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Growing evidence supports sleep-wake disruption as a mechanism involved in mood disorders pathogenesis. Duration of depressive episodes varies widely, and longer depressive episodes have been connected to worse outcomes. We aimed to explore if the length of depressive episodes is related to objective modifications of sleep features. 35 subjects, aged 18-70, hospitalized for the treatment of a major depressive episode, either unipolar or bipolar, underwent polysomnography, upon admittance. Objective sleep features were correlated with the length of the ongoing depressive episode, measured in months. Positive correlations were found between the duration of the depressive episode and wake percentage (r = 0.358, p = 0.035), N3 latency (r = 0.451, p = 0.014) and wake after sleep onset (r = 0.342, p = 0,44). Our findings show that individuals suffering longer depressive episodes can experience objectively worse sleep features, in terms of increased night wakefulness and delayed deep sleep.
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http://dx.doi.org/10.1016/j.jpsychires.2024.12.027 | DOI Listing |
Eur Arch Psychiatry Clin Neurosci
September 2025
Tianjin Anding Hospital, Institute of Mental Health, Psychiatric Medical Center of Tianjin University, Mental Health Center of Tianjin Medical University, 13 Liulin Road, Tianjin, 300222, China.
Background: Elevated homocysteine levels, known as hyperhomocysteinemia (HHcy), have been implicated in the pathophysiology of schizophrenia. Most prior studies focused on first-episode or acute-phase schizophrenia patients, leaving the prevalence, determinants, and clinical correlates of HHcy in chronic schizophrenia understudied. This study aims to investigate the prevalence and determinants of HHcy in patients with chronic schizophrenia, as well as its clinical correlates.
View Article and Find Full Text PDFAlcohol Clin Exp Res (Hoboken)
September 2025
Department of Population and Public Health Sciences, University of Southern California, Los Angeles, California, USA.
Background: This study examined motivational pathways between internalizing symptoms (i.e., depression, anxiety, stress) and simultaneous alcohol and cannabis use among young adults.
View Article and Find Full Text PDFCureus
August 2025
Obstetrics and Gynecology, Lucina Analytics, Boca Raton, USA.
Objective Severe maternal morbidity (SMM) poses a public health dilemma. To ensure continuity of care for 12 months postpartum, the American Rescue Plan Act of 2021 permitted states to extend Medicaid postpartum coverage to 12 months. This study describes the experiences of a major national insurer in the United States.
View Article and Find Full Text PDFJAACAP Open
September 2025
Centre for Youth Bipolar Disorder, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Objective: Bipolar disorder (BD) diagnoses require episodes of hypomania and mania as well as depressive episodes. Given the overlap of BD symptoms with symptoms of other psychiatric conditions among youth, misdiagnosis is common. This topic was examined in a large sample of youth clinically referred for BD.
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