Abstract
In the area of sleep research, an impressive body of objective data on sleep-related “markers” associated with affective illness now exists. The most publicized alteration in sleep during depressive episodes is the shortening of the time from sleep onset to the beginning of the first rapid eye movement (REM) period, i.e., shortened REM latency (Kupfer and Foster 1972; Kupfer and Thase 1983). Progress has also been made in further defining and quantifying other features of sleep including non-rapid eye movement (NREM) activity and slow-wave sleep (Gillin and Borbély 1985; Reynolds and Kupfer 1987; Reynolds et al. 1987).
Supported in part by National Institute of Alcoholism and Alcohol abuse grant 00098, General Clinical Research Center grant RR-00833, National Institute of Mental Health grants 30915, 24652, 29618, and a grant from the John D. and Catherine T. MacArthur Foundation Research Network on the Psychobiology of Depression. This chapter is adapted from sections of two of our recent publications: Ehlers CL, Frank E, Kupfer DJ: Social zeitgebers and biological rhythms: A unified approach to understanding the etiology of depression. Archives of General Psychiatry 45:948–952, 1988 and Kupfer DJ, Ehlers CL: Two roads to rapid eye movement latency. Archives of General Psychiatry 46:945–948, 1989.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Anisman H (1984) Vulnerability to depression: contributions of stress. In: Post RM, Ballenger JC (eds) Neurobiology of mood disorders, vol 1: Frontiers of clinical neuroscience. Williams and Wilkins, Baltimore, pp 407–431
Ansseau M, Kupfer DJ, Reynolds CF, McEachran AB (1984) REM latency distribution in major depression: clinical characteristics associated with sleep onset REM periods. Biol Psychiatry 19: 1651–1666
Aschoff J, Hoffman L, Pohl H, Wever R (1975) Re-entrainment of circadian rhythms after phase shifts of the zeitgeber. Chronobiologia 2: 23–78
Buysse DJ, Reynolds CF, Kupfer DJ, Houck PR, Hoch CC, Stack JA, Berman SR (1988) Electroencephalographic sleep in depressive pseudodementia. Arch Gen Psychiatry 45: 568–575
Caroll BJ (1982) The dexamethasone suppression test for melancholia. Br J Psychiatry 140: 292–304
Checkley SA (1980) Neuroendocrine tests of monoamine function in man: a review of basic theory and its application to the study of depressive illness. Psychol Med 10: 35–53
Ehlers CL, Kupfer DJ (1989) Effects of age on delta and REM sleep parameters. Electroen- cephalogr Clin Neurophysiol 72: 118–125
Ehlers CL, Frank E, Kupfer DJ (1988) Social Zeitgebers and biological rhythms: a unified approach to understanding the etiology of depression. Arch Gen Psychiatry 45: 948–952
Feinberg I (1974) Changes in sleep cycle patterns with age. J Psychiatr Res 10: 283–306
Feinberg I, Floyd TC, March JD (1987) Effects of sleep loss on delta (0.3–3 Hz) EEG and eye movement density: new observations and hypotheses. Electroencephalogr Clin Neuro- physiol 67: 217–221
Feinberg I, Baker T, Leder R, March D (1988) Response of delta (0-3 Hz) EEG and eye movement density to a night with 100 minutes of sleep. Sleep 11: 473–487
Giles DE, Jarrett RB, Roffwarg HP, Rush AJ (1987a) Reduced rapid eye movement latency: a predictor of recurrence in depression. Neuropsychopharmacology 1: 33–39
Giles DE, Roffwarg HP, Rush AJ (1987b) REM latency concordance in depressed family members. Biol Psychiatry 22: 910–924
