Biological correlates of slow wave sleep deficits in functional psychoses: 31P-magnetic resonance spectroscopy

Deficits in slow wave sleep (SWS) are consistently seen in schizophrenia and related psychotic disorders. However, the pathophysiological significance of this finding is uncertain. In 19 patients with psychotic illness, sleep and 31P-magnetic resonance spectroscopy (MRS) studies were carried out bef...

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Veröffentlicht in:Psychiatry research 1995-07, Vol.57 (2), p.91-100
Hauptverfasser: Keshavan, Matcheri S., Pettegrew, Jay W., Reynolds, Charles F., Panchalingam, Kanaga S., Montrose, Debra, Miewald, Jean, Kupfer, David J.
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container_end_page 100
container_issue 2
container_start_page 91
container_title Psychiatry research
container_volume 57
creator Keshavan, Matcheri S.
Pettegrew, Jay W.
Reynolds, Charles F.
Panchalingam, Kanaga S.
Montrose, Debra
Miewald, Jean
Kupfer, David J.
description Deficits in slow wave sleep (SWS) are consistently seen in schizophrenia and related psychotic disorders. However, the pathophysiological significance of this finding is uncertain. In 19 patients with psychotic illness, sleep and 31P-magnetic resonance spectroscopy (MRS) studies were carried out before the patients began medication treatment. Polysomnographic studies were carried out on 2–3 consecutive nights. MRS studies were performed with a surface coil and a depth-resolved pulse sequence focusing on the dorsal prefrontal cortex. Phosphomonoesters were correlated with visually scored delta and Stage 4 sleep, as well as with automated delta wave counts. An inverse relation was also seen between negative symptom scores and SWS. The association between decreased brain anabolic processes (reflected by decreased PME) and decreased SWS may be related either to processes of accelerated aging or to developmentally mediated alterations in cortical synaptic pruning, postulated to underlie the pathophysiology of functional psychoses.
doi_str_mv 10.1016/0165-1781(95)02669-N
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subjects Adult
Brain Diseases - diagnosis
Brain Diseases - physiopathology
Depressive Disorder - complications
Depressive Disorder - diagnosis
Depressive Disorder - physiopathology
Female
Humans
Magnetic Resonance Imaging
Magnetic resonance spectroscopy
Male
Phosphomonoesters
Polysomnography
Prefrontal cortex
Prefrontal Cortex - physiopathology
Psychiatric Status Rating Scales
Psychotic Disorders - complications
Psychotic Disorders - diagnosis
Psychotic Disorders - physiopathology
Schizophrenia
Schizophrenia - complications
Schizophrenia - diagnosis
Schizophrenia - physiopathology
Sleep Stages
Sleep Wake Disorders - etiology
title Biological correlates of slow wave sleep deficits in functional psychoses: 31P-magnetic resonance spectroscopy
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