REM sleep enhancement by bupropion in depressed men

OBJECTIVE: The authors compared the effects of bupropion, fluoxetine, and cognitive behavior therapy on EEG sleep in depressed subjects. METHOD: All-night sleep EEG studies were performed before treatment and after partial or full remission on 18 men with depression diagnosed according to Research D...

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Veröffentlicht in:The American journal of psychiatry 1995-02, Vol.152 (2), p.274-276
Hauptverfasser: NOFZINGER, E. A, REYNOLDS, C. F, THASE, M. E, FRANK, E, JENNINGS, J. R, FASICZKA, A. L, SULLIVAN, L. R, KUPFER, D. J
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container_start_page 274
container_title The American journal of psychiatry
container_volume 152
creator NOFZINGER, E. A
REYNOLDS, C. F
THASE, M. E
FRANK, E
JENNINGS, J. R
FASICZKA, A. L
SULLIVAN, L. R
KUPFER, D. J
description OBJECTIVE: The authors compared the effects of bupropion, fluoxetine, and cognitive behavior therapy on EEG sleep in depressed subjects. METHOD: All-night sleep EEG studies were performed before treatment and after partial or full remission on 18 men with depression diagnosed according to Research Diagnostic Criteria and randomly assigned to treatment with either bupropion (N = 7) or fluoxetine (N = 11). Response to these drugs was measured by changes in Hamilton Depression Rating Scale scores. Pre- and posttreatment EEG sleep study results before and after treatment with cognitive behavior therapy were also available for 18 men matched in age and severity of Hamilton depression scale score, and one-time EEG sleep measures were available for 36 men who were not depressed. RESULTS: REM latency was reduced and REM sleep percent and REM time increased after treatment in the depressed men given bupropion. These effects contrasted with the effects of fluoxetine and cognitive behavior therapy. CONCLUSIONS: This study represents the first report of an antidepressant medication that shortens REM latency and increases REM sleep. If confirmed, this finding may require a revision of our current understanding of the relation among depression, REM sleep, and anti-depressant mechanisms.
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Pre- and posttreatment EEG sleep study results before and after treatment with cognitive behavior therapy were also available for 18 men matched in age and severity of Hamilton depression scale score, and one-time EEG sleep measures were available for 36 men who were not depressed. RESULTS: REM latency was reduced and REM sleep percent and REM time increased after treatment in the depressed men given bupropion. These effects contrasted with the effects of fluoxetine and cognitive behavior therapy. CONCLUSIONS: This study represents the first report of an antidepressant medication that shortens REM latency and increases REM sleep. 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A</au><au>REYNOLDS, C. F</au><au>THASE, M. E</au><au>FRANK, E</au><au>JENNINGS, J. R</au><au>FASICZKA, A. L</au><au>SULLIVAN, L. R</au><au>KUPFER, D. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>REM sleep enhancement by bupropion in depressed men</atitle><jtitle>The American journal of psychiatry</jtitle><addtitle>Am J Psychiatry</addtitle><date>1995-02-01</date><risdate>1995</risdate><volume>152</volume><issue>2</issue><spage>274</spage><epage>276</epage><pages>274-276</pages><issn>0002-953X</issn><eissn>1535-7228</eissn><coden>AJPSAO</coden><abstract>OBJECTIVE: The authors compared the effects of bupropion, fluoxetine, and cognitive behavior therapy on EEG sleep in depressed subjects. METHOD: All-night sleep EEG studies were performed before treatment and after partial or full remission on 18 men with depression diagnosed according to Research Diagnostic Criteria and randomly assigned to treatment with either bupropion (N = 7) or fluoxetine (N = 11). Response to these drugs was measured by changes in Hamilton Depression Rating Scale scores. Pre- and posttreatment EEG sleep study results before and after treatment with cognitive behavior therapy were also available for 18 men matched in age and severity of Hamilton depression scale score, and one-time EEG sleep measures were available for 36 men who were not depressed. RESULTS: REM latency was reduced and REM sleep percent and REM time increased after treatment in the depressed men given bupropion. These effects contrasted with the effects of fluoxetine and cognitive behavior therapy. CONCLUSIONS: This study represents the first report of an antidepressant medication that shortens REM latency and increases REM sleep. If confirmed, this finding may require a revision of our current understanding of the relation among depression, REM sleep, and anti-depressant mechanisms.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>7840365</pmid><doi>10.1176/ajp.152.2.274</doi><tpages>3</tpages></addata></record>
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subjects Adult
Age Factors
Antidepressant drugs
Biological and medical sciences
Bupropion - pharmacology
Bupropion - therapeutic use
Cognitive Therapy
Depression
Depressive Disorder - drug therapy
Depressive Disorder - psychology
Depressive Disorder - therapy
Drugs
Enhancement
Fluoxetine - pharmacology
Fluoxetine - therapeutic use
Humans
Male
Medical sciences
Men
Mental depression
Neuropharmacology
Pharmacology. Drug treatments
Psychiatric Status Rating Scales
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Rapid eye movement sleep
Severity of Illness Index
Sleep disorders
Sleep, REM - drug effects
Sleep, REM - physiology
title REM sleep enhancement by bupropion in depressed men
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