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Reduced Sleep Spindle Activity in Schizophrenia Patients
Abstract
Objective: High-density EEG during sleep represents a powerful new tool to reveal potential abnormalities in rhythm-generating mechanisms while avoiding confounding factors associated with waking activities. As a first step in this direction, the authors employed high-density EEG to explore whether sleep rhythms differ between schizophrenia subjects, healthy individuals, and a psychiatric control group with a history of depression. Method: Healthy comparison subjects (N=17), medicated schizophrenia patients (N=18), and subjects with a history of depression (N=15) were recruited. Subjects were recorded during the first sleep episode of the night with a 256-electrode high-density EEG. Recordings were analyzed for changes in EEG power spectra, power topography, and sleep-specific cortical oscillations. Results: The authors found that the schizophrenia group had a significant reduction in centroparietal EEG power, from 13.75 to 15.00 Hz, in relation to both the comparison and depression groups. No significant difference in EEG power between the comparison and depression groups was identified. The authors also found a decrease in sleep spindle number, amplitude, duration, and integrated spindle activity in schizophrenia patients. Furthermore, integrated spindle activity had an effect size corresponding to 93.0% or 90.2% separation of the schizophrenia from the comparison or depression group. Conclusions: Sleep spindles are generated by the thalamic reticular nucleus in conjunction with specific thalamic nuclei and are modulated by corticothalamic and thalamocortical connections. The deficit in sleep spindles in schizophrenia subjects may reflect dysfunction in thalamic-reticular and thalamocortical mechanisms and could represent a biological marker of illness.
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“For example, over 90% of schizophrenic subjects show a dramatic reduction in sleep spindles, suggesting dysfunction in the reticular nucleus of the thalamus (Ferrarelli et al., 2007).”
From Biological rhythms, higher brain function, and behavior: Gaps, opportunities, and challenges (2009) · cites this paper as Ferrarelli et al., 2007
Citations
Cites
The Positive and Negative Syndrome Scale (PANSS) for schizophrenia.
Kay, S. R., Fiszbein, A., & Opler, L. A. (1987) · Schizophrenia Bulletin · doi:10.1093/schbul/13.2.261 · Cited by 21,378
Development of a Rating Scale for Primary Depressive Illness
Hamilton, M. (1967) · British Journal of Social and Clinical Psychology · doi:10.1111/j.2044-8260.1967.tb00530.x · Cited by 8,410
Nonparametric permutation tests for functional neuroimaging: A primer with examples
Nichols, T. E., & Holmes, A. P. (2002) · Human Brain Mapping · doi:10.1002/hbm.1058 · Cited by 6,256
Chlorpromazine Equivalent Doses for the Newer Atypical Antipsychotics
Woods, S. W. (2003) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v64n0607 · Cited by 2,056
Huber, R., Felice Ghilardi, M., Massimini, M., & Tononi, G. (2004) · Nature · doi:10.1038/nature02663 · Cited by 1,854
Self-citationFunction of the thalamic reticular complex: the searchlight hypothesis
Crick, F. (1984) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.81.14.4586 · Cited by 1,651
Sleep and Psychiatric Disorders: A Meta-analysis
Benca, R. M. (1992) · Archives of General Psychiatry · doi:10.1001/archpsyc.1992.01820080059010 · Cited by 1,468
Llinás, R. R., Ribary, U., Jeanmonod, D., Kronberg, E., & Mitra, P. P. (1999) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.96.26.15222 · Cited by 1,395
Grouping of brain rhythms in corticothalamic systems
Steriade, M. (2006) · Neuroscience · doi:10.1016/j.neuroscience.2005.10.029 · Cited by 1,296
