Diurnal variation of mood and the cortisol rhythm in depression and normal states of mind

1987 ◽  
Vol 237 (1) ◽  
pp. 36-45 ◽  
Author(s):  
D. Zerssen ◽  
P. Doerr ◽  
H. M. Emrich ◽  
R. Lund ◽  
K. M. Pirke
1986 ◽  
Vol 148 (4) ◽  
pp. 442-446 ◽  
Author(s):  
Jonathan Davidson ◽  
Craig D. Turnbull

The diagnostic importance of vegetative symptoms for melancholia was examined through DSM-III, the Newcastle Scale, and Extracted Criteria for melancholia. Statistically significant differences were diagnostically unimpressive in the case of DSM-III and the Newcastle criteria. With the Extracted Criteria, initial insomnia, early waking, anorexia, weight loss, loss of libido, and worsened mood in the morning were all significantly more common in melancholia than in non-melancholic depression, while increased appetite was more common in non-melancholia. Only diurnal variation of mood (worse in the morning) showed predictive value for melancholia; whereas the other traditional vegetative symptoms (disturbed sleep, weight, and libido) did not. Increased appetite and diurnal variation of mood (worse in the evening) were predictive for non-melancholia.


1994 ◽  
Vol 32 (4) ◽  
pp. 257-269 ◽  
Author(s):  
A.P.R. Moffot ◽  
R.E. O'Carroll ◽  
J. Bennie ◽  
S. Carroll ◽  
H. Dick ◽  
...  

1995 ◽  
Vol 7 (2) ◽  
pp. 58-60 ◽  
Author(s):  
M.C.M. Gordijn ◽  
D.G.M. Beersma ◽  
A.L. Bouhuys ◽  
H.J. Korte ◽  
R.H. van den Hoofdakker

Unequivocal results demonstrating a causal relationship between a disturbance in circadian rhythms and depression have not yet been reported (reviews). However, acute mood changes, such as the antidepressive effect of sleep deprivation, diurnal variations of mood and their interrelationship, are commonly put forward as evidence of the importance of circadian dysregulations in affective disorders. The purpose of the present study is to obtain more insight in the mechanisms underlying these mood changes. The results will be discussed in the context of a recently postulated non-chronobiological explanation.Earlier studies have suggested that the relationship between diurnal variation of mood and the response to total sleep deprivation (TSD) is clear and unambiguous: improvement of mood during the day prior to TSD (a positive diurnal variation) is followed by a positive response (mood improvement) to TSD, while no improvement or deterioration of mood during the day prior to TSD (a negative diurnal variation) may result in no, or even a negative, TSD response (for references see Van den Hoofdakker). However, these conclusions were based on the results from cross-sectional studies, comparing single TSD effects across individuals. Comparison of sleep deprivation effects within individuals, however, revealed that the course of mood during the day prior to TSD is irrelevant for the TSD response. Accordingly, a favourable response to TSD appeared to be related to the patient's propensity to show diurnal mood variations per se, irrespective of their direction.


1987 ◽  
Vol 151 (1) ◽  
pp. 102-106 ◽  
Author(s):  
Anastasios Georgotas ◽  
Robert E. Mccue ◽  
Eitan Friedman ◽  
Thomas B. Cooper

The effects of nortriptyline, phenelzine, and placebo on 13 symptoms of depression were compared in 75 patients, aged 55 or over, who were suffering from major depression. Nortriptyline and phenelzine were more effective than placebo in treating depression mood, guilt feelings, suicidal ideation, agitation, anxiety, loss of energy, and a.m. diurnal variation of mood. Nortriptyline was better than phenelzine or placebo in improving middle/late insomnia. Most of the symptoms did not show significant improvement until the fourth week of treatment.


1992 ◽  
Vol 3 (Supplement) ◽  
pp. 50
Author(s):  
E REININK ◽  
A L BOUHUYS ◽  
R H VAN DEN HOOFDAKKER

2017 ◽  
Vol 19 (1) ◽  
pp. 65-76 ◽  
Author(s):  
Bonnie Burstow

Although affirming that the psychiatric drugging of children constitutes both adultism (oppression based on treating adult behavior as normative) and sanism (oppression based on prioritizing what are seen as “normal” states of mind), and noting the role of pharmaceutical profit in what is happening, this article argues that in the strictest sense of the term the psychiatric drugging of children is a form of child abuse. It attempts to demonstrate not only that is this a form of child abuse but also that such a claim itself, as radical as it seems, follows from a combination of drug research and conventional understandings of abuse. The article further examines inaccurate claims about psychiatric drugs and the damage which they actually do. It proceeds to demonstrate that what is happening with respect to children constitutes child abuse as conventionally defined. Particularly focal is the United Nations Convention on the Rights of the Child. Action recommendations made in accordance with the findings include consciousness-raising and the launching of law suits at all levels.


1991 ◽  
Vol 30 (8) ◽  
pp. 817-829 ◽  
Author(s):  
Martin P. Szuba ◽  
Lewis R. Baxter ◽  
Lynn A. Fairbanks ◽  
Barry H. Guze ◽  
Jeffrey M. Schwartz

2005 ◽  
Vol 35 (4) ◽  
pp. 511-517 ◽  
Author(s):  
PETER R. JOYCE ◽  
RICHARD J. PORTER ◽  
ROGER T. MULDER ◽  
SUZANNE E. LUTY ◽  
JANICE M. McKENZIE ◽  
...  

Background. Although diurnal variation of mood is a widely recognized symptom of depression, the clinical, neurobiological and psychopharmacological significance of this symptom has not previously been reported.Method. A total of 195 depressed out-patients underwent a detailed clinical and neurobiological assessment, and were then randomized to treatment with either fluoxetine or nortriptyline.Results. Of the 195 depressed patients, 62 had a pattern of reversed diurnal variation (i.e. worse in the evening). Those with reversed diurnal variation had a poorer response to a serotonergic antidepressant, were less likely to have bipolar II disorder, had a higher tryptophan:large neutral amino acid ratio and had different allele frequencies of the polymorphisms in the promoter region of the serotonin transporter.Conclusions. These findings raise the possibility of serotonergic influence on diurnal variation, and that the symptom of reversed diurnal variation is of relevance to antidepressant prescribing.


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