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Sleep and depression - theory and practice

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journal contribution
posted on 2009-05-01, 00:00 authored by Michael BerkMichael Berk
BACKGROUND: Sleep disorders are particularly common in the primary care setting, and are intimately interlinked with depression. OBJECTIVE: This article aims to review the relationship between sleep and depression, with an emphasis on the foundation and clinical salience of this relationship. DISCUSSION: Depression is the most common cause of insomnia, and insomnia is highly prevalent in depression. This association has a well characterised physiological foundation. Sleep disorder in depression has prognostic and therapeutic implications. Residual insomnia after remission of depression is predictive of relapse, and prominent insomnia predicts a poorer treatment outcome in depression. Evidence based management involves integrating both pharmacological and behavioural strategies; the latter includes sleep hygiene and regulating diurnal rhythms.

History

Journal

Australian family physician

Volume

38

Pagination

302-304

Location

East Melbourne, Vic.

Open access

  • Yes

ISSN

0300-8495

Language

eng

Publication classification

CN.1 Other journal article

Copyright notice

2009, Australian Family Physician

Issue

5

Publisher

Royal Australian College of General Practitioners