Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-25T15:55:57.642Z Has data issue: false hasContentIssue false
  • English
  • Français

Les temps de la dépression

Published online by Cambridge University Press:  28 April 2020

P. Lemoine  and
J. Mouret
P. Lemoine
Affiliation:
Unité clinique de psychiatrie biologique, CHRS Le Vinatier, 69677Lyon-Bron
J. Mouret
Affiliation:
Unité clinique de psychiatrie biologique, CHRS Le Vinatier, 69677Lyon-Bron Département de physiologie, Université Lyon I, France
Get access

Résumé

Revue à travers les données de la littérature, la dépression apparaît comme un sujet de recherche très important, qui a déjà suscité de nombreuses théories chronobiologiques, souvent fondées sur des ≪critères diagnostiques objectifs≫. En revanche, l’impact thérapeutique de ces approches reste souvent limité à de rares services ultraspécialisés où les patients déprimés sont adressés en dernier recours.

Dans cet article, les auteurs passent en revue quelques-unes des principales données de la littérature, en particulier celles qui concernent les aspects chronobiologiques de la dépression. Les investigations sophistiquées réalisées dans les unités de recherche peuvent avoir certaines conséquences cliniques et pratiques qui sont également évoquées. En effet, une évaluation clinique soigneuse, orientée sur des bases chronobiologiques suffit bien souvent à proposer des traitements individuels assez simples. Parmi ceux-ci, la privation partielle de sommeil (PPS) représente un moyen utile, permettant une amélioration rapide, mais malheureusement souvent imprévisible et transitoire, des troubles de l’humeur. Il semble possible de rendre plus fiables les PPS grâce à des interventions sur la température, la prise de nourriture et l’exposition à la lumiére.

De plus, les auteurs décrivent un moyen possible de pérenniser les effets antidépresseurs de la PPS par des «microprivations de sommeil» réalisées pendant 15 min, à un moment spécifique de la nuit. Les résultats concernant 11 patients déprimés graves soumis à cette méthode sont exposés, 7 de ces sujets étant maintenus depuis 6 à 20 mois dans un état euthymique.

Summary

Summary

Considering the literature, depression appears to be a major field for biological research and has already provided a number of «objective diagnostic criteria» and chronobiological theories. By contrast, the therapeutic impact of these approaches is most often limited to some specialized ciinics where areactive depressed patients are ultimately referred.

In this paper, we shall review some of the data in the literature concerning the chronobiological aspects of depression and give some counterparts to the sophisticated investigations performed in research boards. When carefully Performed and orientated, this clinical approach is often sufficient to propose radier simple treatments to a given Patient. Among these treatments, partial sleep deprivation (PSD) represents a useful toot with rapid but iintil now short lasting and rather unpredictable antidepressant effects. An improvement of PSD effects can, however, be obtained through interventions on temperature, food and light.

We shall describe a method we are investigating which is aimed at maintaining the antidepressant effects of sleep deprivation through «sleep microprivations» performed during 15 min at a specifie moment of the night. The data from 11 patients treated according to this technique will also be reported, togetlier with the management of seasonal affective disorders with bright light exposure.

Keywords

dépressionchronobiologielumièretempératureprivation de sommeildepressionchronobiologylight therapytemperaturesleep deprivation
Type
Article original
Information
Psychiatry and Psychobiology , Volume 3 , Issue 1 , 1988 , pp. 11 - 18
Copyright
Copyright © European Psychiatric Association 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Références

