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Psychosomatic Medicine 29:329-344 (1967)
© 1967 American Psychosomatic Society

The Psychophysiology of Sleep in Psychotic Depression: A Longitudinal Study

DAVID R. HAWKINS M.D.1, JOE MENDELS M.B., CH.B., M.D.2, JIMMY SCOTT PH.D.3, GEORGE BENSCH A.B.4, and WILLIAM TEACHEY B.S.4

1 Department of Psychiatry, University of North Carolina, and North Carolina Memorial Hospital, Chapel Hill, N. C.; Department of Psychiatry, University of Virginia, Charlottesville, Va.
2 Department of Psychiatry, University of North Carolina, and North Carolina Memorial Hospital, Chapel Hill, N. C.; Department of Psychiatry, University of Pennsylvania, Philadelphia, Pa.
3 Department of Psychiatry, University of North Carolina, and North Carolina Memorial Hospital, Chapel Hill, N. C.; National Institutes of Mental Health, Bethesda, Md.
4 Department of Psychiatry, University of North Carolina, and North Carolina Memorial Hospital, Chapel Hill, N. C.

The sleep of a 51-year-old farmer with a severe psychotic depression was studied by electroencephalograph for 31 of 36 hospital days and for 2 nights 3 weeks after discharge. He was successfully treated with 9 sessions of electroconvulsive therapy (ECT); abrupt improvement followed the sixth. Before improvement his sleep was grossly abnormal with much wakefulness. REMP and Stage IV sleep were abnormally low. After successful treatment, REMP showed a compensatory increase. Stage IV sleep increased toward normal very slowly. There were changes in appetite, weight, and bowel function, as well as in mood and behavior.

Submitted on June 9, 1966




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[Abstract] [PDF]


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Copyright © 1967 by the American Psychosomatic Society