Sleep Disturbances in Patients With Major Depressive Disorder: Incongruence Between Sleep Log and Actigraphy

Kung, Pei Ying; Chou, Kuei‐Ru; Lin, Kuan Chia; Hsu, Hsin-Wei; Chung, Min Huey

doi:10.1016/j.apnu.2014.09.006

Cited by 19 publications

(14 citation statements)

References 23 publications

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“…The global prevalence of major depression is 5–10% [1]. Depression is predicted to be the second leading cause of disability by 2020, after cardiovascular diseases [2].…”

Section: Introductionmentioning

confidence: 99%

“…Depression is predicted to be the second leading cause of disability by 2020, after cardiovascular diseases [2]. Interestingly, 90% of people who experience depression also complain of sleep disturbances, including decreased sleep time [1]. Many studies have shown an association between sleep duration and medical conditions, such as cardiovascular events and mental disorders, and increased mortality [2, 3].…”

Section: Introductionmentioning

confidence: 99%

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Short sleep is associated with more depressive symptoms in a multi-ethnic cohort of older adults

et al. 2017

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Objectives To evaluate cross-sectional and prospective associations between short and long sleep duration and depressive symptoms in older adults (aged >65 years). Methods The data from a subsample of the racially/ethnically diverse Northern Manhattan Study were analyzed. Depressive symptoms were assessed twice with the Center for Epidemiologic Studies Depression Scale (CES-D), approximately 5 years apart. The presence of depressive symptoms was defined as a CES-D score ≥16 or use of antidepressants. Self-reports of short (<6 hours), intermediate (6–8 hours) and long (≥9 hours) sleep were assessed prior to the initial CES-D. Logistic regression was used to evaluate the cross-sectional associations between short and long sleep durations with depressive symptoms, using intermediate sleep as the reference. The prospective association between sleep duration and depression in a sample of participants without depressive symptoms at first CES-D was also analyzed. All models were adjusted for demographic, behavioral, and vascular risk factors. Results The initial sample consisted of 1110 participants: 62% women, 69% Hispanic, 17% black, 14% white. Short sleep was reported by 25%, intermediate sleep by 65%, and long sleep by 9%. Depressive symptoms were described in 25% of the initial sample. Short sleep, but not long sleep, was associated with depressive symptoms at baseline (adjusted OR 1.8, 95% CI 1.3–2.6), and at follow-up (adjusted OR 1.9, 95% CI 1.1–3.5; median follow-up = 5.1 years). Conclusion Short sleep duration had a cross-sectional and prospective association with depressive symptoms in an urban multi-ethnic cohort of older adults.

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“…The global prevalence of major depression is 5–10% [1]. Depression is predicted to be the second leading cause of disability by 2020, after cardiovascular diseases [2].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Short sleep is associated with more depressive symptoms in a multi-ethnic cohort of older adults

et al. 2017

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“…In the literature, many factors have been found to be associated with the QOL of psychiatric patients, including age, gender, marital status, acquired social support, symptom severity, comorbidity, remission and residual symptoms, and sleep quality252627282930. There is evidence that GAD is also associated with poor QOL1931; however, whether such a comorbid condition is independently associated with the QOL of MDD patients remains unclear.…”

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confidence: 99%

Comorbid generalized anxiety disorder and its association with quality of life in patients with major depressive disorder

Zhou

Cao

Yang

et al. 2017

Sci Rep

103

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The comorbidity of major depressive disorder (MDD) and generalized anxiety disorder (GAD) is common and often predicts poorer outcomes than either disorder alone. This study aimed to examine the prevalence of comorbid GAD and its association with quality of life (QOL) among MDD patients. A total of 1225 psychiatric outpatients were screened using the Hospital Anxiety and Depression Scale (HADS). Those who scored ≥8 on the HADS were interviewed using DSM-IV criteria by two senior psychiatrists. Patients diagnosed with MDD were further assessed using the 9-item Patient Health Questionnaire, Social Support Rating Scale, Pittsburgh Sleep Quality Index, and World Health Organization QOL Scale, brief version (WHOQOL-BREF). Ultimately, 667 patients were diagnosed with MDD, of 71.7% of whom had GAD. Compared to those with MDD alone, comorbid patients had lower scores on the physical (38.64 ± 10.35 vs.36.54 ± 12.32, P = 0.026) and psychological (35.54 ± 12.98 vs. 30.61 ± 14.66, P < 0.001) domains of the WHOQOL-BREF. The association between comorbid GAD and poor QOL on the two domains remained statistically significant in the multiple linear regression (unstandardized coefficients: −1.97 and −4.65, P < 0.001). In conclusion, the prevalence of comorbid GAD in MDD patients is high, and co-occurring GAD may exacerbate impaired physical and psychological QOL in Chinese MDD patients.

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“…A large proportion of patients with major depressive disorders (MDD) are also diagnosed with insomnia (Ford & Kamerow, 1989). Moreover, for patients with major depressive disorder, their subjective sleep measurements were significantly lower than the objective sleep measurements (Kung, Chou, Lin, Hsu, & Chung, 2015). Therefore, incorporating cognitive and behavioral therapy as a therapeutic component of psychological interventions for patients with MDD and comorbid insomnia still warrants further investigation, especially through the aspects of dysfunctional beliefs and attitudes, sleep hygiene, and presleep arousal.…”

Section: Introductionmentioning

confidence: 99%

Effects of cognitive behavioral therapy in patients with depressive disorder and comorbid insomnia: A propensity score-matched outcome study

Hsu

Chou

Lin

et al. 2015

Behaviour Research and Therapy

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Sleep Disturbances in Patients With Major Depressive Disorder: Incongruence Between Sleep Log and Actigraphy

Cited by 19 publications

References 23 publications

Short sleep is associated with more depressive symptoms in a multi-ethnic cohort of older adults

Short sleep is associated with more depressive symptoms in a multi-ethnic cohort of older adults

Comorbid generalized anxiety disorder and its association with quality of life in patients with major depressive disorder

Effects of cognitive behavioral therapy in patients with depressive disorder and comorbid insomnia: A propensity score-matched outcome study

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