Evidence map›Paper›PMID 30121185›Full record

Trial reportSchizophrenia research2019

Sleep duration and psychotic experiences in patients at risk of psychosis: A secondary analysis of the EDIE-2 trial.

S Reeve, A Nickless, B Sheaves, J Hodgekins, S L K Stewart, A Gumley, D Fowler, A Morrison, D Freeman

Abstract readClinical Trial
In one paragraph

Trial report in Schizophrenia research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Observational
  6. Article
  7. Ethical challenges in contemporary psychiatry: an overview and an appraisal of possible strategies and research needs.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024
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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.

S ReeveDepartment of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK. Electronic address: sarah.reeve@psych.ox.ac.uk.
A NicklessNuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, UK.
B SheavesDepartment of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK; Oxford Health NHS Foundation Trust, Oxford, UK.
J HodgekinsNorwich Medical School, University of East Anglia, Norwich, UK.
S L K StewartDepartment of Psychology, University of Chester, Parkgate Road, Chester, UK.
A GumleyInstitute of Health and Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK.
D FowlerSchool of Psychology, Pevensey Building, University of Sussex, Falmer, Brighton, UK.
A MorrisonDivision of Psychology and Mental Health, University of Manchester, Manchester, UK.
D FreemanDepartment of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK; Oxford Health NHS Foundation Trust, Oxford, UK.

Funding

Department of Health RP-2014-05-003Medical Research Council G0500264Wellcome TrustWellcome Trust 098461/Z/12/Z
6 · The paper itself

Abstract

Sleep disturbance is common among individuals at risk of psychosis, yet few studies have investigated the relationship between sleep disturbance and clinical trajectory. The Early Detection and Intervention Evaluation (EDIE-2) trial provides longitudinal data on sleep duration and individual psychotic experiences from a cohort of individuals at risk of psychosis, which this study utilises in an opportunistic secondary analysis. Shorter and more variable sleep was hypothesised to be associated with more severe psychotic experiences and lower psychological wellbeing. Mixed effect models were used to test sleep duration and range as predictors of individual psychotic experiences and psychological wellbeing over the 12-24 months (with assessments every 3 months) in 160 participants. Shorter sleep duration was associated with more severe delusional ideas and hallucinations cross-sectionally and longitudinally. The longitudinal relationships did not remain significant after conservative controls were added for the previous severity of psychotic experiences. No significant relationships were found between the sleep variables and other psychotic experiences (e.g. cognitive disorganisation), or psychological wellbeing. The results support a relationship between shorter sleep duration and delusional ideas and hallucinations. Future studies should focus on improving sleep disturbance measurement, and test whether treating sleep improves clinical trajectory in the at-risk group.

Indexed as

AdolescentAdultComorbidityCross-Sectional StudiesDelusionsEarly DiagnosisEarly Medical InterventionFemaleHallucinationsHumansLongitudinal StudiesMalePsychotic DisordersRiskSleepSleep Wake DisordersAt riskLongitudinalPsychosisSleep

Identifiers

PMID30121185
PMCPMC6406020

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Registered trials

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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.