The interrelationship between sleep and depression: a secondary analysis of a randomized controlled trial on mind-body-spirit intervention

Ji, Xiaowen; Chan, Celia Hoi Yan; Lau, Billy T.; Chan, Joanna; Chan, Cecilia Lai-Wan; Chung, Ka Fai

doi:10.1016/j.sleep.2016.08.025

Cited by 26 publications

(18 citation statements)

References 35 publications

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“…As OSA may exacerbate these symptoms as daytime consequences of sleep disruption, they may also overlap as increasing depression symptoms. Interestingly, evidence suggests that daytime symptoms of insomnia (not the sleep symptoms such as difficulty initiating and/or maintaining sleep) correlate most highly with depression . Thus, OSA may worsen daytime symptoms of insomnia, which may drive an increased contribution of insomnia to depression.…”

Section: Disclosure Statementmentioning

confidence: 99%

Connecting insomnia, sleep apnoea and depression

Grandner

Malhotra

2017

Respirology

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Section: Disclosure Statementmentioning

confidence: 99%

Connecting insomnia, sleep apnoea and depression

Grandner

Malhotra

2017

Respirology

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“…Path analyses with serial mediations showed further that PSQI‐day was associated with night‐time sleep and depressed mood. Previous studies have shown a bidirectional relationship between improvement in sleep and depressive symptoms following various psychosocial treatments (Ashworth et al ., ; Ji et al ., ). Our findings provide an additional pathway for such a close association between sleep and mood improvements.…”

Section: Discussionmentioning

confidence: 97%

“…Data were collected at baseline (T 0 ), post-treatment (T 1 ) and 3-month follow-up (T 2 ) using an online survey. Additional information regarding the study procedure and results are available in our published papers Ji et al, 2017). The study was approved by the Institutional Review Board of the University of Hong Kong and the Hong Kong West Cluster of the Hospital Authority (trial registration number: HKCTR-1929 at http://www.hkclinicaltrials.com).…”

Section: Meth Odsmentioning

confidence: 99%

“…Our group has developed an I‐BMS intervention, which has been found effective in treating various health conditions (Chan et al ., ; Sreevani et al ., ), including sleep disturbances with concurrent depressive symptoms (Ji et al ., ). I‐BMS intervention is a holistic treatment influenced by Daoism and Buddhism, and incorporates ancient qigong and traditional Chinese medicine practice into modern group therapy (Lee et al ., ).…”

Section: Introductionmentioning

confidence: 97%

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Integrative body–mind–spirit intervention for concurrent sleep and mood disturbances: sleep‐specific daytime functioning mediates sleep and mood improvements

Chan

et al. 2017

Journal of Sleep Research

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Summary Sleep disturbances and depressive symptoms are associated closely with daytime dysfunctions, yet few studies have investigated their temporal relationship in a randomized controlled trial. We investigated the inter‐relationships among sleep, depressive symptoms and daytime functioning following an integrative body–mind–spirit (I‐BMS) intervention. One hundred and eighty‐five participants (mean age 55.28 years, 75.1% female) with co‐existing sleep and depressive symptoms were randomized to I‐BMS or waiting‐list. Daytime functioning variables included the daytime dysfunction items of the Pittsburg Sleep Quality Index (PSQI‐day), Somatic Symptom Inventory, Hospital Anxiety Depression Scale and Short Form Health Survey collected at baseline, post‐treatment and 3‐month follow‐up. Sleep and depressive symptoms were measured by the sleep items of the PSQI (PSQI‐night) and Center for Epidemiological Studies Depression Scale (excluding the sleep item) (CESD‐M). Regression and path analyses were used to understand the role of daytime functioning in sleep and depressive symptoms. We found significant group and time effects on almost all daytime variables and significant group × time interactions on PSQI‐day and somatic symptoms. The adjusted regression model showed that CESD‐M was associated with all daytime variables. However, PSQI‐night was associated only with PSQI‐day. Path analyses indicated that PSQI‐day bridged PSQI‐night and CESD‐M in a two‐way direction after the I‐BMS intervention. The conclusion was that, following I‐BMS intervention, improvement in daytime functioning was related predominantly to improvement in depressive symptoms. Night‐time sleep related only to daytime dysfunction that was specific to sleep disturbances. Therefore, ‘sleep‐specific daytime impairment’ could be regarded as a major link from night‐time sleep to depressive symptoms. More studies are required to understand the concept of ‘sleep‐specific daytime impairment’.

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“…These indings lend further support for study of mind-body connection in depressive disorders, and the holistic efects yield of I-BMS group intervention on human subjects. Moreover, a bi-directional relation was found between change in sleep quality and improvement in depressive mood at the 3-month follow-up that highlighted the interactions between the mind and the body in the context of a holistic intervention [38,39]. In addition to sleep disturbances, many other somatic distresses are also found decreased following the I-BMS treatment by ixed-efect linear model.…”

Section: Efectiveness Of I-bms Group Intervention For Current Sleep Amentioning

confidence: 99%

Body-Mind Connectedness: Integrative Body-Mind-Spirit Group Work for Depressed Persons with Salient Somatic Disturbances

Yao¹,

Ji²,

Chan³

et al. 2017

Depression

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Globally, depression frequently comorbid with a variety of physical illnesses, which exert substantial mental and somatic distresses on patients. Sleep disturbance is one of the common conditions reported by individuals with either, mental or physical illnesses. Complex interaction among depression, sleep and physical illnesses highlighted the essential mindbody connection in the planning of integrative care and other clinical services. A number of eastern mind-body practices, such as Qigong, acupuncture and meditation, have been frequently studied indicating the eicacy of mind-body connection in complementary therapies. This chapter will introduce the integrative body-mind-spirit (I-BMS) group work, which has been found efective in addressing comorbid depressed mood and somatic alictions, especially sleep disturbances among Hong Kong Chinese adults.

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The interrelationship between sleep and depression: a secondary analysis of a randomized controlled trial on mind-body-spirit intervention

Cited by 26 publications

References 35 publications

Connecting insomnia, sleep apnoea and depression

Connecting insomnia, sleep apnoea and depression

Integrative body–mind–spirit intervention for concurrent sleep and mood disturbances: sleep‐specific daytime functioning mediates sleep and mood improvements

Body-Mind Connectedness: Integrative Body-Mind-Spirit Group Work for Depressed Persons with Salient Somatic Disturbances

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