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Sleep EEG, depression and gender
Open accessAbstract
Despite clear evidence of an intimate connection between sleep, major depressive disorders (MDD) and gender, few studies have explored gender differences in either sleep or in wakefulness in patients as a means of better understanding the psychogenic components of MDD. Indeed, few sleep studies focus on characterising gender differences in any population. This paper will present a review of the literature on gender differences in sleep and depression. The theoretical and clinical implications of the findings will also be discussed. The premise of the present review is that there is an inherent increased vulnerability to depression in women that arises out of basic gender differences in brain organisation and state regulation, particularly in response to a "biological challenge" during sleep. It is argued that the inherent properties of organisation and regulation of sleep EEG in healthy men and women, elicited under challenge conditions, show gender-specific vulnerability to organisational abnormalities that model homeostatic abnormalities in depressed men and women and contribute to the genesis of depression. 2001 Harcourt Publishers Ltd
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“It has been observed that women accumulate sleep debt more rapidly than men do and might need more sleep to be functional.96–98”
From Effects of Traumatic Brain Injury on the Orexin/Hypocretin System (2025) · cites this paper as [96]
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Cites
Rechtschaffen, A. (1968) · Medical Entomology and Zoology · Cited by 11,772
Two-Process Model of Sleep Regulation
Binder, M. D., Hirokawa, N., & Windhorst, U. (2008) · Springer eBooks · doi:10.1007/978-3-540-29678-2_6166 · Cited by 3,900
Sex differences in unipolar depression: Evidence and theory.
Nolen–Hoeksema, S. (1987) · Psychological Bulletin · doi:10.1037/0033-2909.101.2.259 · Cited by 2,001
Sleep and Psychiatric Disorders: A Meta-analysis
Benca, R. M. (1992) · Archives of General Psychiatry · doi:10.1001/archpsyc.1992.01820080059010 · Cited by 1,468
Normal Human Sleep: An Overview
Carskadon, M. A., & Dement, W. C. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50009-4 · Cited by 1,191
Time-related predictors of suicide in major affective disorder
FAWCETT, J. A., Scheftner, W. A., Fogg, L., Clark, D. C., Young, M. A., Hedeker, D., & Gibbons, R. D. (1990) · American Journal of Psychiatry · doi:10.1176/ajp.147.9.1189 · Cited by 1,058
Sleep deprivation: effect on sleep stages and EEG power density in man
Borbély, A. A., Baumann, F., Brandeis, D., Strauch, I., & Lehmann, D. (1981) · Electroencephalography and Clinical Neurophysiology · doi:10.1016/0013-4694(81)90225-x · Cited by 1,013
Gender Differences in Treatment Response to Sertraline Versus Imipramine in Chronic Depression
Kornstein, S. G., Schatzberg, A. F., Thase, M. E., Yonkers, K. A., McCullough, J. P., Keitner, G. I., Gelenberg, A. J., Thomas, S., Harrison, W. M., & Keller, M. B. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.9.1445 · Cited by 712
Achermann, P., Dijk, D.-J., Brunner, D. P., & Borbély, A. A. (1993) · Brain Research Bulletin · doi:10.1016/0361-9230(93)90016-5 · Cited by 470
Sleep Research in Affective Illness: State of the Art Circa 1987
Reynolds, C. F., & Kupfer, D. J. (1987) · SLEEP · doi:10.1093/sleep/10.3.199 · Cited by 467
Sleep deprivation in depression: what do we know, where do we go?
Wirz-Justice, A., & Van den Hoofdakker, R. H. (1999) · Biological Psychiatry · doi:10.1016/s0006-3223(99)00125-0 · Cited by 429
Systematic Trends Across the Night in Human Sleep Cycles
Feinberg, I., & Floyd, T. C. (1979) · Psychophysiology · doi:10.1111/j.1469-8986.1979.tb02991.x · Cited by 394
Sex differences in the corpus callosum of the living human being
Allen, L., Richey, M., Chai, Y., & Gorski, R. (1991) · Journal of Neuroscience · doi:10.1523/jneurosci.11-04-00933.1991 · Cited by 375
Mortality Risk Associated with Sleeping Patterns Among Adults
Wingard, D. L., & Berkman, L. F. (1983) · Sleep · doi:10.1093/sleep/6.2.102 · Cited by 371
Sex Differences in Regional Cerebral Glucose Metabolism During a Resting State
Gur, R. C., Mozley, L. H., Mozley, P. D., Resnick, S. M., Karp, J. S., Alavi, A. A., Arnold, S. E., & Gur, R. E. (1995) · Science · doi:10.1126/science.7824953 · Cited by 340
Sleep, sleep deprivation and depression. A hypothesis derived from a model of sleep regulation.
Borbély, A. A., & Wirz‐Justice, A. (1982) · PubMed · Cited by 323
Sex, Steroids, and Sleep: A Review
Manber, R., & Armitage, R. (1999) · SLEEP · doi:10.1093/sleep/22.5.540 · Cited by 318
Self-citationSleep and psychiatric disorders
Billiard, M. M., Partinen, M., Roth, T. G., & Shapiro, C. M. (1994) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(94)90129-5 · Cited by 278
Gender differences in pharmacokinetics and pharmacodynamics of psychotropic medication
Yonkers, K. A., Kando, J. C., Cole, J. O., & Blumenthal, S. A. (1992) · American Journal of Psychiatry · doi:10.1176/ajp.149.5.587 · Cited by 269
REM sleep and depression: common neurobiological control mechanisms
McCarley, R. W. (1982) · American Journal of Psychiatry · doi:10.1176/ajp.139.5.565 · Cited by 246
Kupfer, D. J. (1990) · Archives of General Psychiatry · doi:10.1001/archpsyc.1990.01810240020004 · Cited by 236
Rhodes, M. E., & Rubín, R. T. (1999) · Brain Research Reviews · doi:10.1016/s0165-0173(99)00011-9 · Cited by 215
Sex Differences in the Sleep EEG of Young Adults: Visual Scoring and Spectral Analysis
Dijk, D., Beersma, D. G. M., & Bloem, G. M. (1989) · SLEEP · doi:10.1093/sleep/12.6.500 · Cited by 209
All-night spectral analysis of the sleep EEG in untreated depressives and normal controls
Borbély, A. A., Tobler, I., Loepfe, M., Kupfer, D. J., Ulrich, R. F., Grochocinski, V. J., Doman, J. M., & Matthews, G. A. (1984) · Psychiatry Research · doi:10.1016/0165-1781(84)90135-5 · Cited by 172
Slow‐wave sleep: do young adult men and women age differently?
Ehlers, C. L., & Kupfer, D. J. (1997) · Journal of Sleep Research · doi:10.1046/j.1365-2869.1997.00041.x · Cited by 167
Effects of age on delta and REM sleep parameters
Ehlers, C. L., & Kupfer, D. J. (1989) · Electroencephalography and Clinical Neurophysiology · doi:10.1016/0013-4694(89)90172-7 · Cited by 163
Slow-wave activity in NREM sleep: sex and age effects in depressed outpatients and healthy controls
Armitage, R., Hoffmann, R. F., Trivedi, M. H., & Rush, A. J. (2000) · Psychiatry Research · doi:10.1016/s0165-1781(00)00178-5 · Cited by 159
Self-citationREM sleep in depression—an overview
Berger, M., & Riemann, D. W. (1993) · Journal of Sleep Research · doi:10.1111/j.1365-2869.1993.tb00092.x · Cited by 138
Gender Differences in Regional Cerebral Blood Flow
Gur, R. E., & Gur, R. C. (1990) · Schizophrenia Bulletin · doi:10.1093/schbul/16.2.247 · Cited by 138
Period and amplitude analysis of 0.5–3c/sec activity in NREM sleep of young adults
Feinberg, I., March, J. D., Fein, G., Floyd, T. C., Walker, J. M., & Price, L. J. (1978) · Electroencephalography and Clinical Neurophysiology · doi:10.1016/0013-4694(78)90266-3 · Cited by 123
Microarchitectural findings in sleep EEG in depression: Diagnostic implications
Armitage, R. (1995) · Biological Psychiatry · doi:10.1016/0006-3223(94)00082-e · Cited by 122
Self-citationAchermann, P., & Borbély, A. A. (1987) · PubMed · Cited by 120
Jan Dijk, D., Beersma, D. G. M., Daan, S., Bloem, G. M., & Hoofdakker, R. H. (1987) · European Archives of Psychiatry and Neurological Sciences · doi:10.1007/bf00377420 · Cited by 120
Reynolds, C. F., Kupfer, D. J., Thase, M. E., Frank, E., Jarrett, D. B., Coble, P. A., Hoch, C. C., Buysse, D. J., Simons, A. D., & Houck, P. R. (1990) · Biological Psychiatry · doi:10.1016/0006-3223(90)90454-a · Cited by 109
Frequency analysis of the sleep EEG in depression
Mendelson, W. B., Sack, D. A., JAMES, S. P., Martin, J. V., Wagner, R., Garnett, D., MILTON, J. G., & Wehr, T. A. (1987) · Psychiatry Research · doi:10.1016/0165-1781(87)90067-9 · Cited by 94
Armitage, R., Hoffmann, R. F., Fitch, T. E., Trivedi, M. H., & Rush, A. J. (2000) · SLEEP · doi:10.1093/sleep/23.5.1c · Cited by 92
Self-citationAge-related changes in sleep in depressed and healthy subjects. A meta-analysis.
