The nature, consequences, mechanisms, and management of sleep disturbances in individuals at-risk for psychosis.

Journal: Frontiers in psychiatry

Volume: 13

Issue: 

Year of Publication: 

Affiliated Institutions:  Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia. School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon. College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.

Abstract summary 

There is strong evidence that sleep disturbances are commonly experienced by people with psychosis. Evidence has also shown that sleep disturbances are present since the very early stages of the disease, even during the pre-diagnostic phase. More recently, research involving young individuals at ultra-high risk (UHR) for psychosis documented frequent occurrence of sleep disturbances in this group. The very early onset of sleep disturbances in the course of psychosis has drawn attention to the possible links between sleep parameters and the risk of psychosis. To date, the nature of sleep disturbances characterizing the UHR stage remains unclear, with available studies having yielded mixed findings. In this regard, we performed this review to update the body of literature on the nature of sleep disturbances, their underlying mechanisms, their clinical and functional consequences, the prevention and intervention strategies in the at-risk for psychosis population. Our findings provided further support to the presence of disturbed sleep in UHR individuals as evidenced by subjective and objective sleep measures such as polysomnography, sleep electroencephalograms, and actigraphy. Reviewing the possible mechanisms underlying the relationship between sleep and psychosis emphasized its complex and multifactorial nature which is yet to be determined and understood. Further research is warranted to determine which facets of sleep disturbances are most detrimental to this specific population, and to what extent they can be causal factors or markers of psychosis.

Authors & Co-authors:  Fekih-Romdhane Feten F Hallit Souheil S Cheour Majda M Jahrami Haitham H

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Ohayon MM. Epidemiological overview of sleep disorders in the general population. Sleep Med Res. (2011) 2:1–9. 10.17241/smr.2011.2.1.1
Authors :  4
Identifiers
Doi : 1011963
SSN : 1664-0640
Study Population
Male,Female
Mesh Terms
Other Terms
UHR;at-risk mental state;early intervention;psychosis;sleep
Study Design
Cross Sectional Study
Study Approach
Mixed Methods
Country of Study
Publication Country
Switzerland