Giles DE, Biggs MM, Rush AJ, Roffwarg HP (1988) Risk factors in families of unipolar depression. I. Psychiatric illness and reduced REM latency. J Affective Disord 14: 51–59
Gillin JC, Borbely AA (1985) Sleep: a neurobiological window in affective disorders. Trends Neurosci 8: 537–542
Gillin JC, Duncan WC, Murphy DL, Post RM, Wehr TA, Goodwin FK, Wyatt RJ, Bunney WE (1981) Age-related changes in sleep in depressed and normal subjects. Psychiatry Res 4: 73–78
Hawkins DR, Taub JM, Van de Castle RL (1985) Extended sleep (hypersomnia) in young depressed patients. Am J Psychiatry 142: 905–910
Heninger GR, Charney DS, Sternberg DE (1984) Serotonergic function in depression. Arch Gen Psychiatry 41: 398–402
Hofer MA (1984) Relationships as regulators: a psychobiologic perspective on bereavement. Psychosom Med 46: 183–197
Keller MB, Shapiro RW, Lavori PW, Wolfe N (1982) Recovery in major depressive disorder: analysis with the life table and regression models. Arch Gen Psychiatry 39: 905–910
Kupfer DJ (1982) EEG sleep as a biological marker in depression. In: Usdin E, Hanin I (eds) Biological markers in psychiatry and neurology. Pergamon, New York, pp 387–396
Kupfer DJ (1983) Recent applications of automated sleep analysis in affective states. In: Mendlewicz J (ed) Advances in biological psychiatry. Zurich, Karger, pp 182–191
Kupfer DJ, Ehlers CL (1989) Two roads to rapid eye movement latency. Arch Gen Psychiatry 46: 945–948
Kupfer DJ, Foster FG (1972) Interval between onset of sleep and rapid-eye-movement sleep as an indicator of depression. Lancet 2: 684–686
Kupfer DJ, Thase ME (1983) The use of the sleep laboratory in the diagnosis of affective disorders. In: Akiskal H (ed) Affective disorders II: advances in diagnosis and treatment. Psychiatric Clinics of North America 6: 3–25
Kupfer DJ, Reynolds CF (1989) Slow wave sleep as a “protective” factor. In: Stunkard AJ, Baum A (eds) Perspectives on behavioral medicine: eating, sleeping, and sex. Lawrence Erlbaum, Hillsdale, pp 131–145
Kupfer DJ, Ulrich RF, Coble PA, Jarrett DB, Grochocinski VJ, Doman J, Matthews G, Borbely AA (1984) Application of automated REM and slow wave sleep analysis. I. Normal and depressed subjects. Psychiatry Res 13: 325–334
Kupfer DJ, Jarrett D, Frank E, Coble PA (1986a) The first hundred minutes of sleep: sleep neuroendocrine relationships. In: Shagass C, Josiassen RC, Bridger WH, Weiss KJ, Stoff D, Simpson GM (eds) Biological Psychiatry 1985. Proceedings of the IVth World Congress of Biological Psychiatry. Elsevier Science Publishers, New York, pp 141–143
Kupfer DJ, Reynolds CF, Grochocinski VJ, Ulrich RF, McEachranA (1986b) Aspects of short REM latency in affective states: a revisit. Psychiatry Res 17: 49–59
Kupfer DJ, Shipley JE, Perel JM, Pollock B, Coble PA, Spiker DG (1987) Antidepressants and EEG sleep: search for specificity. In: Dahl SG, Gram LF, Paul SM, Potter WZ (eds) Clinical pharmacology in psychiatry: selectivity in psychotropic drug action - promises or problems? Springer, Berlin Heidelberg New York, pp 167–173 (Psychopharmacology series, vol 3 )
Kupfer DJ, Frank E, Grochocinski VJ, Gregor M, McEachran AB (1988) Electroencephalo- graphic sleep profiles in recurrent depression. A longitudinal investigation. Arch Gen Psychiatry 45: 678–681
Kupfer DJ, Frank E, Ehlers CL (1989) EEG sleep in young depressives: first and second night effects. Biol Psychiatry 25: 87–97
