SLEEP AND BIOLOGICAL RHYTHMS IN DEPRESSION - MODIFICATIONS INDUCED BY ANTIDEPRESSANTS

被引:9
作者
GOLDENBERG, F [1 ]
机构
[1] HOP HENRI MONDOR,SOMMEIL EXPLORAT FONCT LAB,F-94010 CRETEIL,FRANCE
来源
NEUROPHYSIOLOGIE CLINIQUE-CLINICAL NEUROPHYSIOLOGY | 1993年 / 23卷 / 06期
关键词
SLEEP; DEPRESSION;
D O I
10.1016/S0987-7053(05)80141-8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Sleep in depression is characterized by an increase in the number and duration of awakenings, sleep instability, and SWS decrease. REM sleep occurs earlier. REMs density during the 1st REM period is higher than in normal controls matched in age. Accordingly, sleep in depression is similar to sleep in normal aging. Endogenous depression cannot be distinguished from other types of depression by means of polygraphic criteria. Sleep recordings at the beginning of tricyclic compound treatment could be predictive of clinical response to treatment. Sleep modifications induced by antidepressive drugs are reviewed. Sleep recordings enabled us to formulate several physiopathological hypotheses of depression mechanisms: cholinergic-aminergic hypothesis, phase advance, deficiency of process S. Other hypotheses are reviewed: flattening of a hypothetical circadian rhythm of arousal, depressogenic property of sleep in itself (or only of SWS) or timing delay for the start of sleep. A significant phase advance of biological rhythms (temperature, cortisol) is rarely found. A reduction in the amplitude of rhythms (temperature, TSH, melatonine) is more frequent.
引用
收藏
页码:487 / 515
页数:29
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