Eveningness and Insomnia: Independent Risk Factors of Nonremission in Major Depressive Disorder

Chan, Joey Wing Yan; Lam, Siu Ping; Li, Shirley Xin; Yu, Manda; Chan, Ngan Yin; Zhang, Jihui; Wing, Yun Kwok

doi:10.5665/sleep.3658

Cited by 169 publications

(133 citation statements)

References 47 publications

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“…Eveningness has been found to be a predictor of nonremission (odds ratio = 3.36), independent of insomnia severity, in patients with MDD, with such patients reporting higher depressive symptomatology and suicidality (Chan et al, 2014). Similarly, eveningness has been found to be associated with impairments in remitted bipolar disorder, where evening types were more associated with a worse outcome in several functional aspects (such as sleep-wake problems, dietary habits and interpersonal relationships) and they also reported higher sleep-related dysfunctional cognitions (Ng et al, 2016).…”

Section: Clinical Considerationsmentioning

confidence: 99%

“…Since this is the first study examining cognitive reactivity and rumination in relation to chronotype and depression, the size of such effects remains to be further determined. Finally, it should be noted that we used the MCTQ as a measure of chronotype assessment, whereas most prior studies examining the association between chronotype and depression (Chan et al, 2014;Chelminski et al, 1999;Kitamura et al, 2010;Merikanto et al, 2013;Muller et al, 2016a) have used the MorningnessEveningness Questionnaire (Horne & Ostberg, 1976). The MCTQ correlates with the MEQ (r = -0.73) (Zavada et al, 2005) and while the MCTQ reflects actual sleep patterns during work days and free days, the MEQ represents a more global preference for sleep patterns as well as for performing mental and physical activities either in early or late hours (Adan et al, 2012).…”

Section: Effect Of IV On M (A) Effect Of M On Dv (B)mentioning

confidence: 99%

“…Assuming that evening types are more vulnerable to depressogenic cognitions (as shown in our study), a combination of cognitive/behavioral treatments and chronotherapeutics may be preferred as compared to phase-shift treatments alone. Eveningness is a promising target during treatment (Chan et al, 2014;Ng et al, 2016), but also a potential "alarm" in young vulnerable populations, that should be taken into account during early monitoring and prevention.…”

Section: Clinical Considerationsmentioning

confidence: 99%

“…In a large Japanese cohort study, eveningness was associated with an increased risk of depression, even after adjusting for sleep-related factors (Kitamura et al, 2010). Furthermore, eveningness and insomnia were recently found to be independent predictors of nonremission in depressed patients (Chan et al, 2014). A study designed to examine whether sleep problems (daytime sleepiness, insomnia and circadian misalignment) mediate the association between eveningness and negative emotionality found that eveningness was an independent risk factor (Simor et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Associations between chronotypes and psychological vulnerability factors of depression

Antypa

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Molendijk

et al. 2017

Chronobiology International

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Chronotypes have been associated with psychopathology. The eveningness chronotype has been consistently linked with depressed states or depressive disorder, but the underlying mechanism remains unclear. Prior studies have shown associations between chronotype and personality traits that are linked to depression (e.g. neuroticism), but other psychological vulnerability factors have not been previously investigated in relation to chronotypes. The aim of this study was to examine the association between chronotypes, depression and psychological risk factors of depression (namely, cognitive reactivity and worry), in a large cohort of depressed patients and healthy individuals. We used data from the Netherlands Study of Depression and Anxiety (n = 1654), which includes 1227 clinically diagnosed individuals with a lifetime diagnosis of depression and 427 healthy controls. We assessed cognitive reactivity (Leiden Index of Depression Sensitivity-Revised) and trait worry (Penn State Worry Questionnaire). We controlled for sociodemographic factors as well as for insomnia and neuroticism. We found that the evening type is associated with higher cognitive reactivity scores, especially with increased rumination. Cognitive reactivity also mediated the relationship between chronotype and depression status, even when controlling for neuroticism and insomnia. Trait worry was not associated with chronotype. Our findings show that depressogenic cognitions are more prevalent in evening types and perhaps mediate the association between chronotype and depression. Further prospective research is needed to determine the timeline of the association. Nevertheless, results imply that targeting depressogenic cognitive processes, perhaps in combination with chronotherapeutic treatments, may be particularly useful in evening types. ARTICLE HISTORY

