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A new comprehensive literature review by an integrative medicine specialist suggests dream loss is at the root of many of the health concerns attributed to sleep loss.

The review by Rubin Naiman, PhD, appears in the “Unlocking the Unconscious: Exploring the Undiscovered Self” issue of the Annals of the New York Academy of Sciences. Naiman is a sleep and dream specialist at the University of Arizona Center for Integrative Medicine.

The paper details the various factors that cause rapid eye movement (REM) sleep and dream loss. Typical sleep follows a pattern in which deeper, non-REM sleep is prioritized by the body. Only later in the night and into the early morning do people experience dreaming, during REM sleep.

“We are at least as dream-deprived as we are sleep-deprived,” noted Dr. Naiman, UA clinical assistant professor of medicine.

He sees REM/dream loss as an unrecognized public health hazard that silently wreaks havoc by contributing to illness, depression and an erosion of consciousness.

“Many of our health concerns attributed to sleep loss actually result from REM sleep deprivation.”

The review examines data about the causes and extent of REM/dream loss associated with medications, substance use disorders, sleep disorders and behavioral and lifestyle factors.

Naiman further reviews the consequences of REM/dream loss and concludes with recommendations for restoring healthy REM sleep and dreaming.

Source: University of Arizona

New research finds that patients with major depressive disorder (MDD) have increased levels of brain cell inflammation.

Importantly, researchers at the University of Manchester discovered that the inflammation was present only in patients with MDD who were experiencing suicidal thoughts.

This link suggests nerve cell inflammation, rather than a diagnosis of MDD, is associated with suicidal thoughts. The research, led by Dr. Peter Talbot and colleagues appears in the journal Biological Psychiatry.

“Our findings are the first results in living depressed patients to suggest that this microglial activation is most prominent in those with suicidal thinking,” said Dr. Talbot. Previous studies suggesting this link have relied on brain tissue collected from patients after death.

“This paper is an important addition to the view that inflammation is a feature of the neurobiology of a subgroup of depressed patients, in this case the group with suicidal ideation,” said Dr. John Krystal, Editor of Biological Psychiatry.

“This observation is particularly important in light of recent evidence supporting a personalized medicine approach to depression, i.e., that anti-inflammatory drugs may have antidepressant effects that are limited to patients with demonstrable inflammation.”

In the study, first author Dr. Sophie Holmes and colleagues assessed inflammation in 14 patients with moderate-to-severe depression who were not currently taking any antidepressant medications.

Immune cells called microglia activate as part of the body’s inflammatory response, so the researchers used a brain imaging technique to measure a substance that increases in activated microglia.

The evidence for immune activation was most prominent in the anterior cingulate cortex, a brain region involved in mood regulation and implicated in the biological origin of depression. This finding confirmed the results of a previous study that identified altered microglial activation in medication-free MDD patients. Smaller increases were also found in the insula and prefrontal cortex.

“The field now has two independent reports — our study and a 2015 report by Setiawan and colleagues in Toronto — showing essentially the same thing: that there is evidence for inflammation, more specifically microglial activation, in the brains of living patients during a major depressive episode,” said Dr. Talbot.

This link suggests that among depressed patients, neuroinflammation may be a factor contributing to the risk for suicidal thoughts or behavior.

According to Dr. Talbot, the findings “emphasize the importance of further research into the question of whether novel treatments that reduce microglial activation may be effective in major depression and suicidality.”

Source: Elsevier