Amsterdam, J.D.Winokur, A.W.Lucki, I.Caroff, S.Snyder, P. & Rickels, K. (1983) A neuroendocrine test battery in bipolar patients are healthy subjects. Arch. Gen. Psychiatry. 40, 515–521CrossRefGoogle ScholarPubMed
Banerjee, S.P.Khun, L.S.Riggi, S.J. & Chanda, S.K. (1977) Development of beta-adrenoreceptor subsensitivy by antidrepressants. Nature. 268, 455–456CrossRefGoogle Scholar
Beersma, D.G.M.Van Den Hoodfakker, R.H. & Berkestijn, H.B.M. (1983) Body temperature and sleep physiology in endogenous depressives. Adv. Biol. Psychiatry. 11, 114–127CrossRefGoogle Scholar
Blier, P. & Montigny, C. de (1980) Effect of chronic tricyclic antidepressant treatment on the serotoninergic autoreceptor. Arch. Pharm. 314, 123–128CrossRefGoogle ScholarPubMed
Chiodo, L.A. & Antelman, S.M. (1980) Repeated tricyclics induce a progressive dopamine autoreceptor subsentivity independent of daily drug treatment. Nature. 287, 451–454CrossRefGoogle ScholarPubMed
Christensen, L.Kristensen, C.Gram, L.Christensen, P.Pedersen, O. & Kragh Sorensen, O. (1983) Afternoon plasma cortisol in depressed patients: a measure of diagnosis or severity?. Life Sci. 32, 617–623CrossRefGoogle ScholarPubMed
Claustrat, B.Chazot, G.Lemoine, P.Brun, J.Devoize, J.L.Laurent, B. & Ollivier, B. (1980) Is CNS effect of peripherally administered des-tyrgamma endorphine mediated by melatonin secretion in man? XIth International Congress, International Society of Psycho-Neuro-Endocrinology,FlorenceGoogle Scholar
Dodge, R. (1982) Circadian rhythms and performance: a discrimination of their effects on performance. Aviat. Space Environ. Med. 53, 11, 1131–1136Google ScholarPubMed
Ey, H.Bernard, P. & Brisset, C. (1967) Manuel de Psychiatrie. Masson, ParisGoogle Scholar
Feinberg, I.Gillin, J.C.Caroll, B.J.Greden, J .F. & Zis, A.P. (1982) EEG studies of sleep in the diagnosis of depression. Biol. Psychiatry. 17, 305–316Google ScholarPubMed
Fillion, G. & Fillion, M.P. (1981) Modulation of affinity of post synaptic receptors by antidepressant drugs. Nature. 292, 349–351CrossRefGoogle Scholar
Gillin, J.C.Wyatt, R.Fram, D. & Snyder, F. (1978) The relationship between changes in REM sleep and clinical improvement in depressed patients treated with amitriptyline. Psychopharmacologia. 59, 267–272CrossRefGoogle Scholar
Halbreich, U.Grunhaus, L. & Ben-David, M. (1979) Twenty-four hours rhythm of prolactin in depressive patients. Arch. Gen. Psychiatry. 36, 1183–1186CrossRefGoogle ScholarPubMed
Honda, Y.Juji, T.Matsuki, K.Naohara, T.Satake, M.Inoko, H.Someya, T.Harada, S. & Doi, Y. (1986) HLA DR2 and Dw2 in narcolepsy and other disorders of excessive somnolence without cataplexy. Sleep. 9, 2, 133–142CrossRefGoogle ScholarPubMed
Kripke, D.F. (1981) Photoperiodic mechanisms for depression and its treatment. Biol. Psychiatry. 1249–1252Google Scholar
Kripke, D.F.Mullaney, D.J. & Gabriel, S. (1987) The chronopharmacology of antidepressant drugs. Arch. Gen. Psychiatry. 9, 4, 32, 275–289Google Scholar
Kupfer, D.J. & Foster, F.G. (1976) Interval between onset of sleep and rapid eye movement sleep as indicator of depression. Lancet. 2, 684Google Scholar
