Hypersomnia and depressive symptoms: methodological and clinical aspects

被引:92
作者
Dauvilliers, Yves [1 ,2 ]
Lopez, Regis [1 ,2 ]
Ohayon, Maurice [3 ]
Bayard, Sophie [1 ,2 ]
机构
[1] Hop Gui de Chauliac, Ctr Reference Natl Malad Rares Narcolepsie Hyper, Serv Neurol, Unite Troubles Sommeil, F-34295 Montpellier 5, France
[2] Univ Montpellier I, Hop Colombiere, INSERM, U1061, F-34093 Montpellier 5, France
[3] Stanford Univ, Sch Med, Stanford Sleep Epidemiol Res Ctr, Palo Alto, CA 94303 USA
关键词
Depression; Mood; Sleep; Hypersomnia; Excessive daytime sleepiness; Narcolepsy; QUALITY-OF-LIFE; EXCESSIVE DAYTIME SLEEPINESS; SEASONAL AFFECTIVE-DISORDER; CEREBROSPINAL-FLUID; IDIOPATHIC HYPERSOMNIA; PRACTICE PARAMETERS; WAKEFULNESS TEST; LIGHT TREATMENT; MOOD DISORDERS; RISK-FACTORS;
D O I
10.1186/1741-7015-11-78
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The associations between depressive symptoms and hypersomnia are complex and often bidirectional. Of the many disorders associated with excessive sleepiness in the general population, the most frequent are mental health disorders, particularly depression. However, most mood disorder studies addressing hypersomnia have assessed daytime sleepiness using a single response, neglecting critical and clinically relevant information about symptom severity, duration and nighttime sleep quality. Only a few studies have used objective tools such as polysomnography to directly measure both daytime and nighttime sleep propensity in depression with normal mean sleep latency and sleep duration. Hypersomnia in mood disorders, rather than a medical condition per se, is more a subjective sleep complaint than an objective finding. Mood symptoms have also been frequently reported in hypersomnia disorders of central origin, especially in narcolepsy. Hypocretin deficiency could be a contributing factor in this condition. Further interventional studies are needed to explore whether management of sleep complaints improves mood symptoms in hypersomnia disorders and, conversely, whether management of mood complaints improves sleep symptoms in mood disorders.
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页数:9
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