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Effects of trazodone on EEG sleep and clinical state in major depression
Abstract
The effects of the antidepressant trazodone on clinical state and on EEG sleep in eight outpatients with a major depressive disorder were investigated in a single blind study. A medication period of 5 weeks was preceded and followed by one week placebo treatment. Five subjects showed a positive treatment response. Trazodone did not influence sleep continuity and slow wave sleep, but did suppress REM sleep significantly. A significant increase of REM sleep latency was also found. These results are in contrast with earlier reports on trazodone's effects on EEG sleep but are in accordance with the general finding that antidepressants influence REM sleep characteristics without necessarily affecting sleep continuity.
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The most consistently reported effect of trazodone on sleep in depressed patients was REM suppression, expressed as either decreased REM time or REM percentage, or increased REM latency.
“The most consistently reported effect of trazodone on sleep in depressed patients was REM suppression, expressed as either decreased REM time or REM percentage, or increased REM latency [Mouret et al., 1988;Ware et al., 1994;van Bemmel and Havermans, 1992;Scharf and Sachais, 1990].”
From Depression, sleep physiology, and antidepressant drugs (2001) · cites this paper as van Bemmel and Havermans, 1992
Trazodone did not influence sleep continuity or slow wave sleep, but significantly suppressed REM sleep and increased REM latency in depressed patients.
“Trazodone did not influence sleep continuity or slow wave sleep, but significantly suppressed REM sleep and increased REM latency in depressed patients [van Bemmel and Havermans, 1992].”
From Depression, sleep physiology, and antidepressant drugs (2001) · cites this paper as van Bemmel and Havermans, 1992
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Depression, sleep physiology, and antidepressant drugs
Winokur, A., Gary, K. A., Rodner, S., Rae-Red, C., Fernando, A. T., & Szuba, M. P. (2001) · Depression and Anxiety · doi:10.1002/da.1043 · Cited by 179
Parasomnias and Antidepressant Therapy: A Review of the Literature
Kierlin, L., & Littner, M. R. (2011) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2011.00071 · Cited by 55
Avoiding and Managing Anticholinergic Effects of Antidepressants
Riedel, W. J., & van Praag, H. M. (1995) · CNS Drugs · doi:10.2165/00023210-199503040-00002 · Cited by 34
Metadata
- Authors
- van Bemmel, A. L., Havermans, R. G., & van Diest, R.
- Venue
- Psychopharmacology
- Published
- 1992-06
- Volume
- 107
- Issue
- 4
- Pages
- 569-574
- ISSN
- 0033-3158 (ISSN-L)
- 1432-2072
- OpenAlex
- W2086077100
- Cited by
- 67
- References
- 2
- Citations by year
- 2026: 4 · 2025: 3 · 2021: 1 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 1 · 2012: 1
- FWCI
- 4.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- trazodone, major depressive disorder, antidepressant effects, REM sleep suppression, REM latency, slow-wave sleep, sleep continuity, sleep EEG, treatment response
- MeSH terms
- Adult, Depressive Disorder, Electroencephalography, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Sleep, Sleep Stages, Sleep, REM, Trazodone, Single-Blind Method
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