Kvist, J. & Kirkegaard, C. (1980) Effect of repeated sleep deprivation on clinical symptoms and the TRH test in endogenous depression. Acta Psychiatr. Scand. 62, 494–502CrossRefGoogle ScholarPubMed
Lewy, A.J.Wehr, T.A.Goodwin, F.K.Newsome, D.A. & Markey, S.P. (1980) Light suppresses melatonin secretion in humans. Science. 210, 1267–1269CrossRefGoogle ScholarPubMed
Lewy, A.J.Kern, H.A.Rosenthal, N.E. & Wehr, T.A. (1982) Bright artificial light treatment of a manic depressive patient with a seasonal mood cycle. Am. J. Psychiatry. 139, 1496–1498Google ScholarPubMed
Linkowski, P.Brauman, H. & Mendlewicz, J. (1980) Prolactin secretion in women with unipolar and bipolar depression. Psychiatry Res. 3, 265–271CrossRefGoogle ScholarPubMed
Lloyd, K.Farley, I.Deck, J. & Hornykiewicz, O. (1974) Serotonin and 5-hydroxyindolacetie acid in discrete areas of the brain stem of suicide victims and control patients. Adv Biochem. Psychopharmacol. 11, 387–397Google ScholarPubMed
Lowy, F.H.Clerghorn, H. & McClure, D.J. (1971) Sleep patterns in depression. J. Nerv. Ment Dis. 153, 10–26CrossRefGoogle ScholarPubMed
Martin, J. (1970) Neural regulation of growth hormone secretion. N. Eng. J. Med. 288, 1384–1393CrossRefGoogle Scholar
Mendels, J. & Hawkins, D.R. (1967) Sleep and depression: a follow-up study. Arch. Gen. Psychiatry. 16, 536CrossRefGoogle ScholarPubMed
Mendels, J. & Chernik, D.A. (1972) Sleep of manic depressives and recurrent depressives. Sleep Res. I, 142Google Scholar
Mendlewicz, J.Linkowski, P. & Van Cauter, E. (1979) Some neuroendocrine parameters in bipolar and unipolar depression. J. Affective Disord. 1, 25–32CrossRefGoogle ScholarPubMed
Mendlewicz, J.Van Cauter, E.Linkowski, P.L’Hermite, M. & Robyn, C. (1980) The 24-hour profile of prolactin in depression. Life Sci. 27, 2015–2023CrossRefGoogle ScholarPubMed
Mouret, J. (1975) Differences in sleep in patients with Parkinson's disease. Electroencephalogr. Clin. Neurophysiol. 38, 635–637CrossRefGoogle ScholarPubMed
Mouret, J. (1981) Sleep circadian rhythms in the rat: one or two clocks?. In: Structure and Physiology of Vertebrate Circadian Systems. (Aschoff, J., ed.), Springer Verlag, New York, pp. 47–58Google Scholar
Mouret, J. (1982) Fondements biologiques de la privation de sommeil dans le traitement des dépressions. Encephale. 8, 229–250Google Scholar
Mouret, J.Coindet, J. & Chouvet, G. (1974) Effets de la pinéalectomie sur les états et rythmes de sommeil du rat mâle. Brain Res. 81, 97–105CrossRefGoogle Scholar
Mouret, J.Coindet, J.Debilly, G. & Chouvet, G. (1978) Suprachiasmatic nuclei lesions in the rat: alterations in sleep circadian rhythms. Electroencephalogr. Clin. Neurophysiol. 45, 402–408CrossRefGoogle ScholarPubMed
Muzet, J. (1978) Amplitude des modifications cardiovasculaires provoquées par le bruit au cours du sommeil. Coeur Med. Interne. 17, 49–56Google Scholar
Nair, N.P.V.Hariharasubramanian, N. & Pilapil, C. (1984) Circadian rhythm of plasma melatonin in endogenous depression. Prog. Neuro-psychopharmacol. & Biol. Psychiatry. 8, 715–718CrossRefGoogle ScholarPubMed
Nimh, M. (1970) Biological Rhythms in Psychiatry and Medicine. US Department of Health, Education and Welfare, Washington DC, pp. 17–18, 49–50Google Scholar
