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Sleep deprivation therapy in depressive illness and Parkinson's disease.

1. Sleep deprivation is commonly associated with feelings of fatigue and
cognitive impairment.

2. Patients with depressive illness, however, often
experience mood improvements under these same conditions.

3. Other studies
now show that tremor and rigidity, in patients with Parkinson's disease, are
also improved by sleep depression therapy.

4. The neural substrates which
underlie these effects are unclear. Some recent evidence, however, suggests
that sleep deprivation may activate mechanisms which are otherwise typical
of conditions of metabolic stress.

5. A common feature of these mechanisms
is the suppression of cholinergic activity which is thought to be excessive,
in relation to monoamine transmission, in both depression and Parkinson's
disease.


Prog Neuropsychopharmacol Biol Psychiatry 1999 Jul;23(5):753-84
Demet EM, Chicz-Demet A, Fallon JH, Sokolski KN
Mental Health Care Group, VA Medical Center, Long Beach, CA, USA.
PMID: 10509373, UI: 99438789

<http://www.ncbi.nlm.nih.gov/PubMed/>

janet paterson
52 now / 41 dx / 37 onset
613 256 8340 po box 171 almonte ontario canada K0A 1A0
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