• Sao Paulo Med J · Jan 2012

    Morning and nocturnal serum melatonin rhythm levels in patients with major depressive disorder: an analytical cross-sectional study.

    • Shahnaz Khaleghipour, Mohsen Masjedi, Hassan Ahade, Meersalahodin Enayate, Gholamreza Pasha, Farah Nadery, and Gholamhossein Ahmadzade.
    • Department of Psychology Science and Research Branch, Islamic Azad University, Khouzestan, Iran. khaleghipour@naeiniau.ac.ir
    • Sao Paulo Med J. 2012 Jan 1; 130 (3): 167172167-72.

    Context And ObjectiveThe pineal gland is an adaptive organ that precisely regulates the biological rhythms of melatonin brain hemostasis. Variation in the regulation of melatonin rhythms is a likely cause of depressive disorder. The purpose of this study was to measure serum melatonin levels in patients with major depressive disorder (MDD) and normal control subjects.Design And SettingAnalytical cross-sectional study at the industrial medical unit of the Iron Smelting Company of Isfahan, Iran.MethodsThe morning and nocturnal serum melatonin levels of patients and controls were measured using the enzyme-linked immunosorbent assay (ELISA) method. All data were assessed using variance analysis.ResultsThe morning and nocturnal serum melatonin levels of depressed and healthy subjects differed (P < 0.05). The nocturnal serum melatonin levels of depressed women were lower than those of depressed men (P < 0.05).ConclusionsThe findings of this study showed that the nocturnal serum melatonin levels in the depressed patients were lower than in the controls. Thus, the peak melatonin phase in the depressed patients was reached with delay.

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