Parker, D.C.Rossman, L.G. & Vanderlaan, E.F. (1974) Relation of sleep entrained human prolactin release to REM-Non REM cycles. J. Clin. Endocrinol. & Metab. 38, 4, 646–651CrossRefGoogle Scholar
Parkes, C. & Brown, R. (1972) Health after berehavement, a controlled study of young Boston widows and widowers. Psychosom. Med. 34, 449–461CrossRefGoogle ScholarPubMed
Pflug, B. (1980) Depression and daily temperature. Acta Psychiatr. Scand. 54, 254–266CrossRefGoogle Scholar
Pflug, B. & Tolle, R. (1971) Disturbance of the 24 hours rhythm in endogenous depression and the treatment of endogenous depression by sleep deprivation. Int. Pharmacopsychiatry. 6, 187–196CrossRefGoogle Scholar
Philipp, M. & Marneros, A. (1978) Chronobiology and its implication for pharmacotherapy of endogenous depression. Pharmacopsychiatry. 11, 235–240CrossRefGoogle Scholar
Post, R.M.Kotin, J. & Goodwin, F.K. (1976) Effects of sleep deprivation on mood and central amine metabolism in depressed patients. Arch. Gen. Psychiatry. 33, 627–632CrossRefGoogle ScholarPubMed
Sachar, E.J. (1973) Disrupted 24 hours pattern of cortisol secretion in psychotic depression. Arch. Gen. Psychiatry. 28, 19–24CrossRefGoogle Scholar
Souêtre, E.Pringuey, D.Salvati, E. & Darcourt, G. (1984) Avance de phase et dépression. Psychol. Med. 16, 55–58Google Scholar
Stahl, S.Lemoine, P.Ciaranello, R. & Berger, P. (1983) Platelet alpha-2 adrenergic receptor sensitivity in major depressive disorders. Psychiatry Res. 10, 157–164CrossRefGoogle Scholar
Sulser, E.Vetulani, J. & Mobley, P.L. (1978) Mode of action of antidepressant drugs. Biochem. Pharmacol. 27, 257–260CrossRefGoogle ScholarPubMed
Träskman, L.N.Tybring, G.Asberg, M.Bertilsson, L.Lantto, O.Sci, M. & Schalling, D. (1980) Cortisol in the CSF of depressed and suicidal patients. Arch. Gen. Psychiatry. 37, 761–767CrossRefGoogle ScholarPubMed
Von Langer, G. (1978) Neuroendokrinologie der Depression und der Schizophrenie. Arzneimittel- Forschung/Drug Research 28, II, 8, 1281–1290Google Scholar
Weeke, A. (1980) The 24 hours pattern of serum TSH in patients with endogenous depression. Acta Psychiat. Scand. 62, 69–74CrossRefGoogle Scholar
Wehr, T.A. & Wirtz-Justice, A. (1980) Internal coincidence model for sleep deprivation and depression. In: Sleep (Koella, W.P., ed.), Karger, Basel, pp. 144–152Google Scholar
Wehr, T.A. & Wirtz-Justice, A. (1982) Circadian rhythm mechanisms in affective illness and in antidepressant drug action. Pharmacopsychiatry. 15, 31–39CrossRefGoogle ScholarPubMed
Wirtz-Justice, A. & Wehr, T.A. (1980) Uncoupling of circadian rhythms in hamsters and man. In: Sleep (Koella, W.P ed.), Karger, Basel, pp. 69–72Google Scholar
Wirtz-Justice, A.Kafka, M.S.Naber, D.Campbell, I.C.Marangos, P.J.Tamarkin, L. & Wehr, T.A. (1982) Clorgyline delays the phase position of circadian neurotransmitter receptor rhythms. Brain Res. 241, 115–122CrossRefGoogle Scholar
Wyatt, R.J.Kupfer, D.J.Scott, J.Robinson, D.S. & Snyder, F. (1969) Longitudinal studies of the effect of MAOI on sleep in man. Psychopharmacologia. 15, 236–244Google ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.