A1 Journal article – refereed
Schizotypal traits are associated with sleep spindles and rapid eye movement in adolescence




List of Authors: Kuula L, Merikanto I, Makkonen T, Halonen R, Lahti-Pulkkinen M, Lahti J, Heinonen K, Raikkonen K, Pesonen AK
Publisher: WILEY
Publication year: 2019
Journal: Journal of Sleep Research
Journal name in source: JOURNAL OF SLEEP RESEARCH
Journal acronym: J SLEEP RES
Volume number: 28
Issue number: 1
Number of pages: 7
ISSN: 0962-1105

Abstract
Research suggests an association between schizophrenia and a decrease in sleep spindle activity, as well as a change in sleep architecture. It is unknown how the continuum of psychotic symptoms relates to different features in the sleep electroencephalogram. We set out to examine how sleep architecture and stage 2 spindle activity are associated with schizotypy in a healthy adolescent population. The participants in our study (n = 176, 61% girls) came from a community-based cohort. Schizotypal traits were evaluated using the Schizotypal Personality Scale (STA) in early adolescence (mean age 12.3 years, SD = 0.5) and the participants underwent ambulatory overnight polysomnography at mean age 16.9 years (SD = 0.1). Sleep was scored in 30-s epochs into stages 1, 2, 3 and rapid eye movement (REM) sleep. Stage 2 spindles were detected using an automated algorithm. Spindle analyses from central and frontal derivations included spindle duration and density for slow (10-13 Hz) and fast (13-16 Hz) ranges. Covariates included sex and age. Those with the highest STA scores had a higher percentage of REM (B = 2.07 [95% CI, 0.17, 4.0]; p = .03) than those with the lowest scores. Those with the highest scores had shorter spindle duration, as derived from the frontal regions, and a slower oscillation range (B = -0.04 [95% CI, -0.07, -0.01]; p = .023) than those with the lowest scores. We conclude that high levels of schizotypy characteristics measured in early adolescence may be associated with distinguished features of sleep architecture, namely with spindle morphology and a higher proportion of REM sleep.


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Last updated on 2019-12-04 at 13:12