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Layer upon layer: thermoregulation in schizophrenia.

Terence W H Chong1, David J Castle

  • 1Early Psychosis Prevention and Intervention Centre, Orygen Youth Health and Department of Psychiatry, University of Melbourne, Parkville, Melbourne, Victoria, Australia.

Schizophrenia Research
|October 8, 2004
PubMed
Summary
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People with schizophrenia show impaired body temperature regulation, struggling with heat but managing cold better. This thermoregulation disorder may be linked to schizophrenia itself or its treatments.

Area of Science:

  • Neuroscience
  • Psychiatry
  • Physiology

Background:

  • Thermoregulation disorders are observed in individuals with schizophrenia.
  • Existing literature suggests differences in baseline temperature, daily temperature range, and diurnal variations.

Purpose of the Study:

  • To review and synthesize published literature on thermoregulation disorders in schizophrenia.
  • To investigate the nature and potential causes of impaired temperature regulation in this population.

Main Methods:

  • A comprehensive literature search was conducted on Medline and PsychINFO databases.
  • Search terms included "schizophrenia and thermoregulation" and "schizophrenia and temperature".
  • Relevant articles and secondary references were reviewed.

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Main Results:

  • Individuals with schizophrenia exhibit dysregulated body temperature compared to controls.
  • Impaired compensation to heat stress and more effective compensation to cold stress were noted.
  • Abnormalities include altered baseline temperatures and diurnal variations with an earlier peak.

Conclusions:

  • Thermoregulation deficits may be intrinsic to schizophrenia, potentially confounded by neuroleptic medication.
  • Both peripheral and central thermoregulation mechanisms likely contribute to these disorders.
  • Further research is needed to clarify the extent, characteristics, and mechanisms of temperature dysregulation in schizophrenia.