TY - JOUR T1 - Response to Therapeutic Sleep Deprivation: A Naturalistic Study of Clinical and Genetic Factors and Post-Treatment Depressive Symptom Trajectory JF - bioRxiv DO - 10.1101/179457 SP - 179457 AU - Nina Trautmann AU - Jerome C. Foo AU - Josef Frank AU - Stephanie H. Witt AU - Fabian Streit AU - Jens Treutlein AU - Steffen Conrad von Heydendorff AU - Maria Gilles AU - Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium AU - Andreas J. Forstner AU - Ulrich Ebner-Priemer AU - Markus M. Nöthen AU - Michael Deuschle AU - Marcella Rietschel Y1 - 2018/01/01 UR - http://biorxiv.org/content/early/2018/02/19/179457.abstract N2 - Research has shown that therapeutic sleep deprivation (SD) has rapid antidepressant effects in the majority of depressed patients. Investigation of factors preceding and accompanying these effects may facilitate the identification of the underlying biological mechanisms. This exploratory study aimed to examine clinical and genetic factors predicting response to SD and determine the impact of SD on illness course. Mood and tiredness during SD were also assessed via visual analogue scales (VAS). Depressed inpatients (n = 78) and healthy controls (n = 15) underwent ~36hrs of SD. Response to SD was defined as a score of ≤2 on the Clinical Global Impression Scale for Global Improvement. Depressive symptom trajectories were evaluated for up to a month using self/expert ratings. Impact of genetic burden was calculated using polygenic risk scores for major depressive disorder. 72% of patients responded to SD. Responders and nonresponders did not differ in baseline self/expert depression symptom ratings, but mood subjectively measured by VAS scale differed. Response was associated with lower age (p = 0.007) and later age at life-time disease onset (p = 0.003). Higher genetic burden of depression was observed in non-responders than healthy controls. Up to a month post-SD, depressive symptoms decreased in both patients groups, but more in responders, in whom effects were sustained. The present findings suggest that re-examining SD with a greater focus on biological mechanisms will lead to better understanding of mechanisms of depression. ER -