Sleep-onset rapid eye movement periods in neuropsychiatric disorders: implications for the pathophysiology of psychosis

The Journal of Nervous and Mental Disease
R H Howland

Abstract

This paper reviews the literature describing the occurrence of sleep-onset rapid eye movement periods in narcolepsy, schizophrenia, psychotic depression, and delirium tremens; the association of narcolepsy with psychotic disorders; the neuropathology of the brainstem in narcolepsy and schizophrenia; and other behavioral disorders resulting from probable brainstem pathology. These findings suggest that some forms of psychosis are a manifestation of pathophysiological changes in the brainstem. Some implications of this hypothesis for the treatment of psychoses are discussed. Future research should investigate psychoses and the psychobiological correlates of such biological markers as sleep-onset rapid eye movement periods across diagnostic categories.

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Citations

Jul 4, 2001·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·S OvereemG J Lammers
Jul 8, 2009·Clinical Psychology Review·Erin Koffel, David Watson
Nov 23, 2006·The Psychiatric Clinics of North America·Kathleen L Benson
Nov 9, 2011·Journal of Clinical Psychology·Kathleen M WrightDewayne Moore
May 9, 2015·The British Journal of Psychiatry : the Journal of Mental Science·A ThompsonD Wolke

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