OBJECTIVE: The authors' goal was to address five questions: 1) What is
the frequency of early REM sleep in subjects in the process of divorce who
meet diagnostic criteria for major depressive disorder? 2) What is the
frequency of this sign in subjects in the process of divorce who are not
depressed? 3) How often does this sign persist following remission of
depressive symptoms? 4) What is the predictive value of early REM sleep
among depressed subjects for later adjustment to the process of divorce?
and 5) What is the role of a family history of depression or alcoholism in
the presence and persistence of early REM sleep? METHOD: Two hundred
fourteen volunteers undergoing marital separation were recruited; 70 of
these subjects were selected for a 3- night sleep study. Forty of the 70
subjects met criteria for depression and 30 did not; 61 (87%) returned for
repeat studies 1 year later. RESULTS: Fifteen (38%) of the 40 depressed
subjects had short REM latency. Seven of these continued to have short REM
latency 1 year later, but none of these met the criteria for depression at
that time. A higher proportion of these subjects had made a good adjustment
to their new life than did depressed subjects whose initial and follow-up
REM latencies fell within the normal range. CONCLUSIONS: These data suggest
that depressed individuals with normal REM latency may need more aggressive
treatment intervention.
Abstract Teaser