Analysis demonstrates predictive modeling enhances forecasting of sleep fragmentation in insomnia, indicating novel EEG biomarkers.
Objective Sleep is hypothesized to restore near-critical dynamics in large-scale brain networks, whereas insomnia may disrupt this self-organizing process. This study aimed to determine whether insomnia alters neural avalanche dynamics and criticality-based EEG metrics, and whether these metrics enhance prediction of sleep fragmentation compared with conventional spectral measures. Approach Overnight high-density electroencephalography was recorded from 50 participants aged 16–69 years, including healthy sleepers and individuals with insomnia. Neural avalanches were detected as clusters of significant amplitude excursions. The branching parameter (σ) quantified temporal propagation within avalanches, while the deviation-from-criticality coefficient (DCC) indexed the system’s distance from the critical state. These criticality features were contrasted with spectral power measures in predictive models of NREM sleep fragmentation. Main Results Participants with insomnia exhibited reduced avalanche density and diminished slow-wave activity, accompanied by significant deviations of σ from the critical value and elevated DCC across the night. Criticality-based metrics captured fragmentation dynamics more sensitively than spectral features. In predictive modeling, criticality measures significantly outperformed spectral power in forecasting NREM fragmentation (F1-score = 0.69 vs. 0.62), with the strongest gains in mild and severe insomnia subgroups. Significance Insomnia is characterized by a persistent deviation from near-critical neural dynamics, reflecting compromised stability and recovery during sleep. Criticality-based EEG features provide a more mechanistic and predictive framework for identifying sleep fragmentation and may offer novel biomarkers for quantifying disrupted sleep physiology in clinical insomnia.
No takes yet. Share an insight, caveat, or question.
Ying et al. (2025) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: