The timing and duration of sleep in partial sleep deprivation therapy of depression
Abstract
ABSTRACT— The antidepressant response to partial sleep deprivation early in the night (PSD‐E) was compared with the response to partial sleep deprivation late in the night (PSD‐L) in 16 drug‐free depressed inpatients using a balanced order crossover design. PSD‐L had a significantly greater antidepressant effect that PSD‐E. The response to PSD‐L was sustained and enhanced by a second night of treatment. Patients had significantly shorter sleep durations and reduced REM sleep on PSD‐L that did not occur in the PSD‐E situation. There was a significant negative correlation between response to PSD and sleep duration, and in particular, REM sleep duration, in the late sleep deprivation situation. Thus, the amount and timing of sleep appear to be factors in the response to PSD, but additional studies are needed to evaluate the relative importance of these parameters.
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Disrupting sleep of bipolar patients can induce mania and restoring sleep can induce depression.
“Experiments have shown that disrupting sleep of bipolar patients can induce mania and restoring sleep can induce depression4–8.”
From Bipolar mood cycles associated with lunar entrainment of a circadian rhythm (2018) · cites this paper as [6]
Being awake or being asleep during a circadian interval that normally coincides with sleep in the second half of the sleep period will determine whether the patient subsequently will be manic or depressed, respectively.
“These results can be summarized as showing that being awake or being asleep during a circadian interval that normally coincides with sleep in the second half of the sleep period will determine whether the patient subsequently will be manic or depressed, respectively2–8.”
From Bipolar mood cycles associated with lunar entrainment of a circadian rhythm (2018) · cites this paper as [6]
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- Authors
- Sack, D. A., Duncan, W., Rosenthal, N. E., Mendelson, W. E., & Wehr, T. A.
- Affiliations
- National Institute of Mental Health (US)
- Corresponding author
- Sack, D. A.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 1988-02
- Volume
- 77
- Issue
- 2
- Pages
- 219-224
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W2067092744
- Cited by
- 94
- References
- 18
- Citations by year
- 2026: 2 · 2025: 1 · 2022: 1 · 2021: 1 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 3 · 2013: 2 · 2012: 3
- FWCI
- 5.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- sleep restriction, depression, sleep timing, sleep duration, REM sleep, antidepressant response, inpatient depression treatment, crossover design
- MeSH terms
- Adult, Aged, Bipolar Disorder, Circadian Rhythm, Depressive Disorder, Electroencephalography, Female, Humans, Male, Middle Aged, Sleep Deprivation, Sleep, REM, Time Factors
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