Insight Into Sleep’s Role in Schizophrenia Offers Potential Treatment Path

Newswise — BOSTON – A sleep abnormality likely plays an important role in schizophrenia, according to sleep experts at Beth Israel Deaconess Medical Center (BIDMC). In a review of the growing body of evidence linking a reduction in sleep spindle activity to schizophrenia, the researchers suggested that a better understanding of this sleep abnormality’s genetic underpinnings opens the door to new treatments for the psychiatric disorder. Their paper appeared in the October 15 issue of Biological Psychiatry.

“One of the most exciting advances in sleep research over the last decade has been the growing understanding of sleep’s causal relationship to psychiatric disorders,” said senior author Robert Stickgold, MD, PhD, director of the Center for Sleep and Cognition at BIDMC. “Here, we reviewed the evidence that reduced sleep spindle activity predates the onset of schizophrenia and contributes to its cognitive deficits and other symptoms.”

Visible on an electroencephalogram (EEG) – which measures the brain’s electrical activity – sleep spindles are bursts of brain activity lasting less than a second. They occur only during the non-REM phase of sleep and play a role in the memory consolidation process that takes place during sleep. Scientists suspect sleep spindles solidify memories by strengthening synaptic connections among neurons. Among both healthy subjects and individuals with schizophrenia higher sleep spindle activity correlates with enhanced sleep-dependent memory processing and higher IQ.

For nearly a century, researchers have been aware of the link between sleep disturbances and schizophrenia, but these disturbances have long been considered a secondary consequence of the illness. Now, a growing body of literature suggests sleep abnormalities actually contribute to the onset, relapse and manifestations of schizophrenia – not the other way around.

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Doesn’t surprise me. They (big know it all scientists) noticed in Bipolar’s that there was broken sleep/ tossing and turning about 2 days before mania hits. We also know sleep is part of our basic needs, but getting not too much not too little is the problem.