Nightmares, suicide attempts, and melancholic features in patients with unipolar major depression
Abstract Objectives Recently, there has been a growing interest in the relationship between sleep disturbances and suicidality in major depression. Sleep disturbances are one of the ‘modifiable risks’ for suicide in major depression. The present study examines whether there is a relationship among n...
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| Veröffentlicht in: | Journal of affective disorders 2007-03, Vol.98 (3), p.267-270 |
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| creator | Agargun, Mehmet Yucel Besiroglu, Lutfullah Cilli, Ali Savas Gulec, Mustafa Aydin, Adem Inci, Rifat Selvi, Yavuz |
| description | Abstract Objectives Recently, there has been a growing interest in the relationship between sleep disturbances and suicidality in major depression. Sleep disturbances are one of the ‘modifiable risks’ for suicide in major depression. The present study examines whether there is a relationship among nightmares, suicide attempts, and melancholic features in unipolar major depressed patients. Methods One hundred (49 males and 51 females) depressed patients with melancholic features and 49 (23 males and 26 females) patients without melancholic features were included in the study. All patients were classified as those who attempted suicide at least once during current depressive episode and as those who never attempted. Results Melancholic attempters had higher rates of nightmares, middle, and terminal insomnia than melancholic non-attempters. There was no significant difference between non-melancholic patients with and without suicidal attempts in terms of the frequency of all types of insomnia and nightmares. Limitations: This study does not have polysomnographic records for sleep variables. Conclusions Feeling worse in the morning than later in the day may be related to the intervening dream content and affect and predict suicidal tendency. Melancholia may be associated with increased risk of suicide attempts due to repetitive and frightening dreams. |
| doi_str_mv | 10.1016/j.jad.2006.08.005 |
| format | Article |
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Sleep disturbances are one of the ‘modifiable risks’ for suicide in major depression. The present study examines whether there is a relationship among nightmares, suicide attempts, and melancholic features in unipolar major depressed patients. Methods One hundred (49 males and 51 females) depressed patients with melancholic features and 49 (23 males and 26 females) patients without melancholic features were included in the study. All patients were classified as those who attempted suicide at least once during current depressive episode and as those who never attempted. Results Melancholic attempters had higher rates of nightmares, middle, and terminal insomnia than melancholic non-attempters. There was no significant difference between non-melancholic patients with and without suicidal attempts in terms of the frequency of all types of insomnia and nightmares. Limitations: This study does not have polysomnographic records for sleep variables. Conclusions Feeling worse in the morning than later in the day may be related to the intervening dream content and affect and predict suicidal tendency. Melancholia may be associated with increased risk of suicide attempts due to repetitive and frightening dreams.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2006.08.005</identifier><identifier>PMID: 16938351</identifier><identifier>CODEN: JADID7</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Aged ; Biological and medical sciences ; Depression ; Depressive Disorder - diagnosis ; Depressive Disorder - epidemiology ; Depressive Disorder - psychology ; Depressive Disorder, Major - diagnosis ; Depressive Disorder, Major - epidemiology ; Depressive Disorder, Major - psychology ; Diagnostic and Statistical Manual of Mental Disorders ; Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes ; Dreams - psychology ; Female ; Humans ; Insomnia ; Male ; Medical sciences ; Melancholic features ; Middle Aged ; Mood disorders ; Nervous system (semeiology, syndromes) ; Neurology ; Nightmares ; Prevalence ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Severity of Illness Index ; Suicide ; Suicide, Attempted - psychology ; Suicide, Attempted - statistics & numerical data ; Surveys and Questionnaires</subject><ispartof>Journal of affective disorders, 2007-03, Vol.98 (3), p.267-270</ispartof><rights>Elsevier B.V.