PMID- 32043233 OWN - NLM STAT- MEDLINE DCOM- 20210427 LR - 20210427 IS - 1931-7565 (Electronic) IS - 1931-7557 (Linking) VI - 15 IP - 1 DP - 2021 Feb TI - Functional connectivity density abnormalities and anxiety in primary insomnia patients. PG - 114-121 LID - 10.1007/s11682-019-00238-w [doi] AB - Primary insomnia (PI) is strongly associated with emotional dysregulation. However, the neurobiological pathology of the association between PI and emotional dysregulation is limited. Previous studies have indicated an impact of PI on the emotional regulatory system, but the specificity of this finding remains to be confirmed. A sample of 27 primary insomnia patients (PIs) and 32 matched healthy controls (HCs) was recruited for this study. The functional connectivity density (FCD) was used to assess the spontaneous functional brain organization in PIs. Then, we identified whether the local (lFCD) and global FCD (gFCD) abnormalities can be the potential biomarker for emotion level in PIs. Our findings suggested that PIs exhibited higher levels of anxiety and depression, and the levels of anxiety and depression is associated with the insomnia severity. We also found that PIs showed both lower lFCD and gFCD in several regions (i.e. thalamus, anterior cingulate cortex (ACC), insula). Furthermore, the lower gFCD values of left ACC and right insula were associated with their anxiety level in PIs, which demonstrated their potential biomarker for anxiety in PIs. Our results demonstrated that the relationship between the insomnia severity and the anxiety level could be partially mediated by gFCD of the ACC and insula. The current study improved our understanding of the anxiety in PIs and provided helpful information for future therapeutic development for PIs. FAU - Zhu, Yifei AU - Zhu Y AD - Department of Medical Imaging, First Affiliated Hospital of Xi'an Jiaotong University, No. 277, West Yanta Road, Xi'an, 710061, Shaanxi-Province, People's Republic of China. zhuyunjia1988@outlook.com. AD - Department of Psychosomatic Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, People's Republic of China. zhuyunjia1988@outlook.com. AD - Department of Neurology, The Second Hospital of Hebei Medical University, No. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, People's Republic of China. zhuyunjia1988@outlook.com. FAU - Zhao, Xumeng AU - Zhao X AD - Department of Psychosomatic Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, People's Republic of China. FAU - Yin, Hua AU - Yin H AD - Department of Psychosomatic Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, People's Republic of China. FAU - Zhang, Ming AU - Zhang M AD - Department of Medical Imaging, First Affiliated Hospital of Xi'an Jiaotong University, No. 277, West Yanta Road, Xi'an, 710061, Shaanxi-Province, People's Republic of China. zhangming01@mail.xjtu.edu.cn. LA - eng PT - Journal Article PL - United States TA - Brain Imaging Behav JT - Brain imaging and behavior JID - 101300405 SB - IM MH - Anxiety MH - Brain Mapping MH - Humans MH - Magnetic Resonance Imaging MH - Neural Pathways/diagnostic imaging MH - *Sleep Initiation and Maintenance Disorders/diagnostic imaging OTO - NOTNLM OT - Anterior cingulate cortex OT - Anxiety OT - Functional connectivity density OT - Insomnia OT - Insula EDAT- 2020/02/12 06:00 MHDA- 2021/04/28 06:00 CRDT- 2020/02/12 06:00 PHST- 2020/02/12 06:00 [pubmed] PHST- 2021/04/28 06:00 [medline] PHST- 2020/02/12 06:00 [entrez] AID - 10.1007/s11682-019-00238-w [pii] AID - 10.1007/s11682-019-00238-w [doi] PST - ppublish SO - Brain Imaging Behav. 2021 Feb;15(1):114-121. doi: 10.1007/s11682-019-00238-w.