Somatic symptoms and sleep quality as indicators of depression and suicide risk among Korean military conscripts

Shim, Eun Jung; Hwang, Hyeon‐Jong; Lee, Kwang Min; Lee, Joo Young; Baik, Myung Jae; Shin, Min Sup; Moon, Hoseok; Hahm, Bong Jin

doi:10.1016/j.psychres.2020.112912

Cited by 12 publications

(9 citation statements)

References 34 publications

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“…The Moderate and Severe groups showed heavier concentration problems; however, there existed an argument on whether to divide concentration into the cognitive or somatic cluster ( 42 ). A recent study reported that heavier burdens of somatic symptoms were associated with the risk of suicide ( 43 ), which has been further proved in this study. As indicated by previous studies ( 44 ), subjects with different degrees of somatic symptoms also differ in the symptom of energy and appetite loss.…”

Section: Discussionsupporting

confidence: 81%

Identifying the Subtypes of Major Depressive Disorder Based on Somatic Symptoms: A Longitudinal Study Using Latent Profile Analysis

Zhu

et al. 2022

Front. Psychiatry

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BackgroundTwo-thirds of major depressive disorder (MDD) patients initially present with somatic symptoms, yet no study has used approaches based on somatic symptoms to subtype MDD. This study aimed to classify MDD via somatic symptoms and tracked the prognosis of each subtype.MethodsData were obtained from the study of Algorithm Guided Treatment Strategies for Major Depressive Disorder (AGTs-MDD). We recruited 395 subjects who received monotherapy of mirtazapine or escitalopram and conducted 2-, 4-, 6-, 8-, and 12-week follow-up assessments (n = 311, 278, 251, 199, and 178, respectively). Latent profile analysis (LPA) was performed on somatic symptom items of the depression and somatic symptoms scale (DSSS). Generalized linear mixed models (GLMM) were used to study the longitudinal prognosis of the subtypes classed by LPA. Primary outcome measures were the Hamilton Depression Rating Scale (HAMD), HAMD score reduction rate, as well as somatic and depressive items of DSSS.ResultsThree subtypes of MDD were found, namely, depression with mild somatic symptoms (68.9%), depression with moderate somatic symptoms (19.2%), and depression with severe somatic symptoms (11.9%). Scores of HAMD (F = 3.175, p = 0.001), somatic (F = 23.594, p < 0.001), and depressive (F = 4.163, p < 0.001) DSSS items throughout the 12-week follow-up showed statistical difference among the three subtypes. The moderate group displayed a higher HAMD-17 score and a lower reduction rate at the 6th week, and more severe depressive symptoms both at the 4th and 6th weeks.ConclusionThe results indicate that somatic symptoms should be emphasized in patients with MDD, and more attention is needed for those with moderate somatic symptoms, which may be relevant to a worse prognosis.

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Section: Discussionsupporting

confidence: 81%

Identifying the Subtypes of Major Depressive Disorder Based on Somatic Symptoms: A Longitudinal Study Using Latent Profile Analysis

Zhu

et al. 2022

Front. Psychiatry

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“…Previous studies have clearly noted the significant relationship between depression and suicide [ 61 , 62 ]. In addition to depression, a significant relationship has also been demonstrated between poor sleep quality and suicide [ 63 , 64 , 65 ].…”

Section: Introductionmentioning

confidence: 99%

Link between Excessive Smartphone Use and Sleeping Disorders and Depression among South Korean University Students

Islam

2021

Healthcare

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The purpose of this study was to explore the link between smartphone use and sleeping disorders and depression among university students in South Korea. South Korea has the highest mobile phone penetration rate as well as the highest rate of suicide of any of the Organization for Economic Cooperation and Development (OECD) nations, thus making this study of great importance. The core aim was to see whether the excessive use of smartphones has an association with sleeping disorders and depression. A cross-sectional analysis was performed to establish if there was any link between smartphone use and sleeping disorders and depression. Samples from 188 participants were used for this study. Data were collected using two well-established questionnaires, the Center for Epidemiologic Studies-Depression (CES-D) and the Athene Insomnia Scale (AIS), as well as a few questions on smartphone use. A few demographic questions were added to the questionnaire. The results of this study concluded that a significant relationship exists between smartphone use and depression. However, the finding of this research could not uncover a significant relationship between smartphone use and sleeping disorders among university students in South Korea. The excessive use of smartphones shows a relationship to an unhealthy lifestyle. There is a clear indication that the overuse of smartphones could be linked to depression. Furthermore, the study found that students with depression also tend to have sleeping disorders.

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“…The study in Kisoro recruited women from a hospital setting who had various medical conditions and somatic symptoms. Individuals with medical conditions and somatic symptoms are at higher risk of depression suffering, 8,38 which may rationalize the prevalence rate differences across two studies. In addition, a high prevalence of depression has consistently been found in the economically deprived groups in Uganda using the PHQ-9 at a cutoff of 10, such as refugees (range from 47% to 96%).…”

Section: Discussionmentioning

confidence: 98%

Depression in Ugandan Rural Women Involved in a Money Saving Group: The Role of Spouse’s Unemployment, Extramarital Relationship, and Substance Use

Kaggwa¹,

Namatanzi²,

Kule³

et al. 2021

IJWH

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Background Rural women are highly prevalent to depression, where spouse-related factors, including extramarital affairs and poverty, intensify its likelihood of occurrence. However, women engaged with a Money-Saving Group (MSG) are financially self-dependent, which can reduce the risk of depression suffering. Despite this, there is less study among this cohort, which led us to investigate the prevalence and associated factors of depression among the Ugandan women involved in MSG. Methods This was a cross-sectional study in Uganda among rural married or cohabiting women aged 18 to 45 years engaged in MSG. The survey was carried out within a total of 153 participants (33.3 ± 6.7 years) in April 2021. Information related to socio-demographic of the participants, their spouse characteristics, and depression were collected. Results About 65.4% of the participants had depressive symptoms (based on the cutoff 10/27 at the PHQ-9). But, 8.15 times (CI: 2.83–23.44, p <0.001) and 16.69 times (CI: 4.85–57.39, p <0.001), higher risk of depression were observed, if the participants’ spouses were using an addictive substance and had been involved in an extramarital relationship, respectively. Similarly, there was an increased likelihood of depression when the participant or spouse was unemployed. Conclusion This study observed a higher prevalence of depression, which suggests paying attention to this cohort. Thus, there should be routine screening for depression among married women involved in MSG at lower-level health facilities in rural settings, especially those with spouses engaged in substance use, having an extramarital relationship, and being unemployed.

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Somatic symptoms and sleep quality as indicators of depression and suicide risk among Korean military conscripts

Cited by 12 publications

References 34 publications

Identifying the Subtypes of Major Depressive Disorder Based on Somatic Symptoms: A Longitudinal Study Using Latent Profile Analysis

Identifying the Subtypes of Major Depressive Disorder Based on Somatic Symptoms: A Longitudinal Study Using Latent Profile Analysis

Link between Excessive Smartphone Use and Sleeping Disorders and Depression among South Korean University Students

Depression in Ugandan Rural Women Involved in a Money Saving Group: The Role of Spouse’s Unemployment, Extramarital Relationship, and Substance Use

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