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Monitoring of Long-Term Motor Activity in Depressed Patients

Published online by Cambridge University Press:  29 January 2018

S. Royant-Parola
Affiliation:
U3 INSERM, Hopital de la Salpêtrière, 47 Boulevard de l'Hopital, 75013 Paris, France
A. A. Borbely
Affiliation:
Institute of Pharmacology, University of Zürich, Gloriastasse 32, 8006 Zürich, Switzerland
I. Tobler
Affiliation:
Institute of Pharmacology, University of Zürich, Gloriastasse 32, 8006 Zürich, Switzerland
O. Benoit*
Affiliation:
U3 INSERM, Hopital de la Salpêtrière, 47 Boulevard de l'Hopital, 75013 Paris, France
D. Widlöcher
Affiliation:
Département de Psychiatrie Adulte, Hopital de la Salpêtrière, 47, Boulevard de l'Hopital, 75013 Paris, France
*
Correspondence

Abstract

Wrist motor activity was continuously recorded by a solid-state monitor in 12 patients with major depression throughout their stay in hospital; their clinical state was evaluated using three scales. During the day, activity troughs and immobility peaks occurred before noon and around 1500 hrs. Activity level progressively increased, while the duration of immobility decreased, with clinical improvement. The immobility measurement appeared to be a valuable index of depression and is more sensitive than the activity level, mainly for agitated depressed patients. Immobility episodes during the day could suggest the release of an ultradian sleep-wake rhythm in depression.

Type
Papers
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edition) (DSM–III). Washington DC: APA Google Scholar
Benoit, O., Royant-Parola, S., Borbely, A. A., Tobler, I. & Widlöcher, D. (1985) Circadian aspects of motor activity in depressed patients. Acta Psychiatrica Belgica, 85, 582592.Google ScholarPubMed
Borbely, A. A., Neuhaus, H. U., Mattmann, P. & Waser, P. G. (1981) Langzeitregistrierung der bewegungsaktivitat: Anwendungen inforschung und klinik. Schweizerische Medizinische Wochenschrift, 111, 730735.Google Scholar
Borbely, A. A., (1983) Long-term recording of the rest-activity cycle in man. In Application of Behavioral Pharmacology in Toxicology (eds Zbinden, G. et al). New York: Raven Press.Google Scholar
Borbely, A. A., Loepfe, M., Mattmann, P. & Tobler, I. (1983) Midazolam and triazolam: hypnotic action and residual effects after a single bedtime dose. Arzneimittel-Forschung/Drug Research, 33, 15001502.Google ScholarPubMed
Borbely, A. A., Mattmann, P. & Loepfe, M. (1984) Hynotic action and residual effects of a single bedtime dose of temazepam. Arzeimittel-Forschung/Drug Research, 34, 101103.Google Scholar
Foster, F. G. & Kupfer, D. J. (1975) Psychomotor activity as a correlate of depression and sleep in acutely disturbed psychiatric inpatients. American Journal of Psychiatry, 132, 928931.Google ScholarPubMed
Godfrey, H. P. D. & Knight, R. G. (1984) The validity of actometer and speech activity measures in the assessment of depressed patients. British Journal of Psychiatry, 145, 159163.CrossRefGoogle ScholarPubMed
Gurney, C. (1971) Diagnostic scales for affective disorders. Proceedings of the 5th World Conference of Psychiatry. Amsterdam: Excerta Medica.Google Scholar
Hamilton, M. (1967) Development of a rating scale for primary depressive illness. British Journal of Social & Clinical Psychology, 6, 278296.CrossRefGoogle ScholarPubMed
Hardy, P., Jouvent, R. & Widlöcher, D. (1984) Speech pause time and the retardation rating scale for depression (ERD). Journal of Affective Disorders, 6, 123127.CrossRefGoogle ScholarPubMed
Kripke, D. F., Mullaney, D. J., Messin, S. & Wyborney, V. G. (1978) Wrist actigraphic measures of sleep and rhythms. Electroencephalography and clinical neurophysiology, 44, 674676.CrossRefGoogle ScholarPubMed
Kupfer, D. J., Detre, T. P., Foster, F. G., Tucker, G. & Delgado, J. (1972) The application of Delgado's telemetric mobility recorder for human sleep studies. Behavioral Biology, 7, 585590.CrossRefGoogle Scholar
Kupfer, D. J., Weiss, B. L., Foster, F. G., Detre, T. P., Delgado, J. & McPartland, R. (1974) Psychomotor activity in affective states. Archives of General Psychiatry, 30, 765768.CrossRefGoogle ScholarPubMed
Mendelwicz, J. (1983) Chronobiologie des troubles de l'humeur. In Séminaire de Psychiatrie Biologique de l'Hopital Saint Anne. Paris: Editions Médicales Fournier Frères.Google Scholar
Montgomery, S. A. & Åsberg, M. (1979) A new depression scale designed to be sensitive to change. The British Journal of Psychiatry, 134, 382389.CrossRefGoogle ScholarPubMed
Nikitopoulou, G. & Crammer, J. L. (1976) Change in diurnal temperature rhythm in manic-depressive illness. British Medical Journal, i, 13111314.CrossRefGoogle Scholar
Post, R. M., Stoddart, F. J., Gillin, J. C., Buchsbaum, M. S., Rumke, D. C., Black, K. E. & Bunney, W. E. (1977) Alterations in motor activity, sleep and biochemistry in a cycling manic-depressive patient. Archives of General Psychiatry, 34, 470477.CrossRefGoogle Scholar
Wehr, T. A., Muscettola, G. & Goodwin, F. K. (1980) Urinary 3-methoxy-4-hydroxyphenylglycol circadian rhythm. Archives of General Psychiatry, 37, 257263.CrossRefGoogle ScholarPubMed
Wehr, T. A., Goodwin, F. K. & Wirz-Justice, A. (1982) 48 hour sleep-wake cycles in manic depressive illness. Archives of General Psychiatry, 39, 559565.CrossRefGoogle ScholarPubMed
Widlöcher, D. (1983a) Psychomotor retardation: Clinical, theoretical and psychometric aspects. Psychiatric Clinics of North America, 6, 2739.CrossRefGoogle ScholarPubMed
Widlöcher, D. (1983b) Retardation: a basic emotional response? In The Affective Disorders (eds Davis, J. M. & Maas, J. W.) Washington: American Psychiatric Press.Google Scholar
Wolff, E. A., Putman, F. W. & Post, R. M. (1985) Motor activity and affective illness: the relationship of amplitude and temporal distribution to changes in affective state. Archives of General Psychiatry, 42, 288294.CrossRefGoogle ScholarPubMed
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