2009
DOI: 10.1016/j.sleep.2008.05.010
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Chronobiology, excessive daytime sleepiness and depression: Is there a link?

Abstract: The complaint of excessive daytime sleepiness (EDS), commonly encountered in clinical practice, may arise from a variety of psychiatric disorders, most importantly depression. Even though EDS frequently leads depressed patients to seek medical assistance, it is commonly under-evaluated and under-diagnosed. Therefore, a comprehensive understanding and management of EDS is essential in the clinical assessment of depression. Within a theoretical framework, a chronobiological approach may shed new light on the com… Show more

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Cited by 67 publications
(36 citation statements)
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“…Difficulty getting up in the morning is implicated in individuals with depressive disorders. These data would suggest that considering depression and negative affect in relation to sleep duration and chronotype is necessary (Chellappa et al, 2009). …”
Section: Discussionmentioning
confidence: 99%
“…Difficulty getting up in the morning is implicated in individuals with depressive disorders. These data would suggest that considering depression and negative affect in relation to sleep duration and chronotype is necessary (Chellappa et al, 2009). …”
Section: Discussionmentioning
confidence: 99%
“…Rather, the observed robust intercorrelation is likely due to other causes. Chellappa and colleagues 12 and others 14;35 suggest that disruptions to circadian and homeostatic processes involving basic neurochemistry may account for the interrelationship of depression and sleepiness. This possibility is compelling because it is consistent with our results indicating that rates of elevated depressive symptoms and excessive sleepiness are greatest at the beginning of the agricultural season; the period following migration when circadian and homeostatic processes are most likely to be disrupted from physical relocation and accompanying changes in a myriad of circumstances ranging for daily work habits and routines, to changes in eating behavior and climate, to changes in housing or sleeping accommodation and social connections.…”
Section: Discussionmentioning
confidence: 99%
“…11;12 It is possible that sleepiness and depression are reciprocally related such that the biological, affective and behavioral sequelae of depression compromises restorative sleep and contributes to subsequent sleepiness. 13;14 Sleepiness, in turn, makes individuals more vulnerable to the stresses of everyday life, which may exacerbate depressive symptoms and contribute to the onset of major depressive disorder.…”
Section: Introductionmentioning
confidence: 99%
“…Non-pharmacological (light therapy, sleep deprivation) and pharmacological (lithium, antidepressants, agomelatine, vitamin D) (Parker and Brotchie 2011, and Chapter 23) therapies of affective disorders influence circadian rhythms, which might indicate that they play a role in these disorders (Schulz and Steimer 2009). There are several connections between endogenous depression and circadian rhythms (Chellappa et al 2009;Germain and Kupfer 2008;Lamont et al 2007;McClung 2007), the causes of which are not well understood. Animal models could help here (Kronfeld-Schor and Einat 2012;Workman and Nelson 2011;Ashkenazy et al 2009a, b).…”
Section: Affective Disorders Endogenous Depressionsmentioning
confidence: 99%