Knowles, J. B., & MacLean, A. (1990) · PubMed · Cited by 78
The Effects of Antidepressants on Sleep in Patients with Depression
Armitage, R. (2000) · The Canadian Journal of Psychiatry · doi:10.1177/070674370004500903 · Cited by 71
Self-citationEEG sleep in young depressives: First and second night effects
Kupfer, D. J., Frank, E., & Ehlers, C. L. (1989) · Biological Psychiatry · doi:10.1016/0006-3223(89)90150-9 · Cited by 70
EEG sleep in depression and in remission and the REM sleep response to the cholinergic agonist RS 86
Riemann, D. W. (1989) · Neuropsychopharmacology · doi:10.1016/0893-133x(89)90017-1 · Cited by 64
Spectral Analysis of All-Night Sleep EEG in Healthy Adults
Dumermuth, G., Lange, B., Lehmann, D., Meier, C., Dinkelmann, R., & Molinari, L. (2008) · European Neurology · doi:10.1159/000115579 · Cited by 63
Biological rhythm disturbance in depression: temporal coherence of ultradian sleep EEG rhythms
Armitage, R., Hoffmann, R. F., & Rush, A. J. (1999) · Psychological Medicine · doi:10.1017/s0033291799001300 · Cited by 63
Self-citationUltradian rhythms and temporal coherence in sleep EEG in depressed children and adolescents
Armitage, R., Emslie, G. J., Hoffmann, R. F., Weinberg, W. A., Kowatch, R. A., Rintelmann, J. W., & Rush, A. J. (2000) · Biological Psychiatry · doi:10.1016/s0006-3223(99)00129-8 · Cited by 61
Self-citationEpidemiology and theories of gender differences in unipolar depression.
Nolen–Hoeksema, S. (1995) · Cited by 60
Rubín, R. T., O’Toole, S. M., Rhodes, M. E., Sekula, L. K., & Czambel, R. K. (1999) · Psychiatry Research · doi:10.1016/s0165-1781(99)00085-2 · Cited by 58
Period and amplitude analysis of NREM EEG in sleep: Repeatability of results in young adults
Feinberg, I., Fein, G., & Floyd, T. C. (1980) · Electroencephalography and Clinical Neurophysiology · doi:10.1016/0013-4694(80)90306-5 · Cited by 54
Rf, H., Ar, M., Jc, S., Sussman, P. S., & Rb, W. (1979) · PubMed · Cited by 39
Comparison of EEG sleep measures among depressive subtypes and controls in older individuals
Kupfer, D. J., Reynolds, C. F., & Ehlers, C. L. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90004-8 · Cited by 32
Gender differences in response to treatments of depression.
Thase, M. E., Frank, E., Kornstein, S. G., & Yonkers, K. A. (2000) · Cited by 28
Rubín, R. T. (1999) · Neuropsychopharmacology · doi:10.1016/s0893-133x(98)00077-3 · Cited by 25
Quantitative Description of Sleep Stage Electrophysiology Using Digital Period Analytic Techniques
Hoffmann, R. F., Moffitt, A. R., Wells, R., Sussman, P. S., Pigeau, R., & Shearer, J. (1984) · SLEEP · doi:10.1093/sleep/7.4.356 · Cited by 24
Self-citationRelationship of awakening and delta sleep in depression
Kupfer, D. J., Grochocinski, V. J., & McEachran, A. B. (1986) · Psychiatry Research · doi:10.1016/0165-1781(86)90122-8 · Cited by 20
DIGITAL COMPUTER ANALYSIS OF THE ELECTROENCEPHALOGRAM DURING RAPID EYE MOVEMENT SLEEP STATE IN MAN
ITIL, T. M. (1970) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-197003000-00005 · Cited by 16
Digital computer "sleep prints" and psychopharmacology.
