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Energetic and Cell Membrane Metabolic Products in Patients with Primary Insomnia: A 31-Phosphorus Magnetic Resonance Spectroscopy Study at 4 Tesla
Author(s) -
David G. Harper,
David T. Plante,
J. Eric Jensen,
Caitlin Ravichandran,
Orfeu M. Buxton,
Kathleen L. Benson,
Shawn O’Connor,
Perry F. Renshaw,
John W. Winkelman
Publication year - 2013
Publication title -
sleep
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.222
H-Index - 207
eISSN - 1550-9109
pISSN - 0161-8105
DOI - 10.5665/sleep.2530
Subject(s) - phosphocreatine , primary insomnia , polysomnography , medicine , white matter , actigraphy , endocrinology , sleep onset , psychology , sleep disorder , psychiatry , insomnia , magnetic resonance imaging , energy metabolism , circadian rhythm , apnea , radiology
Primary insomnia (PI) is a sleep disorder characterized by difficulty with sleep initiation, maintenance, and/or the experience of nonrestorative sleep combined with a subsequent impairment of daytime functioning. The hyperarousal hypothesis has emerged as the leading candidate to explain insomnia symptoms in the absence of specific mental, physical, or substance-related causes. We hypothesized that the cellular energetic metabolites, including beta nucleoside triphosphate, which in magnetic resonance spectroscopy approximates adenosine triphosphate (ATP), and phosphocreatine (PCr), would show changes in PI reflecting increased energy demand.

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