Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-21T07:44:47.877Z Has data issue: false hasContentIssue false

Functional brain imaging, sleep, and sleep deprivation: contributions to the “overarousal” hypothesis of depression

Published online by Cambridge University Press:  18 September 2015

J.C. Gillin*
Affiliation:
University of California, San Diego and San Diego VA Medical Center
A.P. Ho
Affiliation:
University of California, San Diego and San Diego VA Medical Center
M.S. Buchsbaum
Affiliation:
Mt. Sinai School of Medicine
J. Wu
Affiliation:
University of California. Irvine
L. Abel
Affiliation:
University of California. Irvine
W.E. Bunney Jr
Affiliation:
University of California. Irvine
*
Dept. of Psychiatry (0603), University of California, San Diego, VA Medical Center, 9500 Gilman Drive, La Jolla CA 92093-0603, USA

Extract

In 1975 van den Burg and van den Hoofdakker hypothesized that depressed patients might be ‘overaroused.’ This suggestion is consistent not only with their seminal observations on the antidepressant effects of total sleep deprivation in depression, but with the short, fragmented, and shallow sleep of depressed patients, lowered arousal thresholds, hyperactivity of the hypothalamus-pituitary adrenal (HPA) axis, and elevated core body temperature commonly found in some patients during the sleep period.

Type
Research Article
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 1995

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

Literature

1.Van den Burg, W, Van den Hoofdakker, RH. Total sleep deprivation on endogenous depression. Arch gen Psychiat 1975; 32: 1121–5.CrossRefGoogle ScholarPubMed
2.Wu, JC, Gillin, JC, Buchsbaum, MS, Hershey, T, Johnson, JC, Bunney, WE Jr.Effect of sleep deprivation on brain metabolism of depressed patients. Am J Psychiat 1992; 149: 538–43.Google ScholarPubMed
3.Wu, J, Gillin, JC, Buchsbaum, MS, et al. Positron emission tomography studies of sleep deprivation in unipolar depression. Brain; UnpublishedGoogle Scholar
4.Ebert, D, Feistel, H, Barocka, A. Effects of sleep deprivation on the limbic system and the frontal lobes in affective disorders: A study with Tc-99m-HMPAO SPECT. Psychiatry Res Neuroimaging 1991; 40: 247–51.CrossRefGoogle ScholarPubMed
5.Ebert, D, Feistel, H, Barocka, A, Kaschka, W. Increased limbic blood flow and total sleep deprivation in major depression with melancholia. Psychiatry Res Neuroimaging 1994; 55: 101–9.CrossRefGoogle ScholarPubMed
6.Volk, S, Kaendler, SH, Weber, R, et al.Evaluation of the effects of total sleep deprivation on cerebral blood flow using single photon emission computerized tomography. Acta psychiat scand 1992; 86: 478–83.CrossRefGoogle ScholarPubMed
7.Ho, AP, Gillin, JC, Buchsbaum, MS, Wu, J, Abel, OL. Elevated cerebral glucose metabolism during non rapid eye movement sleep in major depression: A positron emission tomography study. Submitted 1994.Google Scholar
8.Van den Burg, W, Beersma, DGM, Bouhuys, AL, Van den Hoofdakker, RH. Self-rated arousal concurrent with the antidepressant response to total sleep deprivation of patients with a major depressive disorder: a disinhibition hypothesis. J Sleep Res 1992; 1:211–22.CrossRefGoogle Scholar