PMID- 33744512 OWN - NLM STAT- MEDLINE DCOM- 20210520 LR - 20220503 IS - 1879-1379 (Electronic) IS - 0022-3956 (Print) IS - 0022-3956 (Linking) VI - 137 DP - 2021 May TI - Sleep abnormalities in individuals at clinical high risk for psychosis. PG - 328-334 LID - S0022-3956(21)00150-3 [pii] LID - 10.1016/j.jpsychires.2021.03.006 [doi] AB - Youth at clinical high risk (CHR) represent a unique population enriched for precursors of major psychiatric disorders. Sleep disturbances are consistently reported in CHR individuals. However, there is a dearth of studies investigating quantifiable objective measures of sleep dysfunction in CHR youth. In this study, sleep high density (hd)-EEG recordings were collected in twenty-two CHR and twenty healthy control (HC) subjects. Sleep architecture parameters, as well as sleep EEG power spectra in five frequency bands, were computed and compared between CHR and HC groups during non-rapid eye movement (NREM) sleep. Furthermore, correlation analyses between sleep EEG power spectra, sleep architecture parameters, and clinical symptoms, assessed with the scale of prodromal symptoms (SOPS), were conducted in CHR participants. Our results show that CHR individuals had more wakefulness after sleep onset (WASO) compared to HC participants. CHR also showed a higher NREM sleep gamma EEG power, which was observed in a large fronto-parieto-occipital area, relative to HC. Additionally, higher NREM gamma activity in lateral fronto-occipital regions was associated with more WASO, and increased NREM gamma power in medial fronto/parietal areas correlated with worse SOPS negative symptoms. Altogether, these findings suggest that topographically specific increases in EEG gamma activity during NREM sleep represent neurophysiological signatures underlying some of the objectively assessed sleep disturbances and clinical symptoms of CHR individuals. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Mayeli, Ahmad AU - Mayeli A AD - Department of Psychiatry, University of Pittsburgh, USA. FAU - LaGoy, Alice AU - LaGoy A AD - Department of Psychiatry, University of Pittsburgh, USA. FAU - Donati, Francesco L AU - Donati FL AD - Department of Psychiatry, University of Pittsburgh, USA. FAU - Kaskie, Rachel E AU - Kaskie RE AD - Department of Psychiatry, University of Pittsburgh, USA. FAU - Najibi, Seyed Morteza AU - Najibi SM AD - Center for Molecular Protein Science, Lund University, Lund, Sweden. FAU - Ferrarelli, Fabio AU - Ferrarelli F AD - Department of Psychiatry, University of Pittsburgh, USA. Electronic address: ferrarellif@upmc.edu. LA - eng GR - R01 MH113827/MH/NIMH NIH HHS/United States GR - R21 MH119543/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20210308 PL - England TA - J Psychiatr Res JT - Journal of psychiatric research JID - 0376331 SB - IM MH - Adolescent MH - Electroencephalography MH - Humans MH - Polysomnography MH - *Psychotic Disorders/complications MH - Sleep MH - Sleep Stages MH - Sleep, REM PMC - PMC8085028 MID - NIHMS1681239 OTO - NOTNLM OT - Clinical high risk OT - NREM EEG gamma power OT - Sleep architecture OT - Sleep disturbance COIS- Conflict of Interest The authors declare that there is no conflict of interest. EDAT- 2021/03/22 06:00 MHDA- 2021/05/21 06:00 PMCR- 2022/05/01 CRDT- 2021/03/21 21:00 PHST- 2020/10/26 00:00 [received] PHST- 2021/02/27 00:00 [revised] PHST- 2021/03/02 00:00 [accepted] PHST- 2021/03/22 06:00 [pubmed] PHST- 2021/05/21 06:00 [medline] PHST- 2021/03/21 21:00 [entrez] PHST- 2022/05/01 00:00 [pmc-release] AID - S0022-3956(21)00150-3 [pii] AID - 10.1016/j.jpsychires.2021.03.006 [doi] PST - ppublish SO - J Psychiatr Res. 2021 May;137:328-334. doi: 10.1016/j.jpsychires.2021.03.006. Epub 2021 Mar 8.