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Sleep and DepressionA Controlled EEG Study
Joseph Mendels, MB ChB, MD;
David R. Hawkins, MD
Arch Gen Psychiatry. 1967;16(3):344-354.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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SLEEP disturbance is a significant feature of most clinical descriptions of depression. Indeed, some authors attribute diagnostic or therapeutic implications to the nature of the sleep disturbance. Thus, for example, Mayer-Gross1 regarded early morning wakening as a feature of "endogenous depression," and onset sleep difficulty as a feature of "reactive depression." Noyes and Kolb2 reported that patients with severe depression (manic depressive psychosis) have characteristically little difficulty in falling asleep, but wake much earlier than when they are well. Kalinowsky3 reported that "sleeplessness" is an important diagnostic sign of "true depression" and an indication for electroconvulsive therapy (ECT). However, there are few systematic studies of the actual nature of sleep disturbance in depression.
Detre4 found sleep disturbance to be a feature in 70% of 295 newly admitted psychiatric patients. He claimed that early morning wakening correlated with the diag
. . . [Full Text PDF of this Article]
Author Affiliations
Chapel Hill, NC
From the Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill.
Footnotes
Submitted for publication Aug 31, 1966.
Reprint requests to University of North Carolina, Chapel Hill, NC 27514 (Dr. Mendels).
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