Four patients with major depression who were unresponsive to
antidepressant medications rapidly improved and remained euthymic after an
advance of the sleep-wake cycle. Phase advance of the sleep-wake cycle and
antidepressant treatment may have complementary effects on the circadian
system. The authors suggest that the combination may be useful in treating
drug nonresponders and in hastening response to antidepressant drugs.Abstract Teaser