{"id":524,"date":"2011-12-22T14:42:30","date_gmt":"2011-12-22T19:42:30","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=524"},"modified":"2011-12-22T15:49:34","modified_gmt":"2011-12-22T20:49:34","slug":"study-suggests-treating-sleep-problems-may-be-important-in-schizophrenia","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2011\/12\/study-suggests-treating-sleep-problems-may-be-important-in-schizophrenia\/","title":{"rendered":"Study suggests treating sleep problems may be important in schizophrenia"},"content":{"rendered":"<p>From the Oxford University press release:<\/p>\n<blockquote><p><strong><img loading=\"lazy\" class=\"alignright\" title=\"insomnia\" src=\"http:\/\/therapytoronto.ca\/images\/blogpics\/Insomnia.jpg\" alt=\"\" width=\"251\" height=\"167\" \/>A study of schizophrenia patients has found profound disruptions  in their sleep patterns, with half also having irregular body clocks  that are out of synch with the pattern of night and day.<\/strong><\/p>\n<p>People with schizophrenia had profound disruptions in their sleep patterns.<\/p>\n<p><strong>The  Oxford researchers argue that the extent and severe nature of  these  long-term sleep problems should be considered for treatment along  with  the other symptoms of schizophrenia, as they have such a strong  impact  on mood, social function, mental abilities and quality of life.<\/strong><\/p>\n<p>\u2018The  people in our study were stable in mood, taking medication and  yet they  still experienced enormous sleep problems,\u2019 says first author  Dr  Katharina Wulff of the Nuffield Department of Clinical Neurosciences  at  the University of Oxford.<\/p>\n<p>\u2018Clinicians may need to start thinking  about treating their  patients\u2019 sleep problems as well, or refer them to  sleep specialists,\u2019  she suggests.<\/p>\n<p>The Oxford University-led study, with colleagues from UCL and the University of Surrey, is published online by the <em>British Journal of Psychiatry<\/em>.   It was funded by European Commission, the Wellcome Trust, Oxford   Biomedical Research Centre, and the UCLH\/UCL Biomedical Research Centre.<\/p>\n<p>The researchers found severe disruption in the sleep patterns of  all  20 patients with schizophrenia in the study, despite their mood  being  stable and each being on a regular drug regime.<\/p>\n<p>All those  with schizophrenia took longer to fall asleep, spent  longer in bed,  slept longer and had much more variable sleep patterns,  compared with a  control group of 21 healthy unemployed people.<\/p>\n<p>The variable sleep  patterns are unlikely to be simply due to those  with schizophrenia  having unstructured days without any routine, since  those in the control  group may also not have a pattern to their daily  lives.<\/p>\n<p>The sleep problems also appear to be unrelated to the different drugs those with schizophrenia are taking.<\/p>\n<p>Ten of the patients also had disrupted body clocks. Their internal 24   hour rhythm was delayed compared with all the others, or longer than  24  hours. They often ended up sleeping at times other than night time,   either only getting to sleep after 4am and getting up in the afternoon   or having \u2018free-running\u2019 sleep patterns unrelated to the 24 hour day.<\/p>\n<p>Although  the researchers have provided strong evidence of a  correlation between  schizophrenia and severely disrupted sleep patterns  in these patients,  they have not demonstrated a causal link between  the two.<\/p>\n<p>They  are using animal models of schizophrenia to examine if there  are  alterations in biological pathways known to be involved with  regulating  the body clock. And it may be possible for future studies to  follow  people at risk of schizophrenia with sleep problems to see if  this can  be a factor in developing the condition.<\/p>\n<p>Schizophrenia can cause a  range of different symptoms including  hallucinations, delusions,  muddled thoughts, and changes in behaviour.  The cause of schizophrenia  is unknown, but may be down to a combination  of genetic and  environmental factors. Up to around 1 in 100 people are  estimated to  experience schizophrenia in their lives.<\/p>\n<p><strong>Sleep disturbances are  thought to be common in many mental health  conditions, including  schizophrenia. But this is one of the first  studies to provide hard  evidence as well as look for body clock  abnormalities.<\/strong><\/p>\n<p>Professor  Russell Foster of Oxford University, who headed the  research group,  says: \u2018Patients often complain of being so tired they  can\u2019t concentrate,  can\u2019t work, that dealing with their sleep problems  would make life so  much better. There are also lots of anecdotal  stories from psychiatrists  of patients being unable to settle to sleep  and running around all  night, or not turning up to consultations  organised for mornings.<\/p>\n<p>\u2018We  now know <strong>many of the patients are also essentially suffering  persistent  jetlag with their body clocks out of synch with day and  night<\/strong>. This  immediately opens up a lot of new avenues for research in  understanding  the links between sleep problems and mental illhealth.  But regardless of  whether or not there is a mechanistic link between  the body clock and  psychiatric conditions, it is clear that treating  sleep problems could  improve the lives of many patients.\u2019<\/p><\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Oxford University press release: A study of schizophrenia patients has found profound disruptions in their sleep patterns, with half also having irregular body clocks that are out of&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2011\/12\/study-suggests-treating-sleep-problems-may-be-important-in-schizophrenia\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[49,201,362],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/524"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=524"}],"version-history":[{"count":2,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/524\/revisions"}],"predecessor-version":[{"id":526,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/524\/revisions\/526"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=524"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=524"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}