Considering the increasing prevalence of insomnia worldwide and the heavy burdens of depression, the results of our study provide practical and valuable clues for the prevention of depression and the study of its etiology. Psychol Med. Third, more studies from additional areas other than the North America and Europe were included, which increased the generalizability. 1993;8(6):473–80. The Zurich study. 2008;165(12):1543–50. Fernandez-Mendoza J, Vgontzas AN. 2009;39(3):413–23. 2011;134(1-3):208–16. The eligibility of each study was assessed independently by two investigators (L.Q.L. 2 varied from 89.6 to 89.9 %. Roberts RE, Shema SJ, Kaplan GA, Strawbridge WJ. The present meta-analysis included 15 new prospective cohort studies with larger sample sizes and many more cases, which significantly enhanced the statistical power to detect potential association between insomnia and depression risk. Google Scholar. 2000;12(3):295–306. Salo P, Sivertsen B, Oksanen T, Sjosten N, Pentti J, Virtanen M, Kivimaki M, Vahtera J. Insomnia symptoms as a predictor of incident treatment for depression: prospective cohort study of 40,791 men and women.
1997;31(3):333–46. In addition, the previous review only conducted a subgroup analysis by different age groups of participants. Zhang J, Yu KF. PLoS One. American Psychiatric; 2000. Ohayon MM.
volume 16, Article number: 375 (2016) Make sure someone stays with that person. CMW gave advice on meta-analysis methodology. CMW, YG and XGQ analyzed the data. PubMed 2009;9:80. Is clinical depression distinct from subthreshold depressive symptoms? You are encouraged to share your results with a physician or healthcare provider. Sleep. The length of follow-up duration ranged from 3.5 [32] to 408 [18] months in this study, with an average of 60.4 months. 2011;34(8):1103–10. The identification of modifiable risk factors for depression has a greatly important implication for the primary prevention. Meta-analysis of observational studies in epidemiology: a proposal for reporting.
2. 2011;186(2-3):272–80. Is Anxiety or Stress Causing Your Insomnia? Interobserver agreement (κ) between two investigators was 0.98. All authors contributed to reviewing or revising the paper and read and approved the final manuscript. Of note, all of the 21 studies included in the previous review were eligible according to the criteria in our research except two duplicated studies [7, 16] used the same samples as the other two studies [20, 32], and articles with longest follow-up and more detailed information were retained. Dorheim SK, Bjorvatn B, Eberhard-Gran M. Can insomnia in pregnancy predict postpartum depression? No interactions between insomnia and stratification variables in relation to depression risk were observed (all P values for interactions > 0.05; Table 3). Am J Psychiatry. Cookies policy. The results of this meta-analysis of 34 prospective cohort studies showed that insomnia was significantly associated with an increased risk of depression.
Twenty-six studies suggested a significant positive relationship between insomnia and depression, while the other studies did not. Novati A, Roman V, Cetin T, Hagewoud R, den Boer JA, Luiten PG, Meerlo P. Chronically restricted sleep leads to depression-like changes in neurotransmitter receptor sensitivity and neuroendocrine stress reactivity in rats.
The key words used as the search terms were the following: “insomnia”, “sleep disorder”, “sleep disturbance”, “sleep problem”, “sleep quality”,”sleep duration” in combination with “depression”, “mental disorder”, and “anxiety”. 1. The so-called Cholinergic REM Induction Test revealed that REM sleep abnormalities can be mimicked by administration of cholinomimetic agents. Sleep. PubMed
Adolescent insomnia as a risk factor for early adult depression and substance abuse. Zuxun Lu. Roane BM, Taylor DJ. [24] performed a meta-analysis to investigate the association between insomnia and the risk of depression, and the results showed that an overall odds ratio (OR) for insomnia to predict depression of 2.60 (95 % confidence interval (CI):1.98–3.42). Am J Epidemiol. The results of quality assessment are shown in Table 2. Alternative projections of mortality and disability by cause 1990-2020: Global burden of disease study. Contact a minister, spiritual leader or someone else in your faith community. In order to make the finding generalize to other populations, more studies are warranted to be conducted in other populations from Asia, Africa and South America. 3). Article Fourth, we did stratified analyses to explore whether the results were influenced by some confounding factors, and the consistent results from the sensitivity and subgroup analyses indicated that our findings were reliable and robust. This study aimed at conducting a meta-analysis of prospective cohort studies to evaluate the association between insomnia and the risk of depression. © 2020 BioMed Central Ltd unless otherwise stated. There are also some limitations in this meta-analysis. Please note: Our screens are for adults only. During the exam, your doctor will seek to identify any medical or psychological illness that may be contributing to your insomnia. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group.
Call 911 or your local emergency number immediately. Li, L., Wu, C., Gan, Y. et al. This study aimed at conducting a meta-analysis of prospective cohort studies to evaluate the association between insomnia and the risk of depression. Vollrath M, Wicki W, Angst J. In addition, the reference lists of all identified relevant publications were reviewed. Global Burden of Disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020 summary. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts. BMC Public Health. Neckelmann D, Mykletun A, Dahl AA. Suh S, Kim H, Yang HC, Cho ER, Lee SK, Shin C. Longitudinal course of depression scores with and without insomnia in non-depressed individuals: a 6-year follow-up longitudinal study in a Korean cohort.
The results from the random-effects model combining the RRs for depression in relation to insomnia are shown in Fig. Yokoyama E, Kaneita Y, Saito Y, Uchiyama M, Matsuzaki Y, Tamaki T, Munezawa T, Ohida T. Association between depression and insomnia subtypes: a longitudinal study on the elderly in Japan. Ethical approval is not required for this review. Since then, many new observational studies have emerged, and some of them had large sample sizes and long follow-up lengths. Disturbed sleep and inflammatory cytokines in depressed and nondepressed pregnant women: an exploratory analysis of pregnancy outcomes. Hein S, Bonsignore M, Barkow K, Jessen F, Ptok U, Heun R. Lifetime depressive and somatic symptoms as preclinical markers of late-onset depression. Eur Arch Psychiatry Neurol Sci. Cambridge: Harvard University Press; 1996. Int J Geriatr Psychiatry. Experimental studies showed that sleep loss may result in cognitive and affective alterations that lead to depression risk [55]. The sample sizes of the cohorts ranged from 147 [40] to 44,270 [56] with a total of 172,077. Int Psychogeriatr. J Psychiatr Res. Alternatively, sleep disturbance impaired emotional regulation and stability [59] and may alter neural processes that may result in the symptomatology of depression [60]. 4). However, no statistically significant association was observed in Australian populations, which might result from the limited number of included studies (two studies comprising 13,323 participants).
13 Hangkong Road, Wuhan, Hubei, 430030, China, Liqing Li, Chunmei Wu, Yong Gan & Zuxun Lu, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China, School of Basic Medicine, Gannan Medical University, Ganzhou, Jiangxi, China, School of Health Management, Hangzhou Normal University, Hangzhou, Zhejiang, China, You can also search for this author in
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