Naps and depression

In healthy subjects, napping has often been seen as an "abnormal" form of sleep, while sleep has been considered as a necessary feature of life. Social and cultural biases influence the occurrence of napping behavior. However, several observations indicate the presence in man of a two per day modulation of sleep propensity. On the other hand, alterations of nocturnal sleep have been widely described in affective disorders, but little is known about the presence of daytime sleep in depressed patients and the possible effect of daytime sleep episodes on nocturnal sleep. Some attempts to characterize daytime sleep in depression are reviewed. A recent study based on continuous polygraphic recordings indicate that napping occurrence appears to be similar in depressed patients than in control subjects. However, naps structure and organization were different in depressed patients in comparison to controls. Napping seems thus to be more prevalent in depressed patients than previously assumed. Possible effects of naps on mood, alertness in depressed patients remains to be explored.