The hypothalamic-pituitary-adrenal axis and the central monoaminergic systems: a pathophysiological link to insomnia with clinical implications

Autor: Marcio Luciano de Souza Bezerra, Raimundo Nonato Delgado Rodrigues, Ricardo Oliveira Souza
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Sleep Science, Vol 15, Iss 01, Pp 128-135 (2022)
Druh dokumentu: article
ISSN: 1984-0659
1984-0063
DOI: 10.5935/1984-0063.20220032
Popis: The authors present a theoretical overview of the hypothalamic-pituitary-adrenal axis and the central monoaminergic systems, focusing on a putative pathophysiological relationship to insomnia complaints. Insomnia is an independent and self-perpetuating disorder that requires diagnostic and therapeutic attention in the presence of concomitant disorders, likely with bidirectional influence. An adequate understanding of such mechanisms can help for a better understanding of the interplay between clinical features, neurotransmitters, and the adrenal hypothalamic-pituitary axis may help clinicians to better manage insomnia patients
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