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Section: Clinical Considerationsmentioning

confidence: 99%

Section: Effect Of IV On M (A) Effect Of M On Dv (B)mentioning

confidence: 99%

Section: Clinical Considerationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Associations between chronotypes and psychological vulnerability factors of depression

Antypa

Verkuil

Molendijk

et al. 2017

Chronobiology International

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“…Among the 6 studies in adults, 3 of them performed a cross-sectional analysis of chronotype and the presence of suicidal behaviours [47][48][49], 2 were case-control studies [10,24], and 1 was a retrospective study [3]. In 4 of these studies, a significant increase in suicide risk was found for the evening-type chronotype [3,[47][48][49].…”

Section: Adultsmentioning

confidence: 99%

Short Sleep Duration and Circadian Rhythms: Association with Suicidal Behaviour

Pereira¹

2017

IJPBS

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Abstract:The current lifestyles in modern societies promote a behaviourally-induced sleep deprivation and circadian rhythm alterations. Some sleep disorders influence the development of suicidal behaviours. This study aims to review the literature exploring the association of both short sleep duration and sleep circadian rhythms with suicidal behaviours. A review was conducted in the PubMed database, using the query ("circadian rhythms" OR "sleep" OR "sleep disorders") AND ("suicide" OR "suicidal behaviour" OR "suicidality"). The results were filtered for the last 10 years, with 522 results. Studies relating sleep disorders or circadian rhythms with suicidal behaviours, using a well-defined index for sleep disorders, and any measure of suicidal behaviour, were included. After the selection criteria, 48 studies were selected for qualitative analysis. An association between short sleep duration and an increased risk of suicidal behaviour was found in most of the studies with children/adolescents and adults. Particularly, studies measuring weekend vs. weekday sleep duration suggest a concrete role of behaviourally-induced sleep deprivation in this increased risk. Contrastingly, in studies with the elderly, that association was not significant. For sleep circadian rhythms, the studies point to an association between an evening-type chronotype and suicidal behaviours. The results suggest a significant association of short sleep duration and evening-type chronotype with suicidal behaviours, for youth and adults. Both sleep disorders could be connected through a behaviourally-induced sleep deprivation. These associations can provide possible fields of intervention to prevent suicide.

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Patterns of sleep disturbances and associations with depressive symptoms in autistic young adults

et al. 2022

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Autistic individuals are at an increased risk for both sleep disturbances and depression. While studies in the general population and in autistic adults have drawn general links between sleep disturbances and mental health, few studies have examined the extent to which specific sleep problems may be implicated in the extremely high rates of depression among autistic adults. This study aimed to describe the patterns of sleep disturbances in autistic young adults, and their associations with depressive symptoms while controlling for relevant demographic factors. A sample of 304 legally independent adults (age 18–35 years old) with a childhood diagnosis of autism spectrum disorder self‐reported on their average sleep behaviors during the past week and depressive symptoms on the Beck Depressive Inventory‐II. A significant proportion (86.01%) of autistic young adults experienced at least one of the primary sleep disturbances of interest, including short total sleep time (39.59%), poor sleep efficiency (60.07%), and delayed sleep phase (36.18%). Additionally, lower sleep efficiency and delayed sleep phase were both associated with higher depressive symptoms. The associations between sleep and depressive symptoms identified in our study suggest that sleep treatments may hold potential for ameliorating depressive symptoms in autistic adults who also experience sleep problems. Further research using daily sleep diaries and objective measures of sleep behaviors, as well as longitudinal studies, are needed to understand how changes in sleep may relate to changes in depressive symptoms in autistic adults.

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Eveningness and Insomnia: Independent Risk Factors of Nonremission in Major Depressive Disorder

Cited by 169 publications

References 47 publications

Associations between chronotypes and psychological vulnerability factors of depression

Associations between chronotypes and psychological vulnerability factors of depression

Short Sleep Duration and Circadian Rhythms: Association with Suicidal Behaviour

Patterns of sleep disturbances and associations with depressive symptoms in autistic young adults

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