</rights><rights>2006 Elsevier B.V.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-2451824c267e57a1722ef7cdeda8e872f8f7c66bfc2c04f5195b8ea5f66913f63</citedby><cites>FETCH-LOGICAL-c436t-2451824c267e57a1722ef7cdeda8e872f8f7c66bfc2c04f5195b8ea5f66913f63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jad.2006.08.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18497545$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16938351$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Agargun, Mehmet Yucel</creatorcontrib><creatorcontrib>Besiroglu, Lutfullah</creatorcontrib><creatorcontrib>Cilli, Ali Savas</creatorcontrib><creatorcontrib>Gulec, Mustafa</creatorcontrib><creatorcontrib>Aydin, Adem</creatorcontrib><creatorcontrib>Inci, Rifat</creatorcontrib><creatorcontrib>Selvi, Yavuz</creatorcontrib><title>Nightmares, suicide attempts, and melancholic features in patients with unipolar major depression</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>Abstract Objectives Recently, there has been a growing interest in the relationship between sleep disturbances and suicidality in major depression. Sleep disturbances are one of the ‘modifiable risks’ for suicide in major depression. The present study examines whether there is a relationship among nightmares, suicide attempts, and melancholic features in unipolar major depressed patients. Methods One hundred (49 males and 51 females) depressed patients with melancholic features and 49 (23 males and 26 females) patients without melancholic features were included in the study. All patients were classified as those who attempted suicide at least once during current depressive episode and as those who never attempted. Results Melancholic attempters had higher rates of nightmares, middle, and terminal insomnia than melancholic non-attempters. There was no significant difference between non-melancholic patients with and without suicidal attempts in terms of the frequency of all types of insomnia and nightmares. Limitations: This study does not have polysomnographic records for sleep variables. Conclusions Feeling worse in the morning than later in the day may be related to the intervening dream content and affect and predict suicidal tendency. Melancholia may be associated with increased risk of suicide attempts due to repetitive and frightening dreams.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Depression</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - epidemiology</subject><subject>Depressive Disorder - psychology</subject><subject>Depressive Disorder, Major - diagnosis</subject><subject>Depressive Disorder, Major - epidemiology</subject><subject>Depressive Disorder, Major - psychology</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</subject><subject>Dreams - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Melancholic features</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Nightmares</subject><subject>Prevalence</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Severity of Illness Index</subject><subject>Suicide</subject><subject>Suicide, Attempted - psychology</subject><subject>Suicide, Attempted - statistics & numerical data</subject><subject>Surveys and Questionnaires</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kk1rFTEUhoMo9rb6A9xINnblTPMx-RgEQYpVodSFug65mRNvxvkyyVj6781wLxRcuAoJz3nP4TlB6BUlNSVUXvV1b7uaESJromtCxBO0o0LxigmqnqJdYURFOFNn6DylnhSwVeQ5OqOy5ZoLukP2Lvw85NFGSG9xWoMLHWCbM4xLLi926vAIg53cYR6Cwx5sXguLw4QXmwNMOeH7kA94ncIyDzbi0fZzxB0sBUthnl6gZ94OCV6ezgv04-bj9-vP1e3XT1-uP9xWruEyV6wRVLPGMalAKEsVY-CV66CzGrRiXpeblHvvmCONF7QVew1WeClbyr3kF-jymLvE-fcKKZsxJAdDGR7mNRmp26ZVTBWQHkEX55QieLPEUAw8GErM5tX0png1m1dDtCleS83rU_i6H6F7rDiJLMCbE2CTs4OPRVlIj5wuvUWzBb07clBU_AkQTXLFooMuRHDZdHP47xjv_6l2Q5hCafgLHiD18xqn4thQk5gh5tv2Abb9E0kI523L_wKqqqtz</recordid><startdate>20070301</startdate><enddate>20070301</enddate><creator>Agargun, Mehmet Yucel</creator><creator>Besiroglu, Lutfullah</creator><creator>Cilli, Ali Savas</creator><creator>Gulec, Mustafa</creator><creator>Aydin, Adem</creator><creator>Inci, Rifat</creator><creator>Selvi, Yavuz</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070301</creationdate><title>Nightmares, suicide attempts, and melancholic features in patients with unipolar major depression</title><author>Agargun, Mehmet Yucel ; Besiroglu, Lutfullah ; Cilli, Ali Savas ; Gulec, Mustafa ; Aydin, Adem ; Inci, Rifat ; Selvi, Yavuz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-2451824c267e57a1722ef7cdeda8e872f8f7c66bfc2c04f5195b8ea5f66913f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Depression</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - epidemiology</topic><topic>Depressive Disorder - psychology</topic><topic>Depressive Disorder, Major - diagnosis</topic><topic>Depressive Disorder, Major - epidemiology</topic><topic>Depressive Disorder, Major - psychology</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</topic><topic>Dreams - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Insomnia</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Melancholic features</topic><topic>Middle Aged</topic><topic>Mood disorders</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Nightmares</topic><topic>Prevalence</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Severity of Illness Index</topic><topic>Suicide</topic><topic>Suicide, Attempted - psychology</topic><topic>Suicide, Attempted - statistics & numerical data</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Agargun, Mehmet Yucel</creatorcontrib><creatorcontrib>Besiroglu, Lutfullah</creatorcontrib><creatorcontrib>Cilli, Ali Savas</creatorcontrib><creatorcontrib>Gulec, Mustafa</creatorcontrib><creatorcontrib>Aydin, Adem</creatorcontrib><creatorcontrib>Inci, Rifat</creatorcontrib><creatorcontrib>Selvi, Yavuz</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Agargun, Mehmet Yucel</au><au>Besiroglu, Lutfullah</au><au>Cilli, Ali Savas</au><au>Gulec, Mustafa</au><au>Aydin, Adem</au><au>Inci, Rifat</au><au>Selvi, Yavuz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nightmares, suicide attempts, and melancholic features in patients with unipolar major depression</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2007-03-01</date><risdate>2007</risdate><volume>98</volume><issue>3</issue><spage>267</spage><epage>270</epage><pages>267-270</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><coden>JADID7</coden><abstract>Abstract Objectives Recently, there has been a growing interest in the relationship between sleep disturbances and suicidality in major depression. Sleep disturbances are one of the ‘modifiable risks’ for suicide in major depression. The present study examines whether there is a relationship among nightmares, suicide attempts, and melancholic features in unipolar major depressed patients. Methods One hundred (49 males and 51 females) depressed patients with melancholic features and 49 (23 males and 26 females) patients without melancholic features were included in the study. All patients were classified as those who attempted suicide at least once during current depressive episode and as those who never attempted. Results Melancholic attempters had higher rates of nightmares, middle, and terminal insomnia than melancholic non-attempters. There was no significant difference between non-melancholic patients with and without suicidal attempts in terms of the frequency of all types of insomnia and nightmares. Limitations: This study does not have polysomnographic records for sleep variables. Conclusions Feeling worse in the morning than later in the day may be related to the intervening dream content and affect and predict suicidal tendency. Melancholia may be associated with increased risk of suicide attempts due to repetitive and frightening dreams.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>16938351</pmid><doi>10.1016/j.jad.2006.08.005</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Adult and adolescent clinical studies Aged Biological and medical sciences Depression Depressive Disorder - diagnosis Depressive Disorder - epidemiology Depressive Disorder - psychology Depressive Disorder, Major - diagnosis Depressive Disorder, Major - epidemiology Depressive Disorder, Major - psychology Diagnostic and Statistical Manual of Mental Disorders Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes Dreams - psychology Female Humans Insomnia Male Medical sciences Melancholic features Middle Aged Mood disorders Nervous system (semeiology, syndromes) Neurology Nightmares Prevalence Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Severity of Illness Index Suicide Suicide, Attempted - psychology Suicide, Attempted - statistics & numerical data Surveys and Questionnaires |
| title | Nightmares, suicide attempts, and melancholic features in patients with unipolar major depression |
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