The role of beliefs about sleep in nightly perceptions of sleep quality across a depression continuum

Carney, Alison E.; Wescott, Delainey L.; Carmona, Nicole E.; Carney, Colleen E.; Roecklein, Kathryn A.

doi:10.1016/j.jad.2022.05.092

Cited by 8 publications

(6 citation statements)

References 36 publications

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“…In view of the limited efficacy and low attendance, future implementation of CBTI in Chinese population should include cultural elements tailormade to the subjective experience of insomnia in Chinese (Yung et al, 2016) and measures to enhance treatment attendance (Ho et al, 2014). Our findings that the CBTI group had higher depression remission rate and lower anxiolytics use are in line with previous studies of the positive effect of CBTI on mood (Manber et al, 2008; Sadler et al, 2018; Watanabe et al, 2011); possibly mediated via a reduction in dysfunctional cognitions about sleep (Carney et al, 2022).…”

Section: Discussionsupporting

confidence: 92%

“…Both sleep and non-sleep symptoms, quality of life, and dysfunctional beliefs about sleep can be helped with CBTI (Manber et al, 2016;Thakral et al, 2020). Studies have shown that CBTI is efficacious for alleviating depressive symptoms in major depressive disorder with comorbid insomnia (Manber et al, 2008(Manber et al, , 2016Sadler et al, 2018;Watanabe et al, 2011) and for improving mood symptoms in bipolar disorder (Harvey et al, 2015); while changes in dysfunctional beliefs about sleep may mediate mood improvement (Carney et al, 2022). In addition, CBTI may prevent depression onset in individuals with insomnia.…”

Section: Introductionmentioning

confidence: 99%

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Cognitive behavioural therapy for insomnia as an early intervention of mood disorders with comorbid insomnia: A randomized controlled trial

Chung

Lee

et al. 2023

Early Intervention Psych

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ObjectiveTo evaluate the effectiveness of small‐group nurse‐administered cognitive behavioural therapy for insomnia (CBTI) as an early intervention of mood disorders with comorbid insomnia.MethodsA total of 200 patients with first‐episode depressive or bipolar disorders and comorbid insomnia were randomized in a ratio of 1:1 to receiving 4‐session CBTI or not in a routine psychiatric care setting. Primary outcome was Insomnia Severity Index. Secondary outcomes included response and remission status; daytime symptomatology and quality of life; medication burden; sleep‐related cognitions and behaviours; and the credibility, satisfaction, adherence and adverse events of CBTI. Assessments were conducted at baseline, 3, 6, and 12‐month.ResultsOnly a significant time‐effect but no group‐by‐time interaction was found in the primary outcome. Several secondary outcomes had significantly greater improvements in CBTI group, including higher depression remission at 12‐month (59.7% vs. 37.9%, χ2 = 6.57, p = .01), lower anxiolytic use at 3‐month (18.1% vs. 33.3%, χ2 = 4.72, p = .03) and 12‐month (12.5% vs. 25.8%, χ2 = 3.26, p = .047), and lesser sleep‐related dysfunctional cognitions at 3 and 6‐month (mixed‐effects model, F = 5.12, p = .001 and .03, respectively). Depression remission rate was 28.6%, 40.3%, and 59.7% at 3, 6, and 12‐month, respectively in CBTI group and 28.4%, 31.1%, and 37.9%, respectively in no CBTI group.ConclusionCBTI may be a useful early intervention to enhance depression remission and reduce medication burden in patients with first‐episode depressive disorder and comorbid insomnia.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Cognitive behavioural therapy for insomnia as an early intervention of mood disorders with comorbid insomnia: A randomized controlled trial

Chung

Lee

et al. 2023

Early Intervention Psych

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“…As previously reported in Carney et al (2022), there was a significant relationship between prior night's sleep duration and morning affect. Longer sleep times relative to an individual's own average (within-person effects) was associated with better morning affect (b = 0.1; SE = 0.01; p < 0.001), where a 1-min increase in nightly sleep duration was associated with a 0.1-point increase in morning affect (range 0-100).…”

Section: Durationsupporting

confidence: 85%

“…Reduced positive affect upon waking may be linked to low morning activity levels in depression (Smagula et al, 2021); however, it is unclear how the prior night's sleep may affect this relationship. While we have previously reported longer sleep duration relative to a person's average was associated with better morning affect in the current sample (Carney et al, 2022), we aim to extend these findings by testing whether depression severity moderates the sleep and affect relationship across multiple facets of sleep, which adds a critical component to our conceptualisation of the reciprocity of the relationship between affect and sleep.…”

Section: Introductionmentioning

confidence: 84%

“…Such deficits may decrease opportunities for exposure to environmental light, which can have acute mood-elevating effects (Cajochen, 2007;Vandewalle et al, 2010). Cognitively, dysfunctional beliefs about sleep, such as "Without an adequate night's sleep, I can hardly function the next day" (Carney et al, 2022;Morin et al, 2007;Roecklein et al, 2013), may reflect the habit-goal discrepancy framework of depressive rumination. Individuals with depression may repetitively think about the discrepancy between low mood after a night of insufficient sleep and one's goals of being alert, focused and ready for a productive day (Watkins & Nolen-Hoeksema, 2014).…”

Section: Discussionmentioning

confidence: 99%

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Waking up on the wrong side of the bed: Depression severity moderates daily associations between sleep duration and morning affect

Wescott,

Taylor,

Klevens

et al. 2023

Journal of Sleep Research

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SummaryMornings are salient times for disrupted affect that may be impacted by prior sleep. The current study extends work linking sleep disruptions with negative affect by examining how nightly changes in sleep duration, timing, and quality relative to a person's average impact morning affect. We further tested whether depression severity moderated the relationship between nightly variations in sleep and morning affect. This is a secondary analysis of participants ages 18–65 years with varying levels of depression (N = 91) who wore an Actiwatch for 3–17 days (n = 73) while reporting morning affect using a visual analogue scale. Multilevel models tested the previous night's sleep duration, timing, or quality as a predictor of morning affect. Sleep measures were group‐mean centred to account for nightly variation in participants' sleep. A cross‐level interaction between depression severity and nightly sleep was entered. Sleeping longer (b = 0.1; p < 0.001) and later (b = 1.8; p = 0.01) than usual were both associated with better morning mood. There was a significant interaction between nightly actigraphic sleep duration and depression severity on morning affect (b = 0.003; p = 0.003). Participants with higher depression severity reported worse affect upon waking after sleeping less than their usual. In comparison, sleeping less than usual did not affect morning affect ratings for participants with lower depression. A similar interaction was found for sleep quality (b = 0.02; p < 0.001). There was no interaction for midsleep timing. Sleeping less than usual impacted morning affect in individuals with greater depression, potentially suggesting a pathway by which sleep disturbances perpetuate depression.

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Actigraphic monitoring of sleep and circadian rest-activity rhythm in individuals with major depressive disorder or depressive symptoms: A meta-analysis

Ho,

Poon,

Wong

et al. 2024

Journal of Affective Disorders

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The role of beliefs about sleep in nightly perceptions of sleep quality across a depression continuum

Cited by 8 publications

References 36 publications

Cognitive behavioural therapy for insomnia as an early intervention of mood disorders with comorbid insomnia: A randomized controlled trial

Cognitive behavioural therapy for insomnia as an early intervention of mood disorders with comorbid insomnia: A randomized controlled trial

Waking up on the wrong side of the bed: Depression severity moderates daily associations between sleep duration and morning affect

Actigraphic monitoring of sleep and circadian rest-activity rhythm in individuals with major depressive disorder or depressive symptoms: A meta-analysis

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