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Scholars Journal of Applied Medical Sciences | Volume-4 | Issue-05
Insomnia & Serum Cortisol level in Major Depressive Disorder
Soma Gupta, Ranjana Mandal, Somsubhra Chattopadhyay, Saswati Nath, Harendra Nath Das
Published: May 29, 2016 |
130
102
DOI: 10.36347/sjams.2016.v04i05.031
Pages: 1596-1599
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Abstract
A total of 207 subjects (101 cases of depression & 106 age & sex matched controls) were studied by
measuring Athens Insomnia scale (AIS) and serum cortisol. Among 101 cases of depression, 19 cases were of mild
grade, 37 were of moderate and 45 were suffering from severe depression. It has been found that 91 out of 101 MDD
cases had AIS score ≥ 6. Thus the prevalence of insomnia was calculated to be 90.1%.Mean concentration of cortisol was
found to be 10.2 ± 5.5 and 6.8 ± 1.6 µg/dl and AIS score was found to be 11.5 ± 4.3 & 3.8 ± 1.6 in cases & controls
respectively. Both the parameters were found to be statistically significant. The cases were further classified according to
severity. The correlation of cortisol and AIS score with severity of depression was assessed by Spearman rank correlation
test. AIS score was found to be significantly correlated with depression showing a distinct relationship between insomnia
and depression. Serum cortisol level however, was not found to correlate with the severity of depression.