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The use of melatonin in adult psychiatric disorders: Expert recommendations by the French institute of medical research on sleep (SFRMS).

L'Encephale
November 1, 2019
P A Geoffroy et al. (4 authors)
Consensus Development ConferenceJournal ArticlePractice GuidelineHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the clinical applications of exogenous melatonin in psychiatric disorders, focusing on its chronobiotic and sleep-inducing effects.

Results Summary

Exogenous melatonin was found useful for preventing relapse in stabilized psychiatric patients with insomnia or poor sleep quality and as an adjuvant treatment during acute phases of mood disorders, ADHD, peri-surgical anxiety, and schizophrenia. It also showed potential for treating painful symptoms in somatoform disorders like fibromyalgia and irritable bowel syndrome.

Population

Adults with psychiatric disorders (bipolar disorder, major depressive disorder, seasonal affective disorder, ADHD, schizophrenia) and somatoform disorders (fibromyalgia, irritable bowel syndrome, etc.).

Effective Dosage

0.125mg (small dose mentioned for chronobiotic action; dose-effect relationship noted for sleep-inducing effects).

Duration

Not specified

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Exogenous melatonin
increase
biological rhythms
individuals
null
has the same chronobiotic action
#1
Exogenous melatonin
increase
sleep
null
null
a sleep-inducing (soporific) action appears to occur
#2
Exogenous melatonin
decrease
prevent relapse
patients with a stabilized psychiatric disorder or in remission
null
proves to be useful
#3
melatonin
decrease
insomnia symptoms
patients during acute phases
null
could be used as an adjuvant treatment
#4
melatonin
decrease
mood disorders
patients during acute phases
null
could be used as an adjuvant treatment
#5
melatonin
decrease
attention deficit hyperactivity disorder (ADHD)
patients during acute phases
null
could be used as an adjuvant treatment
#6
melatonin
decrease
peri-surgical anxiety
patients during acute phases
null
could be used as an adjuvant treatment
#7
melatonin
decrease
schizophrenia
patients during acute phases
null
could be used as an adjuvant treatment
#8
melatonin
decrease
painful symptoms
patients with somatoform disorders
null
is a possible treatment
#9
Abstract

Melatonin is a hormone secreted by the pineal gland at night. This hormone has many physiological functions, the main one being to synchronise individuals' biological rhythms. Exogenous melatonin has the same chronobiotic action, even at small doses (0.125mg). In addition, a sleep-inducing (soporific) action appears to occur in a dose-effect relationship, i.e. as the dose increases. In psychiatric disorders, these two effects could have interesting applications in clinical practice. The French institute of medical research on sleep (SFRMS) appointed a group of experts to conduct a consensus conference to study the indications of melatonin and the conditions of its prescription. An account of the conclusions on adult psychiatric disorders (presented orally at the Congress on Sleep in Marseille, 23 November 2017) is given here. Exogenous melatonin proves to be useful among patients with a stabilized psychiatric disorder or in remission, to prevent relapse in case of associated complaints of insomnia, poor quality sleep or delayed sleep phase syndrome. During acute phases, melatonin could be used as an adjuvant treatment when there are insomnia symptoms, in mood disorders (bipolar disorder, major depressive disorder, seasonal affective disorder), in attention deficit hyperactivity disorder (ADHD), in peri-surgical anxiety and in schizophrenia. In somatoform disorders, melatonin is a possible treatment for painful symptoms in fibromyalgia, irritable bowel syndrome, functional dyspeptic syndrome and temporomandibular joint dysfunction.

Medical Subject Headings (MeSH)
AdultHumansCircadian RhythmDose-Response Relationship, DrugDrug UtilizationFranceGuideline AdherenceMelatoninMental DisordersSleepSleep Wake Disorders
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations35
Citations/Year5.8
Relative Citation Ratio2.34
NIH Percentile79.1%
Research Impact Scores
APT Score0.95
Weight Score2.28
Normalized Score0.69
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