Present day research takes the view on insomnia... as a transdiagnostic symptom for many mental disorders, being most closely related to depression. Studying insomnia from different angles as a transdiagnostic phenotype has opened many new perspectives for research into mechanisms but also for clinical practice.
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insomnia as a transdiagnostic phenotype
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The review presents insomnia as a transdiagnostic symptom across many mental disorders and as being most closely related to depression.
The review explicitly raises the question of whether early and adequate treatment of insomnia can prevent depression.
Almost all antidepressant agents suppress REM sleep, and the review states that a time-and-dose-response relationship between total REM sleep suppression and therapeutic response seemed apparent.