“…It is also conceivable that EEC-sleep latencies were relatively short in mildly depressed young adult patients (compared with the value [8=65.0 min] reported by Gillin et al [I9811 for 15-24 year old depressed populations) due to an advance of a circadian sleepiness-alertness rhythm (see, e.g., Akerstedt Czeisler, Weitzman, Moore-Ede, Zimmerman, & Knauer, 1980;Wehr, Wirz-Justice, Goodwin, Duncan, & Gillin, 1979). Because of the imposed clock time for retiring it is probable that the process of falling asleep became phase-delayed (Czeisler, Richardson, Coleman, Zimmerman, Moore-Ede, Dement, & Weitzman, 1981;Taub, 1981) in the severely, compared with mildly, depressed patients as indicated by more initial wakefulness (51.0 vs 13.0 min., p=0.02) before sleep onset stage 1 finally ensued. Recent evidence indicates that sleep cycle phase shifts offers a viable nonpharmacological treatment for either bipolar affective disease: advances (Wehr et a/., 1979); or in what first appeared to be an intractable biological rhythm disturbance whereby falling asleep at night before 3.00 a.m. and remaining alert or awake during conventional hours proved impossible (Czeisler et a]., 1981).…”