Nightmares, suicide attempts, and melancholic features in patients with unipolar major depression
Abstract
Objectives Recently, there has been a growing interest in the relationship between sleep disturbances and suicidality in major depression. Sleep disturbances are one of the 'modifiable risks' for suicide in major depression. The present study examines whether there is a relationship among nightmares, suicide attempts, and melancholic features in unipolar major depressed patients.Methods One hundred (49 males and 51 females) depressed patients with melancholic features and 49 (23 males and 26 females) patients without melancholic features were included in the study. All patients were classified as those who attempted suicide at least once during current depressive episode and as those who never attempted.Results Melancholic attempters had higher rates of nightmares, middle, and terminal insomnia than melancholic non-attempters. There was no significant difference between non-melancholic patients with and without suicidal attempts in terms of the frequency of all types of insomnia and nightmares.Limitations This study does not have polysomnographic records for sleep variables.Conclusions Feeling worse in the morning than later in the day may be related to the intervening dream content and affect and predict suicidal tendency. Melancholia may be associated with increased risk of suicide attempts due to repetitive and frightening dreams.
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Abundant dreams or nightmares are related to REM sleep abnormalities and psychiatric disorders.
“abundant dreams or nightmares are related to REM sleep abnormalities and psychiatric disorders”
From The Functional Role of Dreaming in Emotional Processes (2019) · cites this paper as Agargun et al., 2007
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- Authors
- Agargun, M. Y., Besiroglu, L., Cilli, A. S., Gulec, M., Aydin, A., Inci, R., & Selvi, Y.
- Affiliations
- Van Yüzüncü Yıl Üniversitesi (TR)
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2007-03
- Volume
- 98
- Issue
- 3
- Pages
- 267-270
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W1985577697
- Cited by
- 126
- References
- 19
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 9 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 4 · 2019: 9 · 2018: 4 · 2017: 8 · 2016: 10 · 2015: 6 · 2014: 11 · 2013: 9 · 2012: 8
- FWCI
- 4.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Van Yüzüncü Yıl University Academic Data Management System (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- nightmares, suicide attempts, endogenous depression, unipolar major depression, sleep disorders, insomnia, suicide risk, dream content
- MeSH terms
- Adolescent, Adult, Aged, Major Depressive Disorder, Depressive Disorder, Major, Depressive Disorder, Dreams, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Severity of Illness Index, Suicide, Attempted, Prevalence, Diagnostic and Statistical Manual of Mental Disorders
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