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CNS neuroscience & therapeutics v.22 no.11, 2016년, pp.915 - 920   SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Sleep Complaints as Risk Factor for Suicidal Behavior in Severely Depressed Children and Adolescents

Lopes, Maria‐Cecilia (Childhood and Adolescence Affective Disorders Program at Institute and Department of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil ) ; Boronat, Alexandre C. (Childhood and Adolescence Affective Disorders Program at Institute and Department of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil ) ; Wang, Yuan‐Pang (Section of Psychiatric Epidemiology LIM‐23, Institute and Department of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil ) ; Fu‐I, Lee (Childhood and Adolescence Affective Disorders Program at Institute and Department of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil ) ;
  • 초록  

    Summary Objectives To investigate the association between sleep complaints and suicidal behaviors among severely depressed children and adolescents. Methods The sample was 214 youths (56.1% males, mean age 12.5 years) with diagnosis of DSM‐IV major depressive disorder consecutively recruited from a university‐based outpatient clinic specialized in mood disorders. The structured interview for children and adolescents was applied to participants. The Children's Depression Rating Scale—revised version—scored the severity of depression, and the Children's Global Assessment Scale assessed the global functioning. Subgroups of patients were compared for psychopathological association by means of logistic regression, in accordance with presence and absence of sleep complaints and suicidality. Results The frequency of sleep complaints and suicidal behaviors was, respectively, 66.4% and 52.3%, and both symptoms were observed in 37.9% of patients. Initial insomnia was the most frequent manifestation (58%), followed by night awakening (36%), daytime sleepiness (31%), and early awakening (29.9%). Significant association between sleep disturbance and suicidal behavior was found (odds ratio range of 2.3–10.8). Conclusion Sleep disturbances are potential warning manifestations of suicidal behaviors in depressed youth. Possibly, the severity of the active affective episode likely underlies in both sleep complaints and suicidal behaviors among depressed underage patients.


  • 주제어

    Affective disorder .   Children .   Sleep .   Suicide.  

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