Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United States.
Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, United States; Center for Neuroscience, University of Colorado Boulder, Boulder, CO, United States.
Schizophr Res. 2017 Dec;190:160-163. doi: 10.1016/j.schres.2017.03.025. Epub 2017 Mar 16.
Sleep disturbance contributes to impaired procedural learning in schizophrenia, yet little is known about this relationship prior to psychosis onset. Adolescents at ultra high-risk (UHR; N=62) for psychosis completed the Pittsburgh Sleep Quality Index (PSQI) and a procedural learning task (Pursuit Rotor). Increased self-reported problems with sleep latency, efficiency, and quality were associated with impaired procedural learning rate. Further, within-sample comparisons revealed that UHR youth reporting better sleep displayed a steeper learning curve than those with poorer sleep. Sleep disturbances appear to contribute to cognitive/motor deficits in the UHR period and may play a role in psychosis etiology.
睡眠障碍会导致精神分裂症患者程序性学习受损,但在精神病发作前,人们对此知之甚少。有精神病超高风险(UHR;N=62)的青少年完成了匹兹堡睡眠质量指数(PSQI)和程序性学习任务(追踪旋转器)。自我报告的入睡潜伏期、效率和质量问题增加与程序性学习率受损有关。此外,样本内比较显示,报告睡眠质量较好的 UHR 青少年的学习曲线比睡眠质量较差的青少年更为陡峭。睡眠障碍似乎会导致 UHR 期间的认知/运动缺陷,并可能在精神病发病机制中发挥作用。