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Rapid Eye Movement Density Among Adolescents With Major Depressive Disorder Revisited

Raymond R. Goetz, PhD; Susan I. Wolk, MD; Jeremy D. Coplan, MD; Myrna M. Weissman, PhD; Ronald E. Dahl, MD; Neal D. Ryan, MD
Arch Gen Psychiatry. 1996;53(11):1066-1067. doi:10.1001/archpsyc.1996.01830110104021
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In the context of a follow-up study investigating the clinical continuity of major depressive disorder (MDD) and biological markers from prepuberty and adolescence to young adulthood, we are performing new analyses on polysomnographic data previously reported by Goetz et al1 in the Archives. During this process, we noted a finding that we did not originally report; this finding replicates some recent articles regarding rapid eye movement (REM) density during the first REM period.

Goetz et al1 described the sleep of 49 adolescents, mostly outpatients (86%), in whom MDD (ie, 25 adolescents with endogenous MDD [MDD-E] and 24 adolescents with nonendogenous MDD [MDD-NE]) was diagnosed and 40 adolescents without a history of a psychiatric disorder. Findings included increased sleep latency, increased awake time, and decreased sleep efficiency among adolescents with depression vs adolescent controls. No unconfounded REM sleep differences between the adolescents with depression and adolescent controls were reported.

REFERENCES

Goetz RR, Puig-Antich J, Ryan N, Rabinovich H, Ambrosini P, Nelson B, Kawiec V.  Electroencephalographic sleep of adolescents with major depression and normal controls . Arch Gen Psychiatry . 1987;;44:61-68.
Puig-Antich J, Goetz R, Hanlon C, Tabrizi MA, Davies M, Weitzman ED.  Sleep architecture and REM sleep measures in prepubertal children with major depression . Arch Gen Psychiatry . 1982;;39:932-939.
Dahl RE, Ryan ND, Birmaher B, Al-Shabbout M, Williamson D, Neidig M, Nelson B, Puig-Antich J.  Electroencephalographic sleep measures in prepubertal depression . Psychiatry Res . 1991;;38:201-214.
Lahmeyer HW, Poznanski EO, Bellur SN.  EEG sleep in depressed adolescents . Am J Psychiatry . 1983;;140:1150-1153.
Kutcher S, Williamson P, Marton P, Szalai J.  REM latency in endogenously depressed adolescents . Br J Psychiatry . 1992;;161:399-402.
Emslie GJ, Rush JA, Weinberg WA, Rintelmann JW, Roffwarg HP.  Children with major depression show reduced rapid eye movement latencies . Arch Gen Psychiatry . 1990;;47:119-124.
Appelboom-Fondu J, Kerkofs M, Mendlewicz J.  Depression in adolescents and young adults: polysomnographic and neuroendocrine aspects . J Affect Disord . 1988;;14:35-40.
Taub JM, Hawkins DR, Van de Castle RL.  Electrographic analysis of the sleep cycle in young depressed patients . Biol Psychol . 1978;;7:203-214.
Hawkins DR, Taub JM, Van de Castle RL.  Extended sleep (hypersomnia) in young depressed patients . Am J Psychiatry . 1985;;142:905-910.
Kempenaers C, Kerkhofs M, Linkowski P, Mendlewicz J.  Sleep EEG variables in young schizophrenic and depressed patients . Biol Psychiatry . 1988;;24:828-833.
Kupfer DJ, Frank E, Ehlers CL.  EEG sleep in young depressives: first and second night effects . Biol Psychiatry . 1989;;25:87-97.
Dahl RE, Puig-Antich J, Ryan ND, Nelson B, Dachille S, Cunningham SL, Trubnick I, Klepper TP.  EEG sleep in adolescents with major depression: the role of suicidality and inpatient status . J Affect Disord . 1990;;19:63-75.
Goetz RR, Puig-Antich J, Dahl RE, Ryan ND, Asnis GM, Rabinovich H, Nelson B.  EEG sleep of young adults with major depression: a controlled study . J Affect Disord . 1991;;22:91-100.
Lauer CJ, Riemann D, Wiegand M, Berger M.  From early to late adulthood: changes in EEG sleep of depressed patients and healthy volunteers . Biol Psychiatry . 1991;;29:979-993.
Dahl RE, Ryan ND, Perel J, Birmaher B, Al-Shabbout M, Nelson B, Puig Antich J.  Cholinergic REM induction test with arecoline in depressed children . Psychiatry Res . 1993;;51:269-282.
Dahl RE, Ryan ND, Matly MK, Birmaher B, Al-Shabbout M, Williamson DE, Kupfer DJ.  Sleep onset abnormalities in depressed adolescents . Biol Psychiatry . 1996;;39:400-410.
Reynolds CF, Kupfer DJ.  Sleep research in affective illness: state of the art circa 1987 . Sleep . 1987;;10:199-215.

