Do sleep abnormalities and misaligned sleep/circadian rhythm patterns represent early clinical characteristics for developing psychosis in high risk populations?
Abstract
Sleep architecture changes, such as slow-wave sleep (SWS) percentage variations and reductions in latency and density of rapid eye movement (REM), are found in most patients with schizophrenia and are considered to be an important part of the pathophysiology of the disorder. In addition to these sleep parameters changes, disruptions in sleep homeostasis and the sleep/circadian rhythm also occur in these patients. Sleep/circadian rhythm abnormalities negatively affect neocortical plasticity and cognition and often precede the diagnosis of the illness. Thus, it has been suggested that the sleep/circadian rhythm might be involved in the pathophysiology of psychosis. Recent advances in the identification of individuals at a high risk for developing schizophrenia allow us to investigate several neurobiological processes involved in the development of psychosis. In this article, we review the current evidence of the effects of sleep parameter abnormalities, disruptions in sleep homeostasis and misalignments of sleep circadian rhythm on the early stages of schizophrenia. In addition, we discuss the preliminary evidence of sleep and circadian rhythm abnormalities during the prodromal stages of psychosis and propose that these abnormalities can be explored as potential predictors, as an adjunct to clinical diagnosis, of developing a psychotic disorder in at risk populations.
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There has been a lack of research specifically investigating the causal contribution of sleep disturbance to psychotic experiences in at-risk individuals.
“However there has been a surprising lack of research specifically investigating the causal contribution of sleep disturbance to psychotic experiences in at-risk individuals (Davies et al., 2016; Reeve et al., 2015; Zanini et al., 2013).”
From Sleep duration and psychotic experiences in patients at risk of psychosis: a secondary analysis of the EDIE-2 trial (2019) · cites this paper as Zanini et al., 2013
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- Authors
- Zanini, M., Castro, J., Coelho, F. M., Bittencourt, L., Bressan, R. A., Tufik, S., & Brietzke, E.
- Affiliations
- Universidade Federal de São Paulo (BR)
- ORCID
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2013-12
- Volume
- 37
- Issue
- 10
- Pages
- 2631-2637
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W2038514511
- Cited by
- 69
- References
- 88
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 7 · 2021: 3 · 2020: 7 · 2019: 6 · 2018: 9 · 2017: 8 · 2016: 7 · 2015: 6 · 2014: 1
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- UNIFESP Institutional Repository (Universidade Federal de São Paulo) (submittedVersion)
- Funders
- Associacao Fundo de Incentivo a Pesquisa (AFIP)
- the Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- sleep abnormalities, schizophrenia, psychosis, prodromal psychosis, vulnerable populations, slow-wave sleep, REM sleep, sleep homeostasis, early diagnosis, risk prediction
- MeSH terms
- Humans, Psychotic Disorders, Risk Factors, Sleep Wake Disorders, Chronobiology Disorders
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