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Dream Anxiety Level in Patients with Major Depression
Mustafa Bilici M.D, Kemal Yazici M.D, Omer Akil Ozer M.D, �nder Kavak�� M.D
Disturbances of sleep pattern and dream experience are quite common in patients with
major depression (MD).The aim of this study was to compare patients with or without
melancholic features and controls with respect to dream anxiety.Fifteen depressive
patients with melancholic features (MD+M),23 patients without melancholic features
(MD-M),and 41 healthy controls were included in the study.Data were collected by
using Hamilton Rating Scale for Depression (HRSD),Hamilton Anxiety Scale (HAS),Van
Dream Anxiety Scale (VDAS),Pittsburgh Sleep Quality Index (PSQI)and Dream Diary.
Statistical analyses displayed that VDAS and PSQI scores were significantly higher in the
MD+M group compared to the MD-M group and the control group.In addition,there
was a significant positive correlation between VDAS scores and HRSD,HAS and PSQI
scores of the patients.VDAS score was identified as the variable most significantly dis-
criminating the three groups from each other.Based on these findings,we may sug-
gest that the level of dream anxiety is high in patients with MD,particularly in those
with melancholic features,and that the level of dream anxiety can be used to discrim-
inant cases with melancholic features from those without melancholic features.
(Sleep and Hypnosis 2002;4(1):15-21)
| Keywords: major depression, melancholia, dream anxiety, sleep quality |
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