Nightmares, suicide attempts, and melancholic features in patients with unipolar major depression
Nightmares, suicide attempts, and melancholic features in patients with unipolar major depression
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DOI：
10.1016/j.jad.2006.08.005
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发表时间：
2007-03-01
影响因子：
6.6
通讯作者：
Selvi, Yavuz
中科院分区：
文献类型：
--
作者：
Agargun, Mehmet Yucel;Besiroglu, Lutfullah;Selvi, Yavuz
目的：近年来，睡眠障碍与抑郁症自杀行为的关系越来越受到关注。睡眠障碍是重度抑郁症患者自杀的“可改变风险”之一。本研究旨在探讨单相抑郁症患者的噩梦、自杀企图和噩梦特征之间的关系。方法：100例（男49例，女51例）抑郁症患者有噩梦特征，49例（男23例，女26例）无噩梦特征。所有患者被归类为那些谁企图自杀至少有一次在当前的抑郁发作和那些谁从来没有attempted.Results：忧郁症患者有较高的比率的噩梦，中期和晚期失眠比忧郁症的非抑郁症患者。在所有类型的失眠和噩梦的频率方面，有和没有自杀企图的非精神病患者之间没有显著差异。局限性：这项研究没有多导睡眠记录陡峭的variable.Conclusions：感觉更糟，在早上比晚些时候在一天中可能与干预的梦想内容，影响和预测自杀倾向。忧郁症可能与由于重复和可怕的梦而导致的自杀企图风险增加有关。(c)2006 Elsevier B.V.保留所有权利。
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 steep 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. (c) 2006 Elsevier B.V. All rights reserved.