Rate of switch from depression into mania after therapeutic sleep deprivation in bipolar depression

被引:197
作者
Colombo, C [1 ]
Benedetti, F [1 ]
Barbini, B [1 ]
Campori, E [1 ]
Smeraldi, E [1 ]
机构
[1] Univ Milan, Sch Med, IRCCS, Ist Sci Osped San Raffaele,Dept Neuropsychiat Sci, I-20127 Milan, Italy
关键词
affective disorder; sleep; hypomania;
D O I
10.1016/S0165-1781(99)00036-0
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Sleep deprivation is a potentially useful non-pharmacological treatment for depression. A relationship between sleep loss and the onset of mania has been reported, so it is possible that a switch from depression into mania after sleep deprivation might be expected in bipolar depressed patients who are treated with sleep deprivation. In a sample of 206 bipolar depressed treated with three cycles of sleep deprivation, alone or in combination with heterogeneous medications, we observed a 4.85% switch rate into mania and a 5.83% switch rate into hypomania. These percentages are comparable to those observed with antidepressant drug treatments. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:267 / 270
页数:4
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