GABAergic Interneurons Implications for Understanding Schizophrenia and Bipolar Disorder
Benes, F. (2001) · Neuropsychopharmacology · doi:10.1016/s0893-133x(01)00225-1 · Cited by 1,082
Gating and Habituation of the Startle Reflex in Schizophrenic Patients
Braff, D. L. (1992) · Archives of General Psychiatry · doi:10.1001/archpsyc.1992.01820030038005 · Cited by 1,027
Gennaro, L. D., & Ferrara, M. (2003) · Sleep Medicine Reviews · doi:10.1053/smrv.2002.0252 · Cited by 957
Thalamic Abnormalities in Schizophrenia Visualized Through Magnetic Resonance Image Averaging
Andreasen, N. C., Arndt, S. V., Swayze, V. W., Cizadlo, T., Flaum, M. A., OʼLeary, D. S., Ehrhardt, J. C., & Yuh, W. T. C. (1994) · Science · doi:10.1126/science.7939669 · Cited by 694
Schizophrenia, sensory gating, and nicotinic receptors
Adler, L. E., Olincy, A., Waldo, M., Harris, J. G., Griffith, J., Stevens, K., Flach, K., Nagamoto, H., Bickford, P., Leonard, S., et al. (1998) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a033320 · Cited by 690
Swerdlow, N. R., & Geyer, M. A. (1998) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a033326 · Cited by 626
Grouping of spindle activity during slow oscillations in human non-rapid eye movement sleep
Mölle, M., Marshall, L., Gais, S., & Born, J. (2002) · The Journal of Neuroscience · doi:10.1523/jneurosci.22-24-10941.2002 · Cited by 617
Kandel, A., & Buzsáki, G. (1997) · Journal of Neuroscience · doi:10.1523/jneurosci.17-17-06783.1997 · Cited by 357
Functional topography of the human nonREM sleep electroencephalogram
Finelli, L. A., Borbély, A. A., & Achermann, P. (2001) · European Journal of Neuroscience · doi:10.1046/j.0953-816x.2001.01597.x · Cited by 357
Fronto‐occipital EEG power gradients in human sleep
Werth, E., Achermann, P., & Borbély, A. A. (1997) · Journal of Sleep Research · doi:10.1046/j.1365-2869.1997.d01-36.x · Cited by 274
Schizophrenia and the mechanisms of conscious integration
Tononi, G. (2000) · Brain Research Reviews · doi:10.1016/s0165-0173(99)00056-9 · Cited by 266
Self-citationAuditory P300 and Eye Tracking Dysfunction in Schizophrenic Pedigrees
Blackwood, D. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810340031004 · Cited by 248
Freedman, R. (1996) · Archives of General Psychiatry · doi:10.1001/archpsyc.1996.01830120052009 · Cited by 246
Sleep in schizophrenia patients and the effects of antipsychotic drugs
Monti, J. M., & Monti, D. (2004) · Sleep Medicine Reviews · doi:10.1016/s1087-0792(02)00158-2 · Cited by 226
Intracortical and corticothalamic coherency of fast spontaneous oscillations.
Steriade, M., & Amzica, F. (1996) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.93.6.2533 · Cited by 221
Tandon, R. (1992) · Archives of General Psychiatry · doi:10.1001/archpsyc.1992.01820030017003 · Cited by 193
Delta Sleep Deficits in Schizophrenia: Evidence From Automated Analyses of Sleep Data
Keshavan, M. S., Reynolds, C. F., Miewald, J. M., Montrose, D. M., Sweeney, J. A., Vasko, R. C., & Kupfer, D. J. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.5.443 · Cited by 185
Topography of EEG Dynamics After Sleep Deprivation in Mice
Huber, R., Deboer, T., & Tobler, I. (2000) · Journal of Neurophysiology · doi:10.1152/jn.2000.84.4.1888 · Cited by 161
Self-citationPoulin, J., Daoust, A.-M., Forest, G., Stip, E., & Godbout, R. (2003) · Schizophrenia Research · doi:10.1016/s0920-9964(02)00346-8 · Cited by 160
Impaired prefrontal inhibition in schizophrenia: relevance for cognitive dysfunction
Volk, D. W., & Lewis, D. A. (2002) · Physiology & Behavior · doi:10.1016/s0031-9384(02)00936-8 · Cited by 154
Further Evidence of Abnormal Non-Rapid-Eye-Movement Sleep in Schizophrenia
Hiatt, J. F. (1985) · Archives of General Psychiatry · doi:10.1001/archpsyc.1985.01790310059007 · Cited by 146
Auditory sensory gating in hippocampus and reticular thalamic neurons in anesthetized rats.
