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Med. Sci. 2018, 6(3), 76; https://doi.org/10.3390/medsci6030076

Relationship between Sleep and Psychosis in the Pediatric Population: A Brief Review

1
Department of Psychiatry, University of Missouri, Columbia, MO 65212, USA
2
Department of Psychiatry, Nationwide Children’s Hospital, Columbus, OH 43025, USA
*
Author to whom correspondence should be addressed.
Received: 19 August 2018 / Revised: 9 September 2018 / Accepted: 10 September 2018 / Published: 14 September 2018
(This article belongs to the Special Issue Updates in Pediatric Sleep and Child Psychiatry)
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Abstract

Sleep disorders are common in several psychiatric disorders, including schizophrenia. In the pediatric population, the relationship between sleep and psychosis is not completely understood due to limited research studies investigating the link. Insomnia is noted to be a predictor of psychosis, especially in ultrahigh risk adolescents. Sleep difficulties are also associated with a two to three-fold increase in paranoid thinking. Biological factors, such as decrease in thalamic volume, have been observed in children with schizophrenia and ultrahigh risk adolescents with associated sleep impairment. Objective studies have indicated possible actigraphy base measures to be the predictor of psychosis after a one year follow-up. The studies using polysomnography have rare and inconsistent results. In this brief review, we provide an overview of existing literature. We also posit that future research will be beneficial in understanding the initiation, course and progression of sleep disturbance in the high risk pediatric population with the goal of implementing interventions to alter the development of psychosis. View Full-Text
Keywords: sleep disturbance; psychosis; schizophrenia; pediatric sleep sleep disturbance; psychosis; schizophrenia; pediatric sleep
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Bordoloi, M.; Ramtekkar, U. Relationship between Sleep and Psychosis in the Pediatric Population: A Brief Review. Med. Sci. 2018, 6, 76.

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