Circadian pattern of motor activity in major depressed patients undergoing antidepressant therapy: Relationship between actigraphic measures and clinical course

The 24-hour motor activity pattern was evaluated in 26 inpatients with major depression at treatment onset and after 4 weeks of antidepressant therapy. Clinical state, depression, and psychomotor retardation, as well as motor activity level and circadian rhythm, were simultaneously assessed. Treatme...

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Veröffentlicht in:Psychiatry research 1994-04, Vol.52 (1), p.85-98
Hauptverfasser: Raoux, Nadine, Benoit, Odile, Dantchev, Nicolas, Denise, Pierre, Franc, Bernard, Alliale, Jean-François, Widlöcher, Daniel
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container_end_page 98
container_issue 1
container_start_page 85
container_title Psychiatry research
container_volume 52
creator Raoux, Nadine
Benoit, Odile
Dantchev, Nicolas
Denise, Pierre
Franc, Bernard
Alliale, Jean-François
Widlöcher, Daniel
description The 24-hour motor activity pattern was evaluated in 26 inpatients with major depression at treatment onset and after 4 weeks of antidepressant therapy. Clinical state, depression, and psychomotor retardation, as well as motor activity level and circadian rhythm, were simultaneously assessed. Treatment responders and nonresponders were also considered. Diurnal hypoactivity and reduced 24-hour rhythm amplitude were found at treatment onset. Activity level increased significantly on discharge. The rest-activity cycle for each depressed patient fit a cosine function o 24-hour periodicity. Data tended to show no phase shift but a large intragroup phase variability. Preliminary findings of a negative correlation between basic activity level andclinical improvement, and a trend toward responders having a lower activity level than nonresponders, suggest that activity could be used to predict therapeutic response.
doi_str_mv 10.1016/0165-1781(94)90122-8
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Clinical state, depression, and psychomotor retardation, as well as motor activity level and circadian rhythm, were simultaneously assessed. Treatment responders and nonresponders were also considered. Diurnal hypoactivity and reduced 24-hour rhythm amplitude were found at treatment onset. Activity level increased significantly on discharge. The rest-activity cycle for each depressed patient fit a cosine function o 24-hour periodicity. Data tended to show no phase shift but a large intragroup phase variability. 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subjects actigraphy
Adult
Affective disorder
Analysis of Variance
Antidepressive Agents - therapeutic use
Biological and medical sciences
Circadian Rhythm
Depressive Disorder - drug therapy
Depressive Disorder - physiopathology
Depressive Disorder - psychology
Female
Humans
Male
Medical sciences
Middle Aged
Motor Activity - physiology
Neuropharmacology
Pharmacology. Drug treatments
Psychiatric Status Rating Scales
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Sleep - physiology
treatment outcome
title Circadian pattern of motor activity in major depressed patients undergoing antidepressant therapy: Relationship between actigraphic measures and clinical course
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