The purpose of this study is to determine whether individuals with chronic insomnia disorder have a higher degree of physiologic arousal (resulting in their trouble sleeping) than good sleepers. The primary goal is to perform a rigorous quantitative assessment of physiologic hyper-arousal across two domains (autonomic nervous system and neurophysiology) in patients with chronic primary insomnia as compared to good sleepers matched for sex, age, body mass index (BMI) and race/ethnicity.
Study Type
OBSERVATIONAL
Enrollment
28
The University of Chicago
Chicago, Illinois, United States
Sympathetic Baroreflex Sensitivity (BRS) Unit
Direct recording of sympathetic nervous activity in a nerve of the lower leg using a micro-electrode.
Time frame: 2 months after enrollment
Systolic Arterial Pressure Reactivity
Increase in blood pressure to stress
Time frame: within 2 months after enrollment
Multiple Sleep Latency Test (MSLT)
MSLT will be used to objectively quantify tendency to fall asleep (sleep latency).
Time frame: 2 months of enrollment
Heart Rate Variability During Wake and During Sleep
The balance between sympathetic and parasympathetic nervous control of the heart will be determined by spectral analysis of heart rate variability using continuous electrocardiogram (ECG) recording for 24 hours, including the normal sleep period.
Time frame: 2 months after enrollment
Electroencephalography (EEG) During Wake and Sleep
The EEG will be measured continuously during sleep and at frequent intervals during wake. The signal will be submitted to power spectral analysis to examine spectral power in frequency bands that are typical of arousal and in frequency bands that are typical of deep sleep.
Time frame: 2 months of enrollment
Noninvasive Beat-to-beat Blood Pressure Monitoring
Time frame: 2 months after enrollment
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