Selvi Yavuz, Kiliç Sultan, Aydin Adem, Güzel Özdemir Pınar
Department of Psychiatry, Division of Neuro Science, Selçuk University Faculty of Medicine, Konya, Turkey.
Clinic of Psychiatry, Afşin State Hospital, Kahramanmaraş, Turkey.
Noro Psikiyatr Ars. 2015 Mar;52(1):83-88. doi: 10.5152/npa.2015.7116. Epub 2015 Mar 1.
Sleep deprivation is a method, which has being used in order to comprehend the functions of sleep both in healthy individuals and for the patients of depression with in treatment, for a long time. The objective of our present study is to examine the relation between hormonal values, which are known for being related to the effects of these said changes determined in the mood, dissociation and thought suppression in healthy individuals after one night of sleep deprivation implementation.
One night sleep deprivation was performed on a total of thirty-two healthy volunteers (16 males and 16 females) who were included in the study. Blood samples were taken from the individuals before and after sleep deprivation implementation in order to determine cortisol, dehydroepiandrosterone-sulfate (DHEA-S) and Thyroid Functions' Levels tests. In order to evaluate the effects of the sleep deprivation on moods, "White Bear Suppression Inventory (WBSI)" has been conducted, with an aim of evaluating thought suppression, "Profile of Mood States (POMS)", "Dissociative Experiences Scale (DES)" with a purpose of realizing any dissociation tendency.
On the individuals who have been implemented for sleep deprivation, a decrease on depression and vigor-activity sub-scales values was detected, and an increase was determined on fatigue sub-scales values of "POMS". While the values of DES were found to have been statistically increased after sleep deprivation, also a significant decrease was determined on WBSI values. Even if there hasn't been any significant statistical change determined on cortisol levels after sleep deprivation, yet there had been some significant changes detected on Thyroid Stimulating Hormone (TSH), fT3, fT4, and DHEA-S levels. Decrease in "POMS" depression sub-scale values and increase on fatigue sub-scale values were determined on the individuals whose sT4 levels were found to be increased significantly in statistic manner after the sleep deprivation.
According to the results of our study, sleep deprivation for one night was determined to cause decrease on depressive mood, increase on dissociative symptoms and to lower the tendency of suppressing the unwanted thoughts, consciously. The fact of being obtained lower depression values, on the individuals with the increased DHEA-S levels after the sleep deprivation meets with the information claiming that the high DHEA-S levels may be deemed as protectors against the negative effects of the stress.
长期以来,睡眠剥夺一直是一种用于理解健康个体以及抑郁症患者治疗过程中睡眠功能的方法。我们当前研究的目的是检验在实施一晚睡眠剥夺后,健康个体中已知与情绪、解离和思维抑制方面这些变化的影响相关的激素值之间的关系。
对纳入研究的总共32名健康志愿者(16名男性和16名女性)进行一晚的睡眠剥夺。在实施睡眠剥夺前后采集个体的血样,以测定皮质醇、硫酸脱氢表雄酮(DHEA-S)和甲状腺功能水平测试。为了评估睡眠剥夺对情绪的影响,进行了“白熊抑制量表(WBSI)”,旨在评估思维抑制的“情绪状态剖面图(POMS)”,以及旨在了解任何解离倾向的“解离体验量表(DES)”。
在实施睡眠剥夺的个体中,检测到“POMS”的抑郁和活力-活动子量表值下降,疲劳子量表值增加。虽然发现睡眠剥夺后DES值有统计学意义的增加,但WBSI值也有显著下降。即使睡眠剥夺后皮质醇水平没有确定任何显著的统计学变化,但在促甲状腺激素(TSH)、游离三碘甲状腺原氨酸(fT3)、游离甲状腺素(fT4)和DHEA-S水平上检测到了一些显著变化。在睡眠剥夺后sT4水平有统计学意义显著升高的个体中,确定“POMS”抑郁子量表值下降,疲劳子量表值增加。
根据我们的研究结果,确定一晚的睡眠剥夺会导致抑郁情绪下降、解离症状增加,并自觉降低抑制不必要思维的倾向。睡眠剥夺后DHEA-S水平升高的个体抑郁值降低这一事实,与声称高DHEA-S水平可能被视为抵御压力负面影响的保护因素的信息相符。