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Review
. 2015 Mar;10(1):17-23.
doi: 10.1016/j.jsmc.2014.11.009. Epub 2014 Dec 12.

Sleep Disturbances in Depression

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Free PMC article
Review

Sleep Disturbances in Depression

Michael J Murphy et al. Sleep Med Clin. .
Free PMC article

Abstract

Major depressive disorder is frequently accompanied by sleep disturbances such as insomnia or hypersomnia and polysomnographic sleep findings of increased rapid-eye-movement sleep and decreased slow wave sleep. For many patients, insomnia persists even after mood symptoms have been adequately treated. These patients have poorer outcomes than patients without sleep problems. These outcomes suggest that overlapping neural mechanisms regulate sleep and mood. Treatment of these patients can incorporate sedating antidepressants, nonbenzodiazepine γ-aminobutyric acid agonists, and cognitive behavioral therapy. Sleep restriction has been found to improve mood in depressed patients; however, the benefits typically disappear after recovery sleep.

Keywords: Antidepressant; Cognitive behavioral therapy; Hypersomnia; Hypnotic; Insomnia; Major depressive disorder; Sleep.

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