analyses with bootstrap approach were performed. Insomnia and mood disturbances (depression/mania) were significantly associated with PLEs (β = 0.06, p < .05; β = 0.225, p < .001, respectively). Mediation analysis revealed a significant indirect effect between insomnia and PLEs mediated by mood disturbance through bootstrap approach (β=0.13, se= 0.02, 95% CI: 0.10 - 0.17). Our results support the view of insomnia and mood disturbances as predictors of PLEs in the general population and foster the replication of these findings using longitudinal designs

The effects of one night of partial sleep deprivation on executive functions in individuals reporting chronic insomnia and good sleepers

Background and objectives The aim of the present study was to investigate the effects of a partial sleep deprivation night on executive functions in participants reporting chronic insomnia and good sleepers using a Task Switching paradigm. Methods Sixteen participants reporting symptoms of chronic insomnia and sixteen good sleepers were tested after a night of habitual sleep and after a night of partial sleep deprivation (5\u202fh of sleep allowed). The Switch Cost (SC) and the Backward Inhibition (BI) were computed as measures of switching attention and response inhibition, respectively. Results We observed a marginally significant interaction Night\u202f 7\u202fGroup on SC (F(1,29)\u202f=\u202f4.06, p\u202f=\u202f0.053, \u3b72\u202f=\u202f0.123. Fisher's least significant difference (LSD) post-hoc revealed a smaller SC after the sleep deprived night relative to the habitual night for the good sleepers (p\u202f=\u202f0.027;M\u202f=\u202f192.23\u202f\ub1\u202f201.81 vs M\u202f=\u202f98.99\u202f\ub1\u202f141.16). Differently, participants with insomnia did not show any change after the two nights. Limitations Several limitations must be acknowledged including the use of a convenient sample of university students and the use of a single task of cognitive performance. Conclusions We found that SC was smaller in the good sleepers after a night of partial sleep deprivation compared to a habitual night, indicating a better switching performance. The insomnia group showed no differences in performance after the two experimental nights. Several factors may account for these results, including increased levels of arousal and cognitive effort during task execution

Inflammation as an aetiological trigger for depressive symptoms in a prospective cohort of patients with inflammatory bowel disease

Objective: Inflammatory bowel disease (IBD) is often comorbid with mood disorders and depressive symptoms. The aetiology of depressive symptoms in IBD, however, remains largely unknown. Consistent with the inflammatory hypothesis of depression, the aim of this study was to explore the prospective associations between inflammatory biomarkers and depressive symptoms in a cohort of IBD patients with and without a previous clinical diagnosis of mood disorder. Method: IBD clinical activity was determined using the Harvey-Bradshaw Index for CD and the Partial Mayo score for UC; serum C-reactive protein (CRP) and faecal calprotectin (fCAL) were used as biomarkers of systemic and intestinal inflammation, respectively. Participants were administered the Hospital Anxiety and Depression Scale-depression (HADS-D) at baseline and 1-year follow-up. Results: Eighty-four participants (50 ±16 years; 75% UC and 25% CD) were included in the main analyses. Longitudinal moderated regression models showed that baseline CRP significantly predicted follow-up HADS-D scores among individuals with a previous mood disorder diagnosis (β =0.843, p < .001), but not among individuals without (β =− 0.013, p =.896), after controlling for baseline HADS-D scores, body mass index, IBD phenotype, sex, and perceived stress. Likely due to lower power, results on FCAL (n =31) were not statistically significant. Conclusion: This study suggests that IBD patients with previous diagnosis of mood disorder may be at higher risk of inflammation-related depressive symptoms

BRIO: a web server for RNA sequence and structure motif scan

The interaction between RNA and RNA-binding proteins (RBPs) has a key role in the regulation of gene expression, in RNA stability, and in many other biological processes. RBPs accomplish these functions by binding target RNA molecules through specific sequence and structure motifs. The identification of these binding motifs is therefore fundamental to improve our knowledge of the cellular processes and how they are regulated. Here, we present BRIO (BEAM RNA Interaction mOtifs), a new web server designed for the identification of sequence and structure RNA-binding motifs in one or more RNA molecules of interest. BRIO enables the user to scan over 2508 sequence motifs and 2296 secondary structure motifs identified in Homo sapiens and Mus musculus, in three different types of experiments (PAR-CLIP, eCLIP, HITS). The motifs are associated with the binding of 186 RBPs and 69 protein domains. The web server is freely available at http://brio.bio.uniroma2.it

Body appreciation around the world: Measurement invariance of the Body Appreciation Scale-2 (BAS-2) across 65 nations, 40 languages, gender identities, and age

