By Margaret Steele
Doctors have long reported a link between insomnia -- the inability to sleep -- and depression, but many thought that depression led to insomnia. Now, experts suspect sleep problems can sometimes precede depression.
If other ongoing studies confirm these results, it might lead to major changes in depression treatment, experts added. Such changes would represent the biggest advance in depression treatment since the antidepressant Prozac was introduced in 1987, The New York Times reported.
The study was funded by the U.S. National Institute of Mental Health.
Insomnia and depression are both common problems, and often interact, explained Dr. Steven Feinsilver, director of the Center for Sleep Medicine at Mount Sinai School of Medicine in New York City. He was not involved in the study.
"Clearly, poor sleep can cause depression and depression can cause poor sleep," he said.
Evidence does exist that for many people, symptoms of insomnia precede symptoms of depression by a few years, Feinsilver noted. "This could be taken to mean either that insomnia causes depression or that insomnia is the earliest symptom of depression," he said.
This study may help untangle that relationship. It "suggests that specifically treating the insomnia with behavioral techniques can substantially improve the outcome of patients with depression," Feinsilver added.
For the millions of people with depression, the findings offer a ray of hope.
"This relatively simple technique for treating insomnia could be tremendously helpful for those with this common psychiatric illness," Feinsilver said.
More than 20 million Americans suffer from depression -- disabling feelings of sadness and despair that don't go away, according to the U.S. National Library of Medicine. More than half of those with depression also suffer from insomnia.