关键词: actigraphy affect circadian rhythms emotions mood prospective sleep systematic review

Mesh : Humans Wearable Electronic Devices Affect / physiology Sleep / physiology Actigraphy / methods instrumentation Digital Technology Monitoring, Physiologic / methods instrumentation Mood Disorders / physiopathology diagnosis

来  源:   DOI:10.3390/s24144701   PDF(Pubmed)

Abstract:
Background: Sleep and affective states are closely intertwined. Nevertheless, previous methods to evaluate sleep-affect associations have been limited by poor ecological validity, with a few studies examining temporal or dynamic interactions in naturalistic settings. Objectives: First, to update and integrate evidence from studies investigating the reciprocal relationship between daily sleep and affective phenomena (mood, affect, and emotions) through ambulatory and prospective monitoring. Second, to evaluate differential patterns based on age, affective disorder diagnosis (bipolar, depression, and anxiety), and shift work patterns on day-to-day sleep-emotion dyads. Third, to summarise the use of wearables, actigraphy, and digital tools in assessing longitudinal sleep-affect associations. Method: A comprehensive PRISMA-compliant systematic review was conducted through the EMBASE, Ovid MEDLINE(R), PsycINFO, and Scopus databases. Results: Of the 3024 records screened, 121 studies were included. Bidirectionality of sleep-affect associations was found (in general) across affective disorders (bipolar, depression, and anxiety), shift workers, and healthy participants representing a range of age groups. However, findings were influenced by the sleep indices and affective dimensions operationalised, sampling resolution, time of day effects, and diagnostic status. Conclusions: Sleep disturbances, especially poorer sleep quality and truncated sleep duration, were consistently found to influence positive and negative affective experiences. Sleep was more often a stronger predictor of subsequent daytime affect than vice versa. The strength and magnitude of sleep-affect associations were more robust for subjective (self-reported) sleep parameters compared to objective (actigraphic) sleep parameters.
摘要:
背景:睡眠和情感状态紧密交织在一起。然而,以前评估睡眠影响关联的方法受到生态有效性差的限制,一些研究检查自然环境中的时间或动态相互作用。目标:第一,更新和整合来自调查日常睡眠和情感现象(情绪,影响,和情绪)通过动态和前瞻性监测。第二,为了评估基于年龄的差异模式,情感障碍的诊断(双相,抑郁症,和焦虑),并改变日常睡眠情绪二元组合的工作模式。第三,总结可穿戴设备的使用,肌动学,以及评估纵向睡眠影响关联的数字工具。方法:通过EMBASE进行全面的符合PRISMA的系统评价,OvidMEDLINE(R),PsycINFO,和Scopus数据库。结果:在筛选的3024条记录中,共纳入121项研究。在情感障碍(双相情感障碍,抑郁症,和焦虑),轮班工人,和代表一系列年龄组的健康参与者。然而,研究结果受到睡眠指数和可操作的情感维度的影响,采样分辨率,一天的时间效果,和诊断状态。结论:睡眠障碍,尤其是睡眠质量较差和睡眠持续时间缩短,一直被发现影响积极和消极的情感体验。睡眠通常是随后白天影响的更强预测因子,反之亦然。与客观(活动)睡眠参数相比,主观(自我报告)睡眠参数的睡眠影响关联的强度和幅度更稳健。
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