Evidence map›Paper›PMID 32014359›Full record

ReviewSchizophrenia research2020

Targeting sleep oscillations to improve memory in schizophrenia.

Dara S Manoach, Dimitrios Mylonas, Bryan Baxter

Open access · greenAbstract readReview
In one paragraph

Review in Schizophrenia research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 36 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. Review
  3. Increased Sleep Spindles in Regions Engaged during Motor Learning Predict Memory Consolidation.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  4. 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
  5. Review
  6. Sleep Across the Lifespan: A Neurobehavioral Perspective.Current sleep medicine reports · 2025
    Review
  7. Article
  8. Review
  9. Altered sleep architecture in children and adolescents with Down syndrome.American journal of medical genetics. Part C, Seminars in medical genetics · 2023
    Article
  10. Article
  11. An NIMH Workshop on Non-Affective Psychosis in Midlife and Beyond: Research Agenda on Phenomenology, Clinical Trajectories, Underlying Mechanisms, and Intervention Targets.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. A redux of schizophrenia research in 2021.Schizophrenia research · 2022
    Article
  18. Article
  19. Article
  20. Article
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

3 authors at 1 institution in 1 country.

Dara S ManoachDepartment of Psychiatry Massachusetts General Hospital, Harvard Medical School, Boston, MA 02215, USA; Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA 02129, USA. Electronic address: dara.manoach@mgh.harvard.edu.
Dimitrios MylonasDepartment of Psychiatry Massachusetts General Hospital, Harvard Medical School, Boston, MA 02215, USA; Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA 02129, USA.
Bryan BaxterDepartment of Psychiatry Massachusetts General Hospital, Harvard Medical School, Boston, MA 02215, USA; Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA 02129, USA.
Harvard University · US

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
TRAINING IN SLEEP, CIRCADIAN &RESPIRATORY NEUROBIOLOGYT32HL007901 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI Charles A Czeisler · 1998 to 2026
$18.5M
The evolution of memories across wake and sleepR01MH048832 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI STICKGOLD, ROBERT · 1993 to 2018
$8.9M
Sleep-dependent Memory Processing in SchizophreniaR01MH092638 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI DARA S MANOACH · 2012 to 2026
$7.4M
A Storage Area Network for Structural and Functional Image AnalysisS10RR023401 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI FISCHL, BRUCE · 2009 to 2009
$2.0M
SILICON GRAPHICS PRISM EXTREME 128P/1TBS10RR023043 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI SORENSEN, ALMA GREGORY · 2006 to 2006
$1.5M
Mentoring and Research on Cognitive Deficits in SchizophreniaK24MH099421 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI MANOACH, DARA S · 2013 to 2017
$850k
Computeserver Structural &Functional Image AnalysisS10RR019307 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI FISCHL, BRUCE · 2004 to 2004
$496k
NCATS NIH HHS UL1 TR001102NCRR NIH HHS S10 RR019307NCRR NIH HHS S10 RR023043NCRR NIH HHS S10 RR023401NHLBI NIH HHS T32 HL007901NIMH NIH HHS K24 MH099421NIMH NIH HHS R01 MH048832NIMH NIH HHS R01 MH092638
6 · The paper itself

Abstract

Although schizophrenia is defined by waking phenomena, a growing literature documents a deficit in sleep spindles, a defining oscillation of stage 2 non-rapid eye movement sleep. Compelling evidence supports an important role for spindles in cognition, and particularly memory. In schizophrenia, although the spindle deficit correlates with impaired sleep-dependent memory consolidation, recent clinical trials find that increasing spindles does not improve memory. This may reflect that sleep-dependent memory consolidation relies not on spindles alone, but also on their precise temporal coordination with cortical slow oscillations and hippocampal sharp-wave ripples. Consequently, interventions to improve memory in schizophrenia must not only increase spindles, but also preserve or enhance slow oscillations, hippocampal ripples and their temporal relations. Because hippocampal ripples and the activity of the thalamic spindle generator are difficult to measure noninvasively, screening potential interventions requires complementary animal and human studies. In this review we (i) propose that sleep oscillations are novel pathophysiological targets for therapy to improve cognition in schizophrenia; (ii) summarize our understanding of how these oscillations interact to consolidate memory; (iii) suggest that a systems neuroscience strategy is essential to selecting and evaluating effective treatments, and illustrate this with findings from clinical trials; and (iv) selectively review the interventional literature relevant to sleep and cognition, covering both pharmacological and noninvasive brain stimulation approaches. We conclude that coordinated sleep oscillations are promising targets for improving cognition in schizophrenia and that effective therapies will need to preserve or enhance sleep oscillatory dynamics and restore function at the network level.

Indexed as

Memory ConsolidationSchizophreniaAnimalsElectroencephalographyHippocampusHumansMemorySleepSleep StagesBrain stimulationHippocampal ripplesMemorySchizophreniaSleep spindlesSlow oscillations

Identifiers

PMID32014359
PMCPMC7316628
OpenAlexW3003390330

What OpenQuestion holds

Textmetadata
LicenceTDM
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.