Psychiatry Research
Volume 121, Issue 2 , Pages 159-167, 1 December 2003

REM sleep reduction, mood regulation and remission in untreated depression

Sleep Disorder Service and Research Center, Rush University Medical Center, 1653 West Congress Parkway, Chicago, IL 60612, USA

Received 23 April 2003; received in revised form 22 August 2003; accepted 1 September 2003.

Abstract 

The contribution of increased rapid eye movement (REM) pressure through repeated, mild, reduction of (REM) sleep to remission from untreated depression was studied over a 5-month period in 20 depressed and 10 control volunteers. Sixty percent of the depressed subjects were in remission at the end of the study. Sixty-four percent of the variance in remission could be accounted for by four variables: the initial level of self-reported symptoms, the reported diurnal variability in mood, the degree of overnight reduction in depressed mood following interruptions of REM sleep and the quality of dream reports from these awakenings. Increased REM pressure is beneficial for those who are able to construct well-organized dreams.

Keywords: Diurnal variability, Dream quality, Rapid eye movement reduction effects

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PII: S0165-1781(03)00236-1

doi:10.1016/S0165-1781(03)00236-1

Psychiatry Research
Volume 121, Issue 2 , Pages 159-167, 1 December 2003