The Body Appreciation Scale-2 (BAS-2) is a widely used measure of a core facet of the positive body image construct. However, extant research concerning measurement invariance of the BAS-2 across a large number of nations remains limited. Here, we utilised the Body Image in Nature (BINS) dataset – with data collected between 2020 and 2022 – to assess measurement invariance of the BAS-2 across 65 nations, 40 languages, gender identities, and age groups. Multi-group confirmatory factor analysis indicated that full scalar invariance was upheld across all nations, languages, gender identities, and age groups, suggesting that the unidimensional BAS-2 model has widespread applicability. There were large differences across nations and languages in latent body appreciation, while differences across gender identities and age groups were negligible-to-small. Additionally, greater body appreciation was significantly associated with higher life satisfaction, being single (versus being married or in a committed relationship), and greater rurality (versus urbanicity). Across a subset of nations where nation-level data were available, greater body appreciation was also significantly associated with greater cultural distance from the United States and greater relative income inequality. These findings suggest that the BAS-2 likely captures a near-universal conceptualisation of the body appreciation construct, which should facilitate further cross-cultural research.Body appreciation around the world: Measurement invariance of the Body Appreciation Scale-2 (BAS-2) across 65 nations, 40 languages, gender identities, and agepublishedVersio

Exposure and connectedness to natural environments:An examination of the measurement invariance of the Nature Exposure Scale (NES) and Connectedness to Nature Scale (CNS) across 65 nations, 40 languages, gender identities, and age groups

Detachment from nature is contributing to the environmental crisis and reversing this trend requires detailed monitoring and targeted interventions to reconnect people to nature. Most tools measuring nature exposure and attachment were developed in high-income countries and little is known about their robustness across national and linguistic groups. Therefore, we used data from the Body Image in Nature Survey to assess measurement invariance of the Nature Exposure Scale (NES) and the Connectedness to Nature Scale (CNS) across 65 nations, 40 languages, gender identities, and age groups (N = 56,968). While multi-group confirmatory factor analysis (MG-CFA) of the NES supported full scalar invariance across gender identities and age groups, only partial scalar invariance was supported across national and linguistic groups. MG-CFA of the CNS also supported full scalar invariance across gender identities and age groups, but only partial scalar invariance of a 7-item version of the CNS across national and linguistic groups. Nation-level associations between NES and CNS scores were negligible, likely reflecting a lack of conceptual clarity over what the NES is measuring. Individual-level associations between both measures and sociodemographic variables were weak. Findings suggest that the CNS-7 may be a useful tool to measure nature connectedness globally, but measures other than the NES may be needed to capture nature exposure cross-culturally.</p

Executive functions impairments in insomnia: A systematic review and meta-analysis.

Introduction: Executive functions (EFs) are a family of top-down processes involved in the control of affect and cognition. Influential models assume the presence of three core EFs: inhibitory control, working memory and cognitive flexibility. Research on these three functions in patients with insomnia has yielded mixed results. Therefore, we performed a systematic review of the literature on the three EFs of inhibitory control, working memory and cognitive flexibility in adults with a diagnosis of insomnia in order to clarify the presence and magnitude of EFs impairments in this population. Materials and methods: PubMed, Scopus, Medline and PsycINFO were searched from inception to 2015. Inclusion criteria were: presence of a group of adult individuals with clinical insomnia, presence of a control group, presence of at least one neuropsychological test assessing inhibitory control and/or working memory and/or cognitive flexibility. Included studies underwent quality assessment. Findings were summarized using combined narrative synthesis and meta-analysis. Cohen's d were calculated at 95% confidence interval as effect sizes of between groups differences. Heterogeneity of effects distribution as well as publication bias were evaluated. Results: Twenty-four studies met the eligibility criteria and were included. Results showed impaired performance of individuals with insomnia as compared to controls on tasks of inhibitory control with an effect of small to medium magnitude (d= .31, 95% CI: .50 – .11) and homogeneous distribution (Q= 3.356, df= 8, p= 0.910; I2= 0.000). Visual examination of the funnel plot suggested reasonable symmetry indicating low chance of publication bias. We were limited in performing meta-analyses on working memory and cognitive flexibility due to the small number of studies and high variability of outcome measures. Conclusions: Using meta-analysis, we showed that individuals with insomnia perform poorer than good sleepers on tasks of inhibitory control. Due to the high variability of outcome measures and small number of studies, we were not able to statistically estimate the magnitude of impairments with respect to working memory and cognitive flexibility tasks. To overcome these limitations and advance knowledge of EFs in insomnia, future studies are warranted adopting comparable outcome measures