Lund R, Kammerloher A, Dirlich G (1983) Body temperature in endogenously depressed patients during depression and remission. In: Wehr TA, Goodwin FK (eds) Circadian rhythms in psychiatry. Boxwood, Los Angeles, pp 77–88
Maas JW (1979) Neurotransmitters and depression: too much, too little, or too unstable? Trends Neurosci 2: 306–308
Mendelwicz J, Linkowski P, Kerkhofs M, Desmedt D, Goldstein J, Copinschi G, Van CauterE (1985) Diurnal hypersecretion of growth hormone in depression. J Clin Endocrinol Metab 60: 505–512
Reynolds CF, Kupfer DJ (1987) Sleep research in affective illness: state of the art circa 1987 ( State-of-the-art review ). Sleep 10: 199–215
Reynolds CF, Gillin JC, Kupfer DJ (1987) Sleep and affective disorders. In: Meitzer HY (ed) Psychopharmacology: the third generation of progress. Raven, New York, pp 647–654
Reynolds CF, Kupfer DJ, Houck PR, Hoch CC, Stack JA, Berman SR, Zimmer B (1988) Reliable discrimination of elderly depressed and demented patients by electroencephalo- graphic sleep data. Arch Gen Psychiatry 45: 258–264
Reynolds CF, Perel JM, Frank E, Imber S, Kupfer DJ (1989) Open-trial maintenance nortriptyline in geriatric depression: survival analysis and preliminary data on the use of REM latency as a predictor of recurrence. Psychopharmacol Bull 25: 129–132
Robins LN, Heizer JE, Weissman MM, Orvaschel H, Gruenberg E, Burke JD Jr, Regier DA (1984) Lifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatry 41: 949–958
Siever LJ, Davis KL (1985) Overview: toward a dysregulation hypothesis of depression. Am J Psychiatry 142: 1017–1031
Smith JR, KaracanI, Yang M (1977) Ontogeny of delta activity during human sleep. Electroencephalogr Clin Neurophysiol 43: 229–237
Thase ME, Frank E, Kupfer DJ (1985) Biological processes in major depression. In: Beckham EE, Leber WR (eds) Handbook of depression: treatment, assessment, and research. Dorsey, Chicago, pp 816–913
Ulrich R, Shaw DH, Kupfer DJ (1980) Effects of aging on EEG sleep in depression. Sleep 3: 31–40
Vogel GW, Vogel F, McAbee RS, Thurmond AJ (1980) Improvement of depression by REM sleep deprivation. Arch Gen Psychiatry 37: 247–253
Wehr TA, Wirz-Justice AA (1982) Circadian rhythm mechanisms in affective illness and in antidepressant drug action. Pharmacopsychiatry 15: 31–39
Wever RA (ed) (1979) The circadian system of man: results of experiments under temporal isolation. Springer, Berlin Heidelberg New York
Wever RA (1980) Phase shifts of human circadian rhythms due to shifts of artificial Zeitgebers. Chronobiologia 7: 303–327
Wever RA (1985) Circadian aspects of sleep. In: Kubicki S, Herrman WM (eds) Methods of sleep research. Fischer, Stuttgart
Wever RA (1988) Order and disorder in human circadian rhythmicity: Possible relations to mental disorders. In: Kupfer DJ, Monk TH, Barchas JD (eds) Biological rhythms and mental disorders. Guilford, New York, pp 253–346
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Kupfer, D.J., Frank, E., Ehlers, C.L. (1990). Sleep-Physiological Characteristics as Potential Biological Markers in Affective Disorders. In: Bunney, W.E., Hippius, H., Laakmann, G., Schmauss, M. (eds) Neuropsychopharmacology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74034-3_20
Download citation
DOI: https://doi.org/10.1007/978-3-642-74034-3_20
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-74036-7
Online ISBN: 978-3-642-74034-3
eBook Packages: Springer Book Archive