Evidence map›Paper›PMID 23997371›Full record

Trial reportSleep2013

The effects of eszopiclone on sleep spindles and memory consolidation in schizophrenia: a randomized placebo-controlled trial.

Erin J Wamsley, Ann K Shinn, Matthew A Tucker, Kim E Ono, Sophia K McKinley, Alice V Ely, Donald C Goff, Robert Stickgold, Dara S Manoach

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 125 citations in OpenAlex.

  1. The effects of eszopiclone on sleep spindles and memory consolidation in schizophrenia: a randomized clinical trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Trial
  2. Trial
  3. Trial
  4. Festschrift in honor of Dr. Robert Stickgold, pioneer in sleep, memory, and dream research.Sleep advances : a journal of the Sleep Research Society · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. CB-1 receptor agonist drastically changes oscillatory activity, defining active sleep.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Sleep spindle density and temporal clustering are associated with sleep-dependent memory consolidation in Parkinson's disease.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  15. Article
  16. Review
  17. Review
  18. A spectrum of altered non-rapid eye movement sleep in schizophrenia.bioRxiv : the preprint server for biology · 2023
    Article
  19. Article
  20. Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Erin J WamsleyDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA; Harvard Medical School, Boston, MA.
Ann K Shinn
Matthew A Tucker
Kim E Ono
Sophia K McKinley
Alice V Ely
Donald C Goff
Robert Stickgold
Dara S Manoach
Harvard University · USMassachusetts General Hospital · USBeth Israel Deaconess Medical Center · USMcLean Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesIn schizophrenia there is a dramatic reduction of sleep spindles that predicts deficient sleep-dependent memory consolidation. Eszopiclone (Lunesta), a non-benzodiazepine hypnotic, acts on γ-aminobutyric acid (GABA) neurons in the thalamic reticular nucleus where spindles are generated. We investigated whether eszopiclone could increase spindles and thereby improve memory consolidation in schizophrenia.

designIn a double-blind design, patients were randomly assigned to receive either placebo or 3 mg of eszopiclone. Patients completed Baseline and Treatment visits, each consisting of two consecutive nights of polysomnography. On the second night of each visit, patients were trained on the motor sequence task (MST) at bedtime and tested the following morning.

settingAcademic research center.

participantsTwenty-one chronic, medicated schizophrenia outpatients. MEASUREMENTS AND

resultsWe compared the effects of two nights of eszopiclone vs. placebo on stage 2 sleep spindles and overnight changes in MST performance. Eszopiclone increased the number and density of spindles over baseline levels significantly more than placebo, but did not significantly enhance overnight MST improvement. In the combined eszopiclone and placebo groups, spindle number and density predicted overnight MST improvement.

conclusionEszopiclone significantly increased sleep spindles, which correlated with overnight motor sequence task improvement. These findings provide partial support for the hypothesis that the spindle deficit in schizophrenia impairs sleep-dependent memory consolidation and may be ameliorated by eszopiclone. Larger samples may be needed to detect a significant effect on memory. Given the general role of sleep spindles in cognition, they offer a promising novel potential target for treating cognitive deficits in schizophrenia.

Indexed as

AdultAzabicyclo CompoundsBrainDouble-Blind MethodElectroencephalographyEszopicloneFemaleHumansHypnotics and SedativesMaleMemoryNeuropsychological TestsPiperazinesPolysomnographySchizophreniaSleepAzabicyclo CompoundsEszopicloneHypnotics and SedativesPiperazinesautomationmemory consolidationmotor skillprocedural learningSchizophreniasleep spindles

Identifiers

PMID23997371
PMCPMC3738047
OpenAlexW2044342959

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.