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Diagnostic relevance of sleep complaints in anxiety and mood disorders

Published online by Cambridge University Press:  16 April 2020

F Arriaga ,
E Lara ,
A Matos-Pires ,
F Cavaglia  and
L Bastos
F Arriaga
Affiliation:
Department of Psychiatry, Faculty of Medicine of Lisbon, Hospital de Santa Maria, Av Egas Moniz, 1600Lisbon, Portugal
E Lara
Affiliation:
Department of Psychiatry, Faculty of Medicine of Lisbon, Hospital de Santa Maria, Av Egas Moniz, 1600Lisbon, Portugal
A Matos-Pires
Affiliation:
Department of Psychiatry, Faculty of Medicine of Lisbon, Hospital de Santa Maria, Av Egas Moniz, 1600Lisbon, Portugal
F Cavaglia
Affiliation:
Department of Psychiatry, Faculty of Medicine of Lisbon, Hospital de Santa Maria, Av Egas Moniz, 1600Lisbon, Portugal
L Bastos
Affiliation:
Department of Psychiatry, Faculty of Medicine of Lisbon, Hospital de Santa Maria, Av Egas Moniz, 1600Lisbon, Portugal
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Summary

Clinical assessments of sleep and subjective state upon waking were performed in normal controls and patients with generalised anxiety disorder, panic disorder, obsessive-compulsive disorder, primary dysthymia and major depression. Subjects were selected according to DSM-III-R criteria. As compared to normal controls, patients with generalised anxiety, dysthymia and major depression exhibit pervasive and intense complaints of insomnia, and no clear distinctions can be drawn among these groups. Patients with panic disorder do not differ from normal controls, whereas obsessive compulsive patients present limited sleep symptoms. These findings suggest that subjective sleep variables are relevant for the diagnostic discrimination of panic and obsessive-compulsive disorders.

Keywords

sleepgeneralised anxiety disorderpanic disorderobsessive-compulsive disorderdysthymiamajor depression
Type
Original article
Information
European Psychiatry , Volume 10 , Issue 8 , 1995 , pp. 386 - 390
Copyright
Copyright © Elsevier, Paris 1995