Krause, M., Hoffmann, W. E., & Hajós, M. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01463-4 · Cited by 141
Information processing dysfunction in paranoid schizophrenia: a two- factor deficit
BRAFF, D. L., & Saccuzzo, D. P. (1981) · American Journal of Psychiatry · doi:10.1176/ajp.138.8.1051 · Cited by 138
Circadian and Sleep-Related Endocrine Rhythms in Schizophrenia
Cauter, E. V. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810280064009 · Cited by 135
Activation of lateral geniculate neurons by norepinephrine: Mediation by an α-adrenergic receptor
Rogawski, M. A., & Aghajanian, G. K. (1980) · Brain Research · doi:10.1016/0006-8993(80)91193-2 · Cited by 112
Electroencephalographic sleep in schizophrenia: A critical review
Keshavan, M. S., Reynolds, C. F., & Kupfer, D. J. (1990) · Comprehensive Psychiatry · doi:10.1016/0010-440x(90)90052-t · Cited by 107
Inpatient Antipsychotic Drug Use in 1998, 1993, and 1989
Centorrino, F., Eakin, M., Bahk, W., Kelleher, J. P., Gören, J. L., Salvatore, P., Egli, S., & Baldessarini, R. J. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.11.1932 · Cited by 105
Unihemispheric enhancement of delta power in human frontal sleep EEG by prolonged wakefulness
Achermann, P., Finelli, L. A., & Borbély, A. A. (2001) · Brain Research · doi:10.1016/s0006-8993(01)02796-2 · Cited by 102
High frequency EEG activity during sleep: Characteristics in schizophrenia and depression
Tekell, J. L., Hoffmann, R., Hendrickse, W., Greene, R. W., Rush, A. J., & Armitage, R. (2005) · Clinical EEG and Neuroscience · doi:10.1177/155005940503600107 · Cited by 94
Heinrichs, R. W. (2001) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780195122190.001.0001 · Cited by 84
The Thalamic Reticular Nucleus: More Than a Sensory Nucleus?
Alonan, K. M., & Brown, V. J. (2002) · The Neuroscientist · doi:10.1177/107385840200800405 · Cited by 74
Kayama, Y., Shimada, S., Hishikawa, Y., & Ogawa, T. (1989) · Brain Research · doi:10.1016/0006-8993(89)90002-4 · Cited by 57
Effect of a single-dose of olanzapine on sleep in healthy females and males
Lindberg, N., Virkkunen, M., Tani, P., Appelberg, B., Virkkala, J., n, R. R., & Porkka‐Heiskanen, T. (2002) · International Clinical Psychopharmacology · doi:10.1097/00004850-200207000-00004 · Cited by 54
Müller, M. J., Rossbach, W., Mann, K., Roschke, J., Muller-Siecheneder, F., Blümler, M., Wetzel, H., Russ, H., Dittmann, R. W., & Benkert, O. (2004) · Pharmacopsychiatry · doi:10.1055/s-2004-827170 · Cited by 51
Sleep Spindles: Pharmacological Effects in Humans
Hirshkowitz, M., John, I. T., & Karacan, I. (1982) · SLEEP · doi:10.1093/sleep/5.1.85 · Cited by 44
Differential effects of chlorpromazine and phenobarbital on EEG sleep patterns
Feinberg, I., Wender, P. H., Koresko, R. L., Gottlieb, F., & Piehuta, J. A. (1969) · Journal of Psychiatric Research · doi:10.1016/0022-3956(69)90015-6 · Cited by 41
Untitled work
Borbely, A. A. (1999) · J Biol Rhythms
UnresolvedWilliams JBW: Structured Clinical Interview for DSM-IV-TR Axis I Disorders
First, M. B. (2002)
UnresolvedUntitled work
Sheehan, D. V. (1998) · J Clin Psychiatry
UnresolvedStatistical Power Analysis for the Behavioral Sciences
Cohen, J. (1988)
Unresolved
Cited by
Sorted by citations
Sleep Spindles in Humans: Insights from Intracranial EEG and Unit Recordings
Andrillon, T., Nir, Y., Staba, R. J., Ferrarelli, F., Cirelli, C., Tononi, G., & Fried, I. (2011) · The Journal of Neuroscience · doi:10.1523/jneurosci.2604-11.2011 · Cited by 504
“While it should be noted that our sampling was mostly limited to medial brain areas, scalp topography suggests that human spindle activity is maximal at midline regions (Ferrarelli et al., 2007), thereby making our data particularly well suited to examine sleep spindles.”
