“Differences in Nocturnal Melatonin Secretion between Melancholic Depressed Patients and Control Subjects”, Richard Brown, James H. Kocsis, Stanley Caroff, Jay Amsterdam, Andrew Winokur, Peter E. Stokes, Alan Frazer1985-07 (, ; backlinks)⁠:

The authors took multiple serum samples for measurement of melatonin between 4:30PM and 7:30AM in 7 male depressed patients with melancholia and 5 healthy male control subjects and found that:

melancholic patients had a statistically-significantly lower rise of melatonin. They also compared a second, separate group of 14 women and 5 men suffering from melancholic depression with 7 healthy male control subjects and 9 depressed women without melancholia. The melancholic patients had a statistically-significantly lower concentration of serum melatonin at 11:00PM than either the control subjects or the non-melancholic depressed patients.

These findings support the possibility that the functioning of the pineal gland is altered in these patients.