Treatment Strategies for Sleep Disturbance in Patients With Depression
Karl Doghramji, MD
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Insomnia, excessive sleepiness, and fatigue are common symptoms in depressed patients. Excessive
sleepiness is associated with impairments in cognitive and motor tasks and has a negative impact
on social and occupational functioning. Further, sleepiness and fatigue strongly predict accidents.
Conversely, problems with sleeplessness (e.g., difficulty falling asleep, frequent awakenings during
the night, and early morning wakefulness) are also common symptoms in patients with depression.
Recognition and treatment of sleep disturbance are important aspects of managing depression. Pharmacologic
intervention and behavior modification are viable treatment strategies.
J Clin Psychiatry 2003;64(suppl 14):24-29
© Copyright 2003 Physicians Postgraduate Press, Inc.
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