Night Depression Symptoms [2021]
Download File === https://tlniurl.com/2t7pxI
Nancy Schimelpfening, MS is the administrator for the non-profit depression support group Depression Sanctuary. Nancy has a lifetime of experience with depression, experiencing firsthand how devastating this illness can be.
Kalmbach DA, Pillai V, Drake CL. Nocturnal insomnia symptoms and stress-induced cognitive intrusions in risk for depression: A 2-year prospective study. PLoS ONE. 2018;13(2):e0192088. doi:10.1371/journal.pone.0192088
Obayashi K, Saeki K, Kurumatani N. Bedroom light exposure at night and the incidence of depressive symptoms: A longitudinal study of the HEIJO-KYO Cohort. Am J Epidemiol. 2018;187(3):427-434. doi:10.1093/aje/kwx290
Vetter C, Chang SC, Devore EE, Rohrer F, Okereke OI, Schernhammer ES. Prospective study of chronotype and incident depression among middle- and older-aged women in the Nurses' Health Study II. J Psychiatr Res. 2018;103:156-160. doi:10.1016/j.jpsychires.2018.05.022
Hvenegaard M, Watkins ER, Poulsen S, et al. Rumination-focused cognitive behaviour therapy vs. cognitive behaviour therapy for depression: study protocol for a randomised controlled superiority trial. Trials. 2015;16:344. doi:10.1186/s13063-015-0875-y
Everyone experiences depression differently. Some people experience significant increases in their depression symptoms at night. They may experience more symptoms, or their symptoms may increase in severity. Nighttime depression can also create or worsen insomnia, by keeping you awake longer or making it more difficult to fall asleep.
Experiencing depression at night may have a number of different symptoms for different people. Some people may experience an increase in the severity of their depression symptoms. Others may experience increased feelings of isolation, hopelessness, and emptiness at night.
Fortunately, there are a number of ways you can cope with depression that occurs or increases in severity at night. For depression symptoms, regardless of the time of day they show up, you should maintain the treatment plan prescribed by your doctor. This includes taking your medications, even when you feel fine.
At night, some of these symptoms can become worse, making it harder to sleep. In turn, this could worsen insomnia and fatigue the next day, which can further worsen the depression a person in experiencing.
The causes of depression are likely to be a combination of factors relating to genetics and the environment, such as experiencing trauma or chronic stress. It is less clear why these symptoms may worsen at night.
People who experience insomnia as a symptom of depression may feel frustrated about their inability to sleep. The frustration likely peaks at night, when a person is unable to sleep despite feelings of fatigue and exhaustion during the day.
For example, a study of 1,783 people in the Journal of Clinical Psychiatry found that 75% of those with depression also had an anxiety disorder during their lifetime. People with anxiety disorders tend to experience overwhelming feelings of fear and worry.
People with depression are also more likely to have problems with substance abuse. A review of 115 studies found that people with illicit drug use disorder were significantly more likely to experience depression.
For example, according to one study that used data from over 3 million people, those with depression have a 72% higher risk of heart disease than those without depression. They were also more likely to die at a younger age.
There are several ways to treat depression. Finding the best way to deal with the symptoms may involve trial and error and take some time. For some people, a combination of different methods might be the most beneficial.
Also, the Food and Drug Administration (FDA) recently approved the use of esketamine for treating depression. This is a new class of drug that can help people with cases of depression that do not respond to other treatments.
Other strategies for dealing with the symptoms of depression include making lifestyle changes. For example, one review of 25 trials found that exercise interventions were effective for people with depression. Other trials have found that eating a healthful diet can also reduce symptoms.
Methods: Data were drawn from a longitudinal investigation of students age 12-13 years at inception in 1999-2000, in Montreal, Canada. Depression symptoms were measured with the Depressive Symptoms Scale (DSS) 20 times from age 12 to 17, and with the Major Depression Inventory (MDI) post-high school at ages 20 and 24. Night eating was measured at age 24. The association between depression symptoms and night eating was estimated in multivariable logistic regression models adjusted for sex, age and mother university-educated.
