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F194. Impairment of Sleep-Dependent Memory Consolidation and Sleep Spindles in Early-Course Schizophrenia and First-Degree Relatives
Abstract   Peer reviewed

F194. Impairment of Sleep-Dependent Memory Consolidation and Sleep Spindles in Early-Course Schizophrenia and First-Degree Relatives

Dan Denis, Olivia Larson, Erina Sato, Erin Kohnke, Elaine Parr, Bengi Baran, Katherine Stewart, Casey Cragin, Corin Pilo, Courtney Spitzer, …
Biological psychiatry (1969), Vol.85(10), pp.S288-S289
05/15/2019
DOI: 10.1016/j.biopsych.2019.03.731

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Abstract

Background A large body of evidence has shown that sleep is critical for memory consolidation, and sleep spindles, a hallmark oscillatory feature of non-rapid eye movement sleep (NREM), facilitates this process. In chronic schizophrenia, both memory consolidation and sleep spindle function are impaired. Here we assessed whether consolidation deficits also exist in early course-patients and their first-degree relatives, and if they correlate with spindle activity. Methods Eleven early-course psychosis patients (n = 5 schizophrenia (ECsz), n = 6 non-schizophrenia psychosis (ECnsz), 14 first-degree relatives of psychosis patients (FDR), and 16 healthy controls (HC) participated. Sleep-dependent memory processing on the finger tapping motor sequence task (MST) and a word pairs task (WPT) was investigated. We expected poorer consolidation on both tasks and a correlated reduction in spindle density in the ECsz and FDR groups. Results On the MST, HC, FDR, and ECnsz showed 9-16% improvement, while ECsz showed -1% (p = .034, ECsz vs all other groups). For the WPT, HC and ECnsz showed similarly minimal overnight forgetting (2 and 3%), while FDR and ECsz showed significantly more forgetting (11 and 17%; p = .041). Spindle density showed a trend for being lower in EC groups compared to HC and FDR (p = .090), and correlated with MST improvement (r = 0.40, p .048). Conclusions Results showed that deficits in MST and WPT memory consolidation and in sleep spindle density, which are seen in chronic schizophrenia, also exist in early course patients. Furthermore, declarative memory consolidation is also impaired in first-degree relatives of psychosis patients.

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