Attention and non-REM sleep in neuroleptic-naive persons with schizophrenia and control participants

Psychiatry Res. 2007 Jan 15;149(1-3):33-40. doi: 10.1016/j.psychres.2005.11.005. Epub 2006 Nov 30.

Abstract

The relationship between sleep architecture and attentional performance was evaluated in neuroleptic-naive patients with schizophrenia and healthy controls. Participants were recorded in a sleep laboratory for two consecutive nights after which selective and sustained attention performance was tested. In both groups of participants, Spearman's rho statistics revealed a negative correlation between reaction time on the selective attention task and sleep spindle density. Only control participants showed a negative correlation between reaction time and duration of stage 2 sleep and a positive correlation between reaction time and duration of stage 1 ("light") sleep. Only persons with schizophrenia showed a negative correlation between reaction time and duration of stage 4 ("deep") sleep. In the sustained attention task, we found no correlation between reaction time and sleep for control participants while persons with schizophrenia showed a negative correlation between reaction time and duration of stage 4 sleep. It is proposed that EEG sleep spindle activity is associated with automatic attentional processing, while stage 2 sleep continuity in healthy individuals and percentage of stage 4 in patients with schizophrenia are associated with voluntary processes. These results support the existence of a relationship between non-rapid-eye-movement sleep and cognitive performance in healthy individuals as well as in persons with schizophrenia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adult
  • Antipsychotic Agents
  • Attention / physiology*
  • Automatism
  • Chin
  • Cognition Disorders / diagnosis
  • Cognition Disorders / epidemiology
  • Electroencephalography
  • Electromyography
  • Electrooculography
  • Eye Movements / physiology
  • Female
  • Hospitalization
  • Humans
  • Male
  • Neuropsychological Tests
  • Reaction Time / physiology
  • Schizophrenia / epidemiology
  • Schizophrenia / physiopathology*
  • Schizophrenia / rehabilitation
  • Severity of Illness Index
  • Sleep Stages / physiology*
  • Time Factors

Substances

  • Antipsychotic Agents