Results: 9% of 829 participants (n = 77) reported night eating. In cross-sectional analysis, the adjusted odds ratio (OR) estimate for MDI scores (range 0-50) was 1.04 (1.01, 1.07). In longitudinal analyses, the OR estimates were 1.75 (1.20, 2.55) for DSS scores (range 1-4) and 1.03 (1.002, 1.06) for the MDI.
Conclusions: Depression symptoms are associated with night eating in young adults cross-sectionally and possibly longitudinally. Treatment of depression symptoms may be important in preventing night eating, a core symptom of the Night Eating Syndrome.
Nighttime depression is not a separately identifiable subtype of depression, rather it represents an exacerbation of symptoms in the evening. As the day winds down many individuals find that they feel more fatigued, sluggish and less likely to engage in enjoyable activities. Others may dread going home from work or school due to loneliness or a volatile home environment.
Seasonal changes (particularly in the winter) can lead to changes in the amount of daylight each day, which can affect circadian rhythm [3]. Circadian rhythm affects how you may fall asleep and how long you sleep. There is a separate subset of depression called Seasonal Affective Disorder (SAD) which researchers believe is due to a disturbance of circadian rhythm, dysregulation of neurotransmitters as well as some genetic predispositions.
One of the most common symptoms of depression include anergia [4], or constantly feeling exhausted. Individuals may feel chronically fatigued, experience difficulties with completing activities which tends to worsen in the evening/after a long day.
Sleep disturbance is one of the most common concerns of individuals with depression. They may suffer from initial insomnia (falling asleep), middle insomnia (waking up in the middle of the night) and/or terminal insomnia (waking up too early) secondary to their depression. Any (and all) of these types of insomnia can lead to a decrease in hours of sleep which can exacerbate depression. Some individuals with chronic insomnia worry about how long it will take them to fall asleep, how many hours they will sleep and maintain concern about how it may affect their mood/productivity the next day.
There are many non-pharmaceutical options that can help individuals with nighttime depression exacerbations. Not obtaining good, restorative sleep can have negative effects on your mood. Some recommendations for getting better sleep and combating nighttime depression include the following:
Exercising during daytime hours is strongly recommended for individuals with depression as it can help with improving mood and reducing anxiety. However, exercising too late (less than 1 hour before bedtime) can lead to initial insomnia in some people [9].
Relaxation techniques such as mindfulness meditation and diaphragmatic breathing can help address present emotions and facilitate relaxation before bedtime [10]. These relaxation techniques can also decrease ruminating thoughts that may inhibit falling asleep and lead to nighttime depression.
Despite utilizing lifestyle modifications (healthy diet, sleep hygiene, exercise) you may still struggle with symptoms of depression during nighttime. Your provider may recommend one (or more) of the following treatments:
Sleep problems can exacerbate depression, leading to a negative cycle between depression and sleep that can be challenging to break. Poor sleep may even provoke depression in some people. Understanding the complex relationship between sleep and depression can be an important step in improving sleep quality and better managing depression.
Depression and sleep are closely connected. A majority of people with depression experience sleep issues. In fact, doctors may hesitate to diagnose depression in the absence of complaints about sleep Trusted Source Elsevier Elsevier is a publishing company that aims to help researchers and health care professionals advance science and improve health outcomes for the benefit of society. See Full Reference .
Depression and sleep issues have a bidirectional relationship Trusted Source National Center for Biotechnology Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. See Full Reference . This means that poor sleep can contribute to the development of depression and having depression makes a person more likely to experience sleep troubles. This complex relationship can make it challenging to know which came first, sleep issues or depression.
Approximately 40% of people with insomnia have clinical depression, and up to 80% of patients with depression experience bouts of insomnia Trusted Source UpToDate More than 2 million healthcare providers around the world choose UpToDate to help make appropriate care decisions and drive better health outcomes. UpToDate delivers evidence-based clinical decision support that is clear, actionable, and rich with real-world insights. See Full Reference . Early wakening is closely associated with depression, as well as difficulty falling asleep at night. Those with depression may switch back and forth between insomnia and hypersomnia during a single period of depression. 2b1af7f3a8