Tm, I. (1969) · PubMed · Cited by 6
Influence of EGTA on an exercise-induced elevation in the colonic temperature of the rat
Wilson, N. C., GISOLFI, C. V., & Phillips, M. I. (1978) · Brain Research Bulletin · doi:10.1016/0361-9230(78)90033-3 · Cited by 6
Dijk, D., Beersma, D. G. M., Daan, S., Bloem, G. M., & Vandenhoofdakker, R. (1987) · Surrey Research Insight Open Access (The University of Surrey) · Cited by 5
Research works printed but not linked: 12
- Kessler, 2000, Gender differences in major depression. Epidemiological findings, In: Frank E (ed) Gender and its Effects on Psychopathology Washington DC: American Psychiatric Press, 61
- Shaw, 1995, Gender differences in mood disorders: a clinical focus, In: Seeman MV (ed) Gender and Psychopathology Washington DC: American Psychiatric Press, 89
- Janowsky, 1996, Association among ovarian hormones, other hormones, emotional disorders, and neurotransmitters, In: Jensvold MF, Halbreich U, Hamilton JA (eds) PsychoÍpharmacology and Women. Sex, Gender and Hormones Washington DC: American Psychiatric Press, 85
- Armitage, 1997, Sleep electrophysiology of major depressive disorders, Curr Rev Mood Anxiety Disord, 1, 139
- Nofzinger, 1999, The neurobiology of sleep in relation to mental illness, In: Charney DS, Nestler EJ, Bunney BS (eds) Neurobiology of Mental Illness New York: Oxford University Press, 915
- Williams, 1974, ElectroÍencephalography of Human Sleep: Clinical ApplicaÍtions, New York: Wiley
- Armitage, 1992, Interhemispheric EEG activity in sleep and wakefulness: individual differences in the basic rest-activity cycle (BRAC), In: Antrobus JS, Bertini M (eds) The Neuropsychology of Sleep and Dreaming Hillsdale: Lawrence Erlbaum & Associates, 17
- Thompson, 1998, Sex differences in delta EEG activity in response to sleep deprivation: healthy young adults, Sleep, 21 (Suppl.), 250
- Armitage, R, Sex differences, sleep and depression, Presented at “Influence of Gender and Reproductive Hormones on Sleep Across the Life Cycle” Symposium, Associated Professional Sleep Societies (APSS) 14th Annual Meeting, September 19, 2000
- Rhodes, 1999, Functional sex differences (“sexual diergism”) of central nervous system cholinergic systems, vasopressin, and hypothalamic-pituitary-adrenal axis activity in mammals: a selective review, Brain Res Rev, 30, 135, 10.1016/S0165-0173(99)00011-9 · DOI
- Parry, 2000, Hormonal basis of mood disorders in women, In: Frank E (ed) Gender and Its Effects on Psychopathology Washington DC: American Psychiatric Press, 3
- Frank, 2000, Pubertal changes and adolescent challenges. Why do rates of depression rise precipitously for girls between ages 10 and 15 years?, In: Frank E (ed) Gender and Its Effects on Psychopathology Washington DC: American Psychiatric Press, 85
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Metadata
- Authors
- Armitage, R., & Hoffmann, R. F.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- ORCID
- Hoffmann, Robert F
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2001-06
- Volume
- 5
- Issue
- 3
- Pages
- 237-246
- ISSN
- 1087-0792 (ISSN-L)
- OpenAlex
- W2112695817
- Cited by
- 170
- References
- 57
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 9 · 2023: 4 · 2022: 4 · 2021: 6 · 2020: 10 · 2019: 8 · 2018: 5 · 2017: 9 · 2016: 12 · 2015: 9 · 2014: 9 · 2013: 7 · 2012: 10
- FWCI
- 1.75
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- National Institute of Mental Health (R01MH061515)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Keywords
- sleep EEG, gender differences, major depressive disorder, sleep regulation, brain organization, psychogenic depression
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