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Updated: Aug 19, 2026

Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder
Published on: April 26, 2024
Nightmares and terminal insomnia in depressed patients with and without melancholic features
Lutfullah Besiroglu1, Mehmet Yucel Agargun, Rifat Inci
1Department of Psychiatry, School of Medicine, Yuzuncu Yil University, Van 65200, Turkey. lbesiroglu@yyu.edu.tr
Abstract:
To investigate the relationship between nightmares and melancholic features (MF) in depression, we compared depressed patients with and without MF (n=82 and n=75, respectively) regarding the presence of nightmares. Nightmares were significantly more frequent in patients with MF. Depressed mood in the morning may be related to negative dream content.
Insights
Nightmares are more common in people with depression and melancholic features (MF). This suggests that morning depressed mood might be linked to negative dream experiences in depression.
Area of Science:
- Psychiatry
- Sleep Medicine
- Clinical Psychology
Background:
- Melancholic features (MF) are a specifier for major depressive disorder.
- Nightmares are recurrent disturbing dreams that can significantly impact mental health.
- The relationship between MF and nightmare prevalence in depression requires further investigation.
Purpose of the Study:
- To examine the association between melancholic features and the occurrence of nightmares in patients diagnosed with depression.
- To compare nightmare frequency in depressed individuals with and without melancholic features.
Main Methods:
- A comparative study design was employed.
- Two groups of depressed patients were assessed: those with MF (n=82) and those without MF (n=75).
- The presence and frequency of nightmares were evaluated in both groups.
Main Results:
- Nightmares were found to be significantly more frequent in the depressed patients exhibiting melancholic features compared to those without.
- A higher prevalence of nightmares was observed in the MF group.
Conclusions:
- Melancholic features in depression are associated with an increased likelihood of experiencing nightmares.
- The findings suggest a potential link between morning depressed mood and negative dream content in the context of depression.
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