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Goetz RR, Puig-Antich J, Ryan N, Rabinovich H, Ambrosini P, Nelson B, Kawiec V.  Electroencephalographic sleep of adolescents with major depression and normal controls . Arch Gen Psychiatry . 1987;;44:61-68.
Puig-Antich J, Goetz R, Hanlon C, Tabrizi MA, Davies M, Weitzman ED.  Sleep architecture and REM sleep measures in prepubertal children with major depression . Arch Gen Psychiatry . 1982;;39:932-939.
Dahl RE, Ryan ND, Birmaher B, Al-Shabbout M, Williamson D, Neidig M, Nelson B, Puig-Antich J.  Electroencephalographic sleep measures in prepubertal depression . Psychiatry Res . 1991;;38:201-214.
Lahmeyer HW, Poznanski EO, Bellur SN.  EEG sleep in depressed adolescents . Am J Psychiatry . 1983;;140:1150-1153.
Kutcher S, Williamson P, Marton P, Szalai J.  REM latency in endogenously depressed adolescents . Br J Psychiatry . 1992;;161:399-402.
Emslie GJ, Rush JA, Weinberg WA, Rintelmann JW, Roffwarg HP.  Children with major depression show reduced rapid eye movement latencies . Arch Gen Psychiatry . 1990;;47:119-124.
Appelboom-Fondu J, Kerkofs M, Mendlewicz J.  Depression in adolescents and young adults: polysomnographic and neuroendocrine aspects . J Affect Disord . 1988;;14:35-40.
Taub JM, Hawkins DR, Van de Castle RL.  Electrographic analysis of the sleep cycle in young depressed patients . Biol Psychol . 1978;;7:203-214.
Hawkins DR, Taub JM, Van de Castle RL.  Extended sleep (hypersomnia) in young depressed patients . Am J Psychiatry . 1985;;142:905-910.
Kempenaers C, Kerkhofs M, Linkowski P, Mendlewicz J.  Sleep EEG variables in young schizophrenic and depressed patients . Biol Psychiatry . 1988;;24:828-833.
Kupfer DJ, Frank E, Ehlers CL.  EEG sleep in young depressives: first and second night effects . Biol Psychiatry . 1989;;25:87-97.
Dahl RE, Puig-Antich J, Ryan ND, Nelson B, Dachille S, Cunningham SL, Trubnick I, Klepper TP.  EEG sleep in adolescents with major depression: the role of suicidality and inpatient status . J Affect Disord . 1990;;19:63-75.
Goetz RR, Puig-Antich J, Dahl RE, Ryan ND, Asnis GM, Rabinovich H, Nelson B.  EEG sleep of young adults with major depression: a controlled study . J Affect Disord . 1991;;22:91-100.
Lauer CJ, Riemann D, Wiegand M, Berger M.  From early to late adulthood: changes in EEG sleep of depressed patients and healthy volunteers . Biol Psychiatry . 1991;;29:979-993.
Dahl RE, Ryan ND, Perel J, Birmaher B, Al-Shabbout M, Nelson B, Puig Antich J.  Cholinergic REM induction test with arecoline in depressed children . Psychiatry Res . 1993;;51:269-282.
Dahl RE, Ryan ND, Matly MK, Birmaher B, Al-Shabbout M, Williamson DE, Kupfer DJ.  Sleep onset abnormalities in depressed adolescents . Biol Psychiatry . 1996;;39:400-410.
Reynolds CF, Kupfer DJ.  Sleep research in affective illness: state of the art circa 1987 . Sleep . 1987;;10:199-215.

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