Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-11T03:50:47.228Z Has data issue: false hasContentIssue false

Spectral analysis of the sleep EEG of depressed patients before and after total sleep deprivation

Published online by Cambridge University Press:  18 September 2015

Extract

Sleep electroencephalography in depressed patients reveals many signs of disrupted sleep, like long sleep latency, frequent awakenings, reduced amounts of time spent in the sleep stages 3 and 4, and early morning wakefulness. Upon total deprivation of sleep for one night, many patients experience an unexpected alleviation of their depression, which usually lasts until the subsequent sleep period. Attempts have been made to explain these changes of mood to result from induced changes in sleep physiological mechanisms. Such attempts can roughly be categorized in two classes. One class of hypotheses concerns proposed disturbances in circadian sleep control (i.e. the timing of sleep is inappropriately controlled), the other class concerns postulated disrupted homeostatic sleep control (i.e. the intensity of sleep is inappropriately controlled). For both types of theoretical approaches data have been published which are consistent with the hypotheses as well as data which are not.

Type
Research Article
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Literature

1.Benca, RM, Obermeyer, WH, Thisted, RA, Gillin, JC. Sleep and psychiatric disorders: A meta-analysis. Arch gen Psychiat 1992; 49: 651–68.CrossRefGoogle ScholarPubMed
2.Leibenluft, E, Wehr, TA. Is sleep deprivation useful in the treatment of depression? Am J Psychiat 1992; 149: 159–68.Google ScholarPubMed
3.Wehr, TA, Wirz-Justice, A. Internal coincidence model for sleep deprivation and depression. Psychiat Res 1981; 16: 155–63.Google Scholar
4.Sack, DA, Duncan, W, Rosenthal, NE, Mendelson, WE, Wehr, TA. The timing and duration of sleep in partial sleep deprivation therapy of depression. Acta psychiat scand 1988; 77: 219–24.CrossRefGoogle ScholarPubMed
5.Borbély, AA, Wirz-Justice, A. Sleep, sleep deprivation, and depression. Hum Neurobiol 1982; 1: 205–10.Google ScholarPubMed
6.Borbély, AA. The S-deficiency hypothesis of depression and the two-process model of sleep regulation. Pharmacopsychiatry 1987; 20: 23–9.CrossRefGoogle ScholarPubMed
7.Beersma, DGM, Van den Hoofdakker, RH. Can non-REM sleep be depressogenic? J affect Disord 1992; 24: 101–8.CrossRefGoogle Scholar
8.Van den Hoofdakker, RH. Chronobiological theories of non-seasonal affective disorders and their implications for treatment. J Biol Rhythms 1994; 9: 157–83.CrossRefGoogle Scholar
9.Borbély, AA, Baumann, F, Brandeis, D, Strauch, I, Lehmann, D. Sleep deprivation: effect on sleep stages and EEG power density in man. Electroenceph clin Neurophysiol 1981; 51: 483–93.CrossRefGoogle ScholarPubMed
10.Daan, S, Beersma, DGM, Borbély, AA. The timing of human sleep: recovery process gated by a circadian pacemaker. Am J Physiol 1984; 246: R161–78.Google ScholarPubMed
11.Dijk, DJ, Beersma, DGM. Effects of SWS deprivation on subsequent EEG power density and spontaneous sleep duration. Electroenceph clin Neurophysiol 1989; 72: 312–20.CrossRefGoogle ScholarPubMed
12.Achermann, P, Dijk, DJ, Brunner, DP, Borbély, AA. A model of human sleep homeostasis based on EEG slow wave activity: Quantitative comparison of data and simulations. Brain Res Bull 1993; 31: 97113.CrossRefGoogle Scholar
13.Dijk, DJ, Brunner, DP, Beersma, DGM, Borbély, AA. Electroencephalogram power density and slow wave sleep as a function of prior waking and circadian phase. Sleep 1990; 13: 430–40.CrossRefGoogle ScholarPubMed
14.Borbély, AA, Tobler, I, Loepfe, M, Kupfer, DJ, Ulrich, RF, Grochocinski, V, Doman, J, Matthews, G. All-night spectral analysis of the sleep EEG in untreated depressives and normal controls. Psychiat Res 1984; 12: 2733.CrossRefGoogle ScholarPubMed
15.Kupfer, DJ, Ulrich, RF, Coble, PA, Jarrett, DB, Grochocinski, V, Doman, J, Matthews, G, Borbély, AA. Application of automated REM and slow wave sleep analysis: II. Testing the assumptions of the two-process model of sleep regulation in normal and depressed subjects. Psychiat Res 1984; 13: 335–43.CrossRefGoogle ScholarPubMed
16.Mendelson, WB, Sack, DA, James, SP, Martin, JV, Wagner, R, Garnett, D, Milton, J, Wehr, TA. Frequency analysis of the sleep EEG in depression. Psychiat Res 1987; 21: 8994.CrossRefGoogle ScholarPubMed
17.Van den Hoofdakker, RH, Beersma, DGM. On the contribution of sleep wake physiology to the explanation and treatment of depression. Acta psychiat scand 1988; Suppl 341: 5372.CrossRefGoogle Scholar
18.Von Zerssen, D. Clinical self-rating scales (CSRS) of the Munich Psychiatric Information Systems (PSYCHIS München). In Sartorius, N, Ban, TA, eds. Assessment of Depression. Berlin: Springer Verlag, 1986: 270303.CrossRefGoogle Scholar
19.Rechtschaffen, A, Kales, AA. A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. Washington DC: Public Health Services, US Government Printing Office, 1968.Google Scholar