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Q: early morning wakening as a sign of depression ( Answered,   0 Comments )
Question  
Subject: early morning wakening as a sign of depression
Category: Health
Asked by: elizabethfaiella-ga
List Price: $50.00
Posted: 01 Mar 2006 03:37 PST
Expires: 31 Mar 2006 03:37 PST
Question ID: 702383
I need suppert for the recognized concept that of the several  sleep
problems  people can have, early morning wakening is the one most
commonly associated with an underlying depression  and I need a lot of
articles/ text quotes asap...
Answer  
Subject: Re: early morning wakening as a sign of depression
Answered By: sublime1-ga on 01 Mar 2006 12:26 PST
 
elizabeth...

From Cathy Wong, N.D., on About.com:

"...early morning awakening or sleep maintenance insomnia. These
 two types of insomnia are sometimes associated with depression."
http://altmedicine.about.com/cs/conditionsitoq/a/Insomnia.htm


From Dr R H McAllister-Williams, Carolyn Hughes and the Newcastle
Affective Disorders Group, on NetDoctor.co.uk:

"People with depression can have many types of sleep problems.
 Generally, these involve getting less sleep than usual and include:

- difficulty getting off to sleep - often because of lying in bed
  with thoughts going round in your head.
- frequently waking up during the night.
- waking early in the morning and not being able to get back to sleep."
http://community.netdoktor.com/ccs/uk/depression/coping/social/article.jsp?articleIdent=uk.depression.coping.social.uk_depression_article_5048


From The Hamilton Rating Scale For Depression PDF file by
GlaxoWellcome on the University of Massachussetts HealthNet:

"INSOMNIA LATE [latter part of the sleep cycle]

 0=No Difficulty
 1=Waking in early hours of the morning but goes back to sleep
 2=Unable to fall asleep again if he gets out of bed"
[2 being a higher score indicating more severe depression]
http://healthnet.umassmed.edu/mhealth/HAMD.pdf


From the Editorial Team on the Medic8 Family Health Guide:

"Insomnia can take several different forms such as difficulty
 falling asleep, non-refreshing sleep, or waking too early in
 the morning

 Causes of persisting insomnia include environmental noise,
 shift work, stress and depression."
http://www.medic8.com/healthguide/articles/insomnia.html


From material provided by the Mental Health Foundation of
New Zealand, on the Everybody website:

"Physical symptoms of postnatal depression

- Change in sleeping patterns. The most common change is reduced
  sleep, with difficulty getting to sleep, disturbed sleep, and/or
  waking early and being unable to return to sleep."
http://www.everybody.co.nz/page-5e0a04d5-df69-4be3-bc11-9d8a54a86378.aspx


From an article by Dr Susan Aldridge on the MaleHealth Forum:

"If you are experiencing five or more of the following symptoms,
 you may be suffering from depression.
 [...]
- Sleeping difficulties - either problems in dropping off, or
  waking early and being unable to get back to sleep."
http://www.malehealth.co.uk/userpage1.cfm?item_id=120


From Patient UK:

"The following is a list of common symptoms of depression. It
 is unusual to have them all, but several usually develop if
 you have depression.
 [...]
- Sleeping problems:
     - sometimes difficulty in getting off to sleep.
     - sometimes waking early and unable to get back to sleep.
     - sleeping too much sometimes occurs."
http://www.patient.co.uk/showdoc/23068720/


From the University of Cambridge Counselling Service:

"If you have been suffering from insomnia for some time you may
 be depressed. Signs to look out for are:

- waking in the middle of the night or early morning and unable
  to get back to sleep"
http://www.counselling.cam.ac.uk/insom.html


From WrongDiagnosis.com:

"List of symptoms of Depression: The list of signs and symptoms
 mentioned in various sources for Depression includes those
 listed below.
[...]
- Sleep pattern changes

    - Difficulty sleeping
    - Oversleeping
    - Waking too early"
http://www.wrongdiagnosis.com/d/depression/symptoms.htm


From the University of Huddersfield Counselling Service:

"Clinically depressed people suffer from sleep disruption
 (usually waking early when still tired)..."
http://www.hud.ac.uk/stu_svc/counselling/depression01.htm

 
From the Well Man website, an article adapted from 'A Good
 Night's Sleep? Merely a Dream for Millions' by Jan Ehrman:

"...'early morning awakenings' may be a sign of depression
 or other treatable emotional disorder"
[...]
"Sometimes people who are depressed may fall asleep easily,
 then wake up in the early hours of the morning, unable to
 fall asleep again."
http://www.wellman.org.au/sleep.html


From the Univerity of Nottingham Counselling Department, a PDF:

"A person who is depressed may have some of the following symptoms:
 [...]
 - Difficulty in getting to sleep, waking early in the morning"
http://www.nottingham.ac.uk/counselling/leaflets/depression.pdf


From the infra|psych website:

"Sleep disturbance can be associated with depression (especially
 the early morning waking pattern)..."
http://www.infrapsych.com/root/1033/General/General_HealthySleeping.htm


From a leaflet on depression by the Royal College of Psychiatrists:

"Physical Symptoms:

   - Unable to get to sleep, waking early and during the night"
http://www.rcpsych.ac.uk/info/help/mbs/index.asp


From an article on depression on BrainExplorer.org:

"Biological [symptoms]

    - sleep disturbance (usually waking early and being unable
      to get back to sleep)"
http://www.brainexplorer.org/depression/Depression_Diagnosis.shtml


Additionally, almost every result in the Google search
linked below will provide yet another citation.

Please do not rate this answer until you are satisfied that  
the answer cannot be improved upon by way of a dialog  
established through the "Request for Clarification" process. 

sublime1-ga


Additional information may be found from an exploration of
the links resulting from the Google searches outlined below.

Searches done, via Google:

waking early "associated with" depression
://www.google.com/search?q=waking+early+%22associated+with%22+depression

Request for Answer Clarification by elizabethfaiella-ga on 08 Mar 2006 03:22 PST
Dear Cathy  Thanks so much for your help.. I am sory I was not clearer
in my question.. as I need medical journals rather than articles for
the general population... The types of sources  you used will not be
recognized by the expert witnesses I will need to cross  examine... If
you would like to undertake a search in this category please let me
know  Elizabeth Faiella

Clarification of Answer by sublime1-ga on 08 Mar 2006 11:19 PST
Elizabeth...

I'm sorry to have to report that I have no access to the types
of journals noted in your clarification...otherwise I would be
happy to do further research.

And Cathy Wong, N.D. is the source of the first quote from
About.com.

I remain your humble researcher...

sublime1-ga
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