BackgroundMethodSelf-citationSleep spindle activity is associated with the integration of new memories and existing knowledge
Tamminen, J., Payne, J. D., Stickgold, R., Wamsley, E. J., & Gaskell, M. G. (2010) · The Journal of Neuroscience · doi:10.1523/jneurosci.3028-10.2010 · Cited by 478
“Automated detection (Ferrarelli et al., 2007) derived the number of discrete spindle events: for each channel, amplitude fluctuations in the filtered time series exceeding a predetermined threshold counted as spindles.”
BackgroundAcoustic Enhancement of Sleep Slow Oscillations and Concomitant Memory Improvement in Older Adults
Papalambros, N. A., Santostasi, G., Malkani, R. G., Braun, R., Weintraub, S., Paller, K. A., & Zee, P. C. (2017) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2017.00109 · Cited by 259
“Spindle detection was done as described by Ferrarelli et al. (2007) using the Hilbert transform to calculate spindle amplitude envelopes in channel Fpz.”
BackgroundMethodGenzel, L., Kroes, M. C. W., Dresler, M., & Battaglia, F. P. (2013) · Trends in Neurosciences · doi:10.1016/j.tins.2013.10.002 · Cited by 285
Benca, R. M., & Peterson, M. J. (2008) · Sleep Medicine · doi:10.1016/s1389-9457(08)70010-8 · Cited by 259
“The first application of hd-EEG sleep recording in psychiatry was in patients with schizophrenia, who showed reduced spindle activity in centroparietal regions compared to normal controls and patients with depression [55].”
BackgroundSelf-citation
Metadata
- Authors
- Ferrarelli, F., Huber, R., Peterson, M. J., Massimini, M., Murphy, M., Riedner, B. A., Watson, A., Bria, P., & Tononi, G.
- Affiliations
- University of Wisconsin–Madison (US)
- Don Carlo Gnocchi Foundation (IT)
- Venue
- American Journal of Psychiatry
- Published
- 2007-03
- Volume
- 164
- Issue
- 3
- Pages
- 483-492
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2077633827
- Cited by
- 541
- References
- 49
- Citations by year
- 2026: 28 · 2025: 32 · 2024: 32 · 2023: 21 · 2022: 39 · 2021: 29 · 2020: 42 · 2019: 31 · 2018: 32 · 2017: 39 · 2016: 39 · 2015: 39 · 2014: 28 · 2013: 32 · 2012: 21
- FWCI
- 7.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural dynamics and brain function
- Keywords
- schizophrenia, sleep spindles, high-density EEG, sleep rhythm, thalamic reticular nucleus, thalamocortical connections, corticothalamic connections, depression, biomarkers, EEG power spectra
- MeSH terms
- Adolescent, Adult, Brain Mapping, Cerebral Cortex, Depressive Disorder, Diagnosis, Differential, Electroencephalography, Female, Humans, Male, Middle Aged, Neural Pathways, Parietal Lobe, Reticular Formation, Schizophrenia, Sleep, Sleep Stages, Thalamus, Biomarkers
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