Zolpidem for Persistent Insomnia in SSRI-Treated Depressed Patients
Abstract
Background Depressed individuals effectively treated with selective serotonin reuptake inhibitors (SSRIs) often report persistent insomnia and require adjunctive sleep-promoting therapy. Method Men (N = 40) and women (N = 150) with a mean age of 41.6 years who had persistent insomnia in the presence of effective and stable treatment (at least 2 weeks) with fluoxetine ( or =30 minutes or a sleep time of Results Compared with placebo, zolpidem was associated with improved sleep: longer sleep times (weeks 1 through 4, p Conclusion In this defined patient population, zolpidem, 10 mg, was effectively and safely co-administered with an SSRI, resulting in improved self-rated sleep, daytime functioning, and well-being.
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In the single-blind placebo phase, the zolpidem group presented significant worsening of sleep.
“In the singleblind phase of placebo, the zolpidem group presented significant worsening of sleep, but no evidence of withdrawal effects.”
From Antidepressants and their effect on sleep (2005) · cites this paper as Asnis et al., 1999
Zolpidem demonstrated significant improvements in subsequent daytime perceptions.
“Those receiving zolpidem demonstrated improved sleep (longer TST, better sleep quality, and reduced WASO) and significant improvements in subsequent daytime perceptions.”
From Antidepressants and their effect on sleep (2005) · cites this paper as Asnis et al., 1999
In the single-blind placebo phase, there was no evidence of withdrawal effects in the zolpidem group.
“In the singleblind phase of placebo, the zolpidem group presented significant worsening of sleep, but no evidence of withdrawal effects.”
From Antidepressants and their effect on sleep (2005) · cites this paper as Asnis et al., 1999
In SSRI-treated depressed patients with significant insomnia, zolpidem 10 mg demonstrated improved sleep (longer TST, better sleep quality, reduced WASO).
“Those receiving zolpidem demonstrated improved sleep (longer TST, better sleep quality, and reduced WASO) and significant improvements in subsequent daytime perceptions.”
From Antidepressants and their effect on sleep (2005) · cites this paper as Asnis et al., 1999
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Self-citation
- Authors
- Asnis, G. M., Chakraburtty, A., DuBoff, E. A., Krystal, A., Londborg, P. D., Rosenberg, R., Roth-Schechter, B., Scharf, M. B., & Walsh, J. K.
- Affiliations
- Montefiore Medical Center (US)
- Venue
- The Journal of Clinical Psychiatry
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 1999-10-15
- Volume
- 60
- Issue
- 10
- Pages
- 668-676
- ISSN
- 0160-6689 (ISSN-L)
- OpenAlex
- W1970151346
- Cited by
- 176
- References
- 0
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 3 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 8 · 2016: 13 · 2015: 4 · 2014: 6 · 2013: 3 · 2012: 5
- FWCI
- 2.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- zolpidem, chronic insomnia, major depressive disorder, dysthymia, minor depressive disorder, selective serotonin reuptake inhibitors, fluoxetine, sertraline, paroxetine, hypnotic efficacy, sleep quality, number of awakenings, sleep latency, daytime dysfunction, adverse events, treatment discontinuation
- MeSH terms
- Zolpidem, Adult, Depressive Disorder, Double-Blind Method, Drug Therapy, Combination, Female, Follow-Up Studies, Humans, Hypnotics and Sedatives, Sleep Initiation and Maintenance Disorders, Male, Placebos, Pyridines, Sleep, Comorbidity, Single-Blind Method, Treatment Outcome, Selective Serotonin Reuptake Inhibitors
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