Sleep helps with depression

imagesCuring insomnia in people with depression could double their chance of a full recovery, scientists are reporting. The findings, based on an insomnia treatment that uses talk therapy rather than drugs, are the first to emerge from a series of closely watched studies of sleep and depression to be released in the coming year, reports the New York Times

“The new report affirms the results of a smaller pilot study, giving scientists confidence that the effects of the insomnia treatment are real. If the figures continue to hold up, the advance will be the most significant in the treatment of depression since the introduction of Prozac in 1987.

“Depression is the most common mental disorder, affecting some 18 million Americans in any given year, according to government figures, and more than half of them also have insomnia.

“Experts familiar with the new report said that the results were plausible and that if supported by other studies, they should lead to major changes in treatment.

“It would be an absolute boon to the field,” said Dr. Nada L. Stotland, professor of psychiatry at Rush Medical College in Chicago, who was not connected with the latest research.

“It makes good common sense clinically,” she continued. “If you have a depression, you’re often awake all night, it’s extremely lonely, it’s dark, you’re aware every moment that the world around you is sleeping, every concern you have is magnified.”The study is the first of four on sleep and depression nearing completion, all financed by the National Institute of Mental Health. Continue reading “Sleep helps with depression”

Insomnaics for drugs

Every now and then everyone has trouble sleeping. And then there are those of us who always have the problem.

No wonder the sleep medication industry now accounts for $1.7-billion in spending each year.

Todays Wall Street Journal discusses “A new sleep drug by Merck & Co. is expected to gain U.S. approval in the coming months, even as its main competitor is coming under growing scrutiny by regulators and doctors for sometimes-dangerous side effects. The new drug, known as suvorexant, will affect a different part of the brain than a generation of older medicines such as zolpidem, known as Ambien, which depresses brain activity. The hope is that suvorexant will cause fewer side effects than its older counterparts.

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“An estimated 25% or more Americans face a bout of insomnia in a given year, and at least 1 in 10 suffers the chronic form of the disorder, routinely facing sleepless nights, according to the Centers for Disease Control and Prevention.

“There’s a need for more drugs,” said Russell Rosenberg, chairman of the National Sleep Foundation. Current drugs don’t work for everyone, and a push to lower doses amid safety concerns has led to patients “coming in and saying it’s not working as well,” said Dr. Rosenberg, a practicing sleep psychologist and director of the Atlanta School of Sleep Medicine and Technology.

“New sleep drugs may be facing a higher approval bar, amid rising concern that Ambien and similar drugs cause side effects such as risky bouts of sleepwalking and next-day drowsiness, which can impair driving. The U.S. Food and Drug Administration advised doctors to reduce doses of Ambien for women, and added new warnings to its labeling earlier this year.”

 

Read full article at: http://online.wsj.com/article/SB10001424127887324183204578565392659897114.html

Self-help books seem to work for depression

Britain’s National Health Service (NHS) today announced research findings showing the usefulness of self-help books for the treatment of mental health conditions like depression.

“Patients offered books, plus sessions guiding them in how to use them, had lower levels of depression a year later than those offered usual GP care,” reports the BBC.

“The effect was seen in addition to the benefits of other treatments such as antidepressants, Scottish researchers report in the journal Plos One. Such an approach may help the NHS tackle demand for therapy, they said.

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“More than 200 patients who had been diagnosed with depression by their GP took part in the study, half of whom were also on antidepressant drugs. Some were provided with a self-help guide dealing with different aspects of depression, such as being assertive or overcoming sleep problems.Patients also had three sessions with an adviser who helped them get the most out of the books and plan what changes to make. After four months those who had been prescribed the self-help books had significantly lower levels of depression than those who received usual GP care. Continue reading “Self-help books seem to work for depression”