Without sleep, the emotional centers of the brain dramatically overreact to negative experiences, reveals a new brain imaging study in the October 23rd issue of Current Biology, a publication of Cell Press. The reason for that hyperactive emotional response in sleep-deprived people stems from a shutdown of the prefrontal lobe—a region that normally keeps emotions under control.

The new study from Harvard Medical School and the University of California, Berkeley is the first to explain, at the neural level, what seems to be a universal phenomenon: that sleep loss leads to emotionally irrational behavior, according to the researchers. The findings might also offer some insight into the clinical connection between sleep disruptions and psychiatric disorders.

“This adds to the critical list of sleep’s benefits,” said Matthew Walker, from the University of California, Berkeley. “Sleep appears to restore our emotional brain circuits, and in doing so prepares us for the next day’s challenges and social interactions. Most importantly, this study demonstrates the dangers of not sleeping enough. Sleep deprivation fractures the brain mechanisms that regulate key aspects of our mental health. The bottom line is that sleep is not a luxury that we can optionally choose to take whenever we like. It is a biological necessity, and without it, there is only so far the band will stretch before it snaps, with both cognitive and emotional consequences.”

Scientists have known that sleep deprivation impairs a range of bodily functions, including the immune system and metabolism, as well as brain processes, such as learning and memory, the researchers explained. Yet, evidence for the role of sleep in governing our emotional brain state had remained surprisingly scarce, they noted.

In the new study, Walker’s team assigned 26 healthy people to either a sleep-deprivation group—in which participants were kept awake for about 35 hours—or a normal sleep group. On the following day, the study subjects’ brains were scanned by functional magnetic resonance imaging (fMRI), which measures brain activity on the basis of blood flow, while viewing 100 images. The images were at first emotionally neutral, but became increasingly aversive over time.

“We had predicted a potential increase in the emotional reaction from the brain [in people deprived of sleep], but the size of the increase truly surprised us,” Walker said of the study’s findings. “The emotional centers of the brain were over 60% more reactive under conditions of sleep deprivation than in subjects who had obtained a normal night of sleep. It is almost as though, without sleep, the brain reverts back to a more primitive pattern of activity, becoming unable to put emotional experiences into context and produce controlled, appropriate responses.

“While it is early days,” he added, “clinical evidence has shown that some form of sleep disruption is present in almost all psychiatric disorders. These findings may offer new mechanisms as to why, and provide novel insights into how we can understand and even treat these disorders at a brain level.”

A tendency to extract messages from meaningless noise could be an early sign of schizophrenia, according to a study by Yale School of Medicine researchers.

The study this month in the British Journal of Psychiatry reported on 43 participants diagnosed with “prodromal symptoms”— meaning they exhibited early warning signs of psychosis such as social withdrawal, mild perceptual alterations, or misinterpretation of social cues. Participants in the study were randomly assigned to take the anti-psychotic medication olanzapine or a placebo, and then symptoms and neuropsychological function were assessed for up to two years.

During the “babble task,” participants listened with headphones to overlapping recordings of six speakers reading neutral texts, which made the words virtually incomprehensible. The participants were asked to repeat any words or phrases that they heard. Only four words—“increase,” “children,” “A-OK,” and “Republican”—were consistently reproduced.

Eighty percent of the participants who “heard” phrases of four or more words in length went on to develop a schizophrenia-related illness during times that they were not taking olanzapine, said the lead author, Ralph Hoffman, M.D., associate professor of psychiatry. In contrast, only six percent of those in the study converted to schizophrenia-related illness if the phrases “heard” were less than three words in length. “A tendency to extract message-like meaning from meaningless sensory information can, over time, produce a ‘matrix of unreality’ that triggers the initial psychotic phase of schizophrenia-spectrum disorders,” Hoffman said.

He said further research is needed because of the small size of this study. However, if these findings are verified, Hoffman added, they could provide an inexpensive tool for identifying those individuals with early warning signs of schizophrenia who would most likely benefit from preventive drug therapy.