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References

APA., Diagnosis and Statistical Manual of Mental Disorders (3rd ed, revised). Washington, DC: American Psychiatric Association, 1987Google Scholar
Akiskal, HSRosenthal, TLHaykal, RFLemmi, HRosenthal, RHScott-Strauss, ACharacterological depressions, clinical and sleep EEG findings separating “subaffective dysthymias” from “character spectrum disorders”. Arch Gen Psychiatry 1980; 37: 777–83CrossRefGoogle ScholarPubMed
Akiskal, HSLemmi, HDickson, HKing, DYerevanian, BVan Valkenburg, CChronic depressions. Part 2. Sleep EEG differentiation of primary dysthymic disorders from anxious depressions. J Affective Disord 1984; 6: 287–95CrossRefGoogle ScholarPubMed
Arriaga, FPaiva, TClinical and EEG sleep changes in primary dysthymia and generalized anxiety: a comparison with normal controls. Neuropsychobiology 1990; 24: 109–14CrossRefGoogle ScholarPubMed
Arriaga, FRosado, PPaiva, TThe sleep of dysthymic patients: a comparison with normal controls. Biol Psychiatry 1990; 27: 649–56CrossRefGoogle ScholarPubMed
Beck, ATWard, CHMendelson, MMock, JErbaugh, JAn inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 53–63CrossRefGoogle ScholarPubMed
Benca, RMMood disorders. In: Kryger, MHRoth, TDement, WC, eds. Principles and Practice of Sleep Medicine. PhiladelphiaSaunders, 1994; 85: 899–913Google Scholar
Benca, RMObermeyer, WHThisted, RAGillin, JCSleep and psychiatric disorders: a meta-analysis. Arch Gen Psychiatry 1992; 49: 651–68CrossRefGoogle ScholarPubMed
Dubé, SJones, DABell, JInterface of panic and depression: clinical and EEG sleep correlates Psychiatry Res 1986; 19: 119–33Google Scholar
Hamilton, MA rating scale for depression. J Neurol Neurosurg Psychiatry 1960; 23: 56–62CrossRefGoogle ScholarPubMed
Hauri, PJFriedman, MRavaris, CLSleep in patients with spontaneous panic attacks. Sleep 1989; 12: 323–37CrossRefGoogle ScholarPubMed
Hohagen, FLis, SKrieger, S, et al. Sleep EEG of patients with obsessive-compulsive disorder. Eur Arch Psychiatry Clin Neurosci 1994; 243: 273–8CrossRefGoogle ScholarPubMed
Insel, TRGillin, JCMoore, AMendelson, WBLowenstein, RJMurphy, DLThe sleep of patients with obssessive-compulsive disorder. Arch Gen Psychiatry 1982; 39: 1372–7Google Scholar
Kiloh, LGAndrews, GNeilson, MBianchi, GNThe relationship of the syndromes called endogenous and neurotic depressions. Br J Psychiatry 1972; 121: 183–96CrossRefGoogle Scholar
Kiloh, LGGarside, RFThe independence of neurotic depression and endogenous depression. Br J Psychiatry 1963; 109: 451–63CrossRefGoogle ScholarPubMed
Mellman, MDThomas, WUhde, WElectroencephalographic sleep in panic disorder. Arch Gen Psychiatry 1989; 46: 178–84CrossRefGoogle ScholarPubMed
Mendels, JCochrane, CThe nosology of depression. Am J Psychiatry 1968; 124: 1–11CrossRefGoogle ScholarPubMed
Norris, HThe action of sedatives on the brain stem oculo-motor system in man Neuropsychopharmacology 1971; 10: 181–91Google Scholar
Oswald, IAdam, KBorrow, SIdzikowsky, CThe effect of two hypnotics on sleep, subjective feelings and skilled performance. In: Passonant, POswald, IPharmacology of the states of alertness. Oxford: Pergamon Press, 1978 583–6Google Scholar
Papadimitriou, GNLinkowsky, PKerkhofs, MSleep EEG recordings in generalized anxiety disorder with significant depression. J Affective Disord 1988; 15: 113–18CrossRefGoogle ScholarPubMed
Reynolds, CFKupfer, DJSleep research in affective illness: state of the art circa 1987. Sleep 1987; 10: 199–215CrossRefGoogle ScholarPubMed
Reynolds, CFShaw, DHNewton, TCoble, PAKupfer, DJEEG sleep in outpatients with generalized anxiety: a preliminary comparison with depressed outpatients. Psychiatr Res 1983; 8: 81–9CrossRefGoogle ScholarPubMed
Rosa, RRBonnet, MHKramer, MThe relationship of sleep and anxiety in anxious patients. Biol Psychiatry 1983; 16: 119–126Google Scholar
Sokal, RRRohlf, FJBiometry. San Francisco: Freeman, 1969Google Scholar
Spiegel, RAronson, MFleiss, JLHaber, JPsychometric analysis of the hypnotic induction profile. Int J Clin Exp Hypotheses 1976; 24: 300–15CrossRefGoogle ScholarPubMed
Stein, MBEnns, MWKryger, MHSleep in nondepressed patients with panic disorders: II J Affect Disord 1994; 28: 1–6CrossRefGoogle Scholar
Uhde, TWRoy-Byrne, PGillin, JCThe sleep of patients with panic disorder: a preliminary report Psychiatr Res 1984; 12: 251–9CrossRefGoogle ScholarPubMed
Uhde, TWThe anxiety disorders. In: Kryger, MH, Roth, T, Dement, WC, eds. Principles and Practice of Sleep Medicine. Philadelphia: Saunders, 1994; 84 871–98Google Scholar
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