PMID- 33317355 OWN - NLM STAT- MEDLINE DCOM- 20210803 LR - 20210803 IS - 1525-6073 (Electronic) IS - 0742-0528 (Linking) VI - 38 IP - 3 DP - 2021 Mar TI - Comparison of venlafaxine alone versus venlafaxine plus late partial sleep deprivation therapy combination for major depressive disorder. PG - 378-386 LID - 10.1080/07420528.2020.1842753 [doi] AB - Treatment resistance, medication non-adherence, and side effects of pharmacotherapeutics make treatment difficult in major depressive disorder. Sleep deprivation is a fast-acting and tolerable reinforcement treatment method. In this study, we investigated the effects of late partial sleep deprivation (PSD) therapy added to venlafaxine treatment on symptoms of anxiety and depression, sleep quality and treatment process. This study was conducted in a sample of 40 patients who were admitted to our inpatient psychiatric unit with a diagnosis of major depressive disorder. While the venlafaxine (Ven) group received only venlafaxine treatment, the venlafaxine+partial sleep deprivation (Ven+PSD) group underwent late partial sleep deprivation therapy three times in the first week in addition to venlafaxine treatment. The Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Rating Scale (HAM-D), Beck Depression Inventory, Pittsburgh Sleep Quality Index, and Insomnia Severity Index (ISI) were administered to both groups at the baseline and at the end of the 1st, 4th, and 6th weeks and, additionally, Profile of Mood State (POMS) was administered to the Ven+PSD group before and after each PSD. The Ven+PSD group had lower HAM-D and HAM-A scores than the Ven group at the end of the 1st and 6th week. Both anxiety and depression subscale scores on the POMS showed a significant decrease after PSD in the Ven+PSD group. The mean venlafaxine dose (mg/d) was significantly lower in the Ven+PSD group than in the Ven group. Late partial sleep deprivation is a fast-acting and tolerable therapy in major depressive disorder. FAU - Gunduz, Sule AU - Gunduz S AD - Department of Psychiatry, Ilgin State Hospital, Konya, Turkey. FAU - Kandeger, Ali AU - Kandeger A AUID- ORCID: 0000-0001-6940-0940 AD - Department of Psychiatry, Faculty of Medicine, Selcuk University, Konya, Turkey. FAU - Selvi, Yavuz AU - Selvi Y AUID- ORCID: 0000-0003-0218-6796 AD - Department of Psychiatry, Faculty of Medicine, Selcuk University, Konya, Turkey. AD - Neuroscience Research Center (SAM), Selcuk University, Konya, Turkey. LA - eng PT - Journal Article DEP - 20201214 PL - England TA - Chronobiol Int JT - Chronobiology international JID - 8501362 RN - 0 (Cyclohexanols) RN - 7D7RX5A8MO (Venlafaxine Hydrochloride) SB - IM MH - Circadian Rhythm MH - Cyclohexanols/therapeutic use MH - *Depressive Disorder, Major/drug therapy MH - Humans MH - Psychiatric Status Rating Scales MH - Sleep Deprivation MH - Treatment Outcome MH - Venlafaxine Hydrochloride/therapeutic use OTO - NOTNLM OT - anxiety OT - depression OT - partial sleep deprivation OT - treatment OT - venlafaxine EDAT- 2020/12/16 06:00 MHDA- 2021/08/04 06:00 CRDT- 2020/12/15 05:38 PHST- 2020/12/16 06:00 [pubmed] PHST- 2021/08/04 06:00 [medline] PHST- 2020/12/15 05:38 [entrez] AID - 10.1080/07420528.2020.1842753 [doi] PST - ppublish SO - Chronobiol Int. 2021 Mar;38(3):378-386. doi: 10.1080/07420528.2020.1842753. Epub 2020 Dec 14.