title: Characterization of the sleep EEG in acutely depressed men using detrended fluctuation analysis.
abstract: OBJECTIVE
  The aim of the present paper is to study the fluctuations of the sleep EEG over various time scales during a specific pathological condition: major depressive episode. Focus is made on scaling behaviour, which is the signature of the absence of characteristic time scale, and the presence of long-range correlations associated to physiological constancy preservation, variability reduction and mostly adaptability.
  
  
  METHODS
  Whole night sleep electroencephalogram signals were recorded in 24 men: 10 untreated patients with a major depressive episode (41.70+/-8.11 years) and 14 healthy subjects (42.43+/-5.67 years). Scaling in these time series was investigated with detrended fluctuation analysis (time range: 0.16-2.00s). Scaling exponents (alpha) were determined in stage 2, slow wave sleep (stages 3 and 4) and during REM sleep. Forty-five epochs of 20s were chosen randomly in each of these stages.
  
  
  RESULTS
  The median values of alpha were lower in patients during stage 2 and SWS.
  
  
  CONCLUSIONS
  Major depressive episodes are characterized by a modification in the correlation structure of the sleep EEG time series. The finding which shows decreasing rate of the temporal correlations being different within the two groups in stage 2 and SWS provides an electrophysiologic argument that the underlying neuronal dynamics are modified during acute depression.
  
  
  CONCLUSIONS
  The observed modifications in scaling behaviour in acutely depressed patients could be an explanation of the sleep fragmentation and instability found during major depressive episode.
authors.affiliation: Sleep Laboratory, Department of Psychiatry, Erasme Academic Hospital, Free University of Brussels, Route de Lennik 808, 1070 Brussels, Belgium. samuel.leistedt@ulb.ac.be
authors.forename: S
authors.initials: S
authors.lastname: Leistedt
authors.forename: M
authors.initials: M
authors.lastname: Dumont
authors.forename: J-P
authors.initials: JP
authors.lastname: Lanquart
authors.forename: F
authors.initials: F
authors.lastname: Jurysta
authors.forename: P
authors.initials: P
authors.lastname: Linkowski
mesh_terms: D000328:Adult; D003863:Depression / Q000503:physiopathology*; D004569:Electroencephalography; D006801:Humans; D008297:Male; D008875:Middle Aged; D017711:Nonlinear Dynamics; D017286:Polysomnography; D012815:Signal Processing, Computer-Assisted; D012890:Sleep / Q000502:physiology*