Bipolar Disorder Clinical Trial
Official title:
Effects of Seroquel on Sleep Architecture in Patients With Bipolar Depression or Major Depressive Disorder - An Open Label Study
Clinical practice indicates that Quetiapine has sedating properties, and its sedative effects may play an important role in restoring quality of sleep in patients with various psychiatric conditions who frequently experience sleep disturbances as part of their illness. It is well known that depressive disorders are very frequently associated with significant sleep disturbance. Sleep disruption is a feature of Bipolar Disorder during both Depressed and Manic/Hypomanic episodes. Considering that Seroquel has good antidepressant properties (Calabrese, 2004), the investigators suggest that Seroquel's effect on sleep architecture contributes to its antidepressant properties.
Primary Objective:
To assess the objective (polysomnographic) change in sleep quality before and after
introduction of Seroquel (Quetiapine) in treatment of patients with Bipolar Depression or
Major Depressive Disorder.
Secondary Objectives:
To assess the objective (polysomnographic) and subjective changes in sleep quality
parameters before and at different stages after introduction of Seroquel (Quetiapine)
treatment, longitudinally, and to correlate these changes with measures of illness severity.
Study Design:
Prospective polysomnographic (PSG) study of patients before and after treatment with
Seroquel (Quetiapine). PSG recordings will be done three (optional four) times during the
study: before starting the Seroquel (Quetiapine) (baseline), at day 2 to 4 (early) and day
21 to 28 (longer term). (Optional fourth PSG can be done at day 42-56). PSG will be
completed at patients home with a portable PSG.
;
Observational Model: Cohort, Time Perspective: Prospective
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