Which symptoms predict recurrence of depression in women treated with maintenance interpersonal psychotherapy?

Dombrovski, Alexandre Y.; Cyranowski, Jill M.; Mulsant, Benoit H.; Houck, Patricia R.; Buysse, Daniel J.; Andreescu, Carmen; Thase, Michael E.; Mallinger, Alan G.; Frank, Ellen

doi:10.1002/da.20467

Cited by 103 publications

(69 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…38) Insomnia may also indirectly elevate cardiovascular risk via comorbid psychological distress. Insomnia is an independent risk factor for major depressive episodes, [39][40][41] increases risk for relapse of depression, 41) perpetuates depression, 42) and is the most common sleep disturbance associated with major depressive episodes. 15) More than 3 of every 4 patients reporting symptoms of insomnia in the present study endorsed moderate or severe depressive symptoms, and nearly 2 of every 3 reported anxiety symptoms.…”

Section: Discussionmentioning

confidence: 99%

Clinical Correlates of Insomnia in Patients With Acute Coronary Syndrome

et al. 2013

View full text Add to dashboard Cite

SummaryThis study sought to examine the prevalence of insomnia and its association with depression, anxiety, and medical comorbidities in patients after an acute coronary syndrome (ACS). Insomnia increases risk of recurrent cardiac events in ACS patients, but little is known about the prevalence and clinical correlates of insomnia in this setting. Patients (n = 102, 58.3 ± 10.6 years-old) admitted for ACS to a cardiology service at an urban academic medical center completed the Insomnia Severity Index, Epworth Sleepiness Scale, and measures of depression and anxiety. A subset (n = 20) completed ambulatory polysomnography (PSG) in their homes several weeks after discharge. Moderate or severe insomnia was reported by 37% of patients during hospitalization and was associated with 76 minutes more wake after sleep onset measured by home PSG. Although depression and insomnia were strongly associated, about 1 in 4 patients with insomnia did not report significant depressive symptoms. Sleep apnea was documented in 80% of patients on PSG, but insomnia was not associated with sleep apnea, periodic limb movements, demographic factors, or medical conditions other than liver disease. Insomnia is present in over one-third of ACS patients during hospitalization, but at-risk patients could not be readily identified by demographic or medical factors or by depression symptoms. (Int Heart J 2013; 54: 258-265) Key words: Sleep, Myocardial infarction, Angina, Depression A s many as 1 in 3 patients with acute coronary syndrome (ACS) suffer from significant psychological distress, such as depression and anxiety.1,2) Among ACS patients, depression and anxiety are associated with increased mortality, 3,4) diminished quality of life, 5) increased health care costs, 6) and reduced adherence to recommendations intended to decrease the risk of cardiac events. 7) Although insomnia is common among individuals with psychological distress, the literature on depression and anxiety as risk factors for ACS morbidity and mortality has largely ignored its potential impact in ACS patients. Instead, most of the literature on sleep in patients with heart disease has focused almost exclusively on sleep apnea due to known associations between sleep-disordered breathing (SDB) and cardiovascular morbidity. 8) Insomnia, however, is often unrelated to SDB 9,10) and is important to consider in ACS patients since poor sleep quality is associated with a 2.5-fold increased risk of recurrent cardiac events in women after an ACS.11) Insomnia has also been linked to increased morbidity, 12) mortality, 13) and health care costs 14) independent of psychological distress and in some cases, independent of SDB and periodic limb movements as well. 12)To our knowledge, no study has examined insomnia in an ACS population using a reliable, validated self-report instrument of insomnia severity that not only assesses sleep continuity and quality, but also inquires about important consequences of poor sleep, such as daytime impairment or distress.15-17) As such, this study ...

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical Correlates of Insomnia in Patients With Acute Coronary Syndrome

et al. 2013

View full text Add to dashboard Cite

show abstract

“…In a recent meta-analysis, compared to people with no sleep difficulties, non-depressed people with insomnia were predicted to have a twofold increased risk of developing depression (Baglioni et al, 2011). Depressed patients suffering from insomnia also have a poorer response to treatment and are at increased risk of relapse (Dombrovski et al, 2008).…”

Section: The Relationship Between Sleep and Depressionmentioning

confidence: 99%

A review of lifestyle factors that contribute to important pathways associated with major depression: Diet, sleep and exercise

Lopresti

Hood

Drummond

2013

Journal of Affective Disorders

503

412

View full text Add to dashboard Cite

Research on major depression has confirmed that it is caused by an array of biopsychosocial and lifestyle factors. Diet, exercise and sleep are three such influences that play a significant mediating role in the development, progression and treatment of this condition. This review summarises animal and human-based studies on the relationship between these three lifestyle factors and major depressive disorder, and their influence on dysregulated pathways associated with depression, namely neurotransmitter processes, immuno-inflammatory pathways, hypothalamic-pituitary-adrenal (HPA) axis disturbances, oxidative stress and antioxidant defence systems, neuroprogression, and mitochondrial disturbances. Increased attention in future clinical studies on the influence of diet, sleep and exercise on major depressive disorder and investigations of their effect on physiological processes will help to expand our understanding and treatment of major depressive disorder. Mental health interventions, taking into account the bidirectional relationship between these lifestyle factors and major depression are also likely to enhance the efficacy of interventions associated with this disorder.

show abstract

“…Persistent disturbed sleep after successful treatment of depression increases the risk of reoccurrence of a depressive episode [24][25][26]. This relationship has been observed following a variety of treatments and in different samples, including older adults [26], non-older adult women [24], and pregnant women [25].…”

Section: Residual Insomnia Predicts Relapse and Recurrencementioning

confidence: 99%

Insomnia and depression: A multifaceted interplay

Manber

Chambers²

2009

Curr Psychiatry Rep

120

View full text Add to dashboard Cite

Historically, insomnia has been viewed as a symptom of depressive illness that is expected to resolve with adequate treatment of the depressive disorder. This article reviews the evidence that increasingly challenges this simplistic view and summarizes research demonstrating the multifaceted interplay between insomnia and depression. It discusses the prevalence, clinical significance, and time course of insomnia, distinguishing between poor sleep and an insomnia disorder. The article also discusses abnormalities in sleep architecture in major depressive disorder and theories about the pathways connecting sleep and depression. It concludes with a discussion of issues related to treatment, including the effects of antidepressants on sleep and new evidence of the utility of adding an insomnia-specific therapy for improved management of depressed patients with comorbid insomnia.

show abstract

Which symptoms predict recurrence of depression in women treated with maintenance interpersonal psychotherapy?

Cited by 103 publications

References 58 publications

Clinical Correlates of Insomnia in Patients With Acute Coronary Syndrome

Clinical Correlates of Insomnia in Patients With Acute Coronary Syndrome

A review of lifestyle factors that contribute to important pathways associated with major depression: Diet, sleep and exercise

Insomnia and depression: A multifaceted interplay

Contact Info

Product

Resources

About