According to a review of 61 studies of patients suffering from severely debilitating depression, a large majority of the patients reported that missing a night's sleep immediately lifted their depression. Yet sleep deprivation is not used to treat depression even though the conventional treatments, which use drugs and electric shocks, often have serious side effects.
Which of the following, if true, best explains the fact that sleep deprivation is not used as a treatment for depression?The puzzle is this: sleep deprivation seems to help immediately, so why is it not used as treatment? The best explanation is that
the benefit does not last, so it is not a practical treatment.
(A) For a small percentage of depressed patients, missing a night's sleep induces a temporary sense of euphoria.
This does not explain why it is not used. A small side effect in a small percentage is not enough.
(B) Keeping depressed patients awake is more difficult than keeping awake people who are not depressed.
This is not enough. Even if it is difficult, that alone does not explain why it is not used at all.
(C) Prolonged loss of sleep can lead to temporary impairment of judgement comparable to that induced by consuming several ounces of alcohol.
This gives a drawback, but the passage already says conventional treatments also have serious side effects. So this does not fully explain why sleep deprivation is not used.
(D) The dramatic shifts in mood connected with sleep and wakefulness have not been traced to particular changes in brain chemistry.
This is irrelevant. A treatment can be used even if its mechanism is not fully understood.
(E) Depression returns in full force as soon as the patient sleeps for even a few minutes.
This best explains it.
If the depression comes right back as soon as the patient sleeps, then the effect is too temporary to be a useful treatment.Answer: (E)