1. Lack of Structural Brain Alterations associated with Insomnia: Findings from the ENIGMA-Sleep working group
- Author
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Antoine Weihs, Stefan Frenzel, Hanwen Bi, Julian Schiel, Mortaza Afshani, Robin Bülow, Ralf Ewert, Ingo Fietze, Felix Hoffstaedter, Neda Jahanshad, Habibolah Khazaie, Dieter Riemann, Masoumeh Rostampour, Beate Stubbe, Sophia Thomopoulos, Paul Thompson, Sofie Valk, Henry Völzke, Mojtaba Zarei, Simon Eickhoff, Hans Grabe, Kaustubh Patil, Kai Spiegelhalder, and Masoud Tahmasian
- Abstract
Existing neuroimaging studies have reported divergent structural alterations in insomnia. Here, we performed a large-scale coordinated meta-analysis by pooling structural brain measures from 1,085 subjects with and without insomnia symptoms across three international ENIGMA-Sleep cohorts. The influence of insomnia on MRI-based brain morphometry using an insomnia brain score was assessed. We collected case-control data from two sites, as well as population-based data from another site. Within each cohort, we used an ordinary least-squares linear regression to investigate the link between the individual regional cortical thickness and subcortical volumes and the presence of insomnia symptoms. Then, we performed a fixed-effects meta-analysis across cohorts based on the first-level results. For the insomnia brain score, weighted logistic ridge regression was performed on one sample, which separated patients with insomnia disorder from controls to train a model based on the segmentation measurements. Afterward, the insomnia brain scores were validated using the other two samples. The model was used to predict the log-odds of the subjects with insomnia given individual insomnia-related brain atrophy. After adjusting for multiple comparisons, we did not detect any significant associations between insomnia symptoms and cortical or subcortical volumes, nor could we identify a global insomnia-related brain atrophy pattern. The current study found inconsistent brain morphology differences between individuals with and without insomnia across three independent cohorts. Further large-scale cross-sectional and longitudinal studies using both structural and functional neuroimaging data are warranted to decipher the pathophysiology of insomnia at the brain level.
- Published
- 2022
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