Cited by 276Sleep and related disordersAging, Health, and DisabilityObstructive Sleep Apnea Research

Cooccurrence and bidirectional prediction of sleep disturbances and depression in older adults: Meta-analysis and systematic review

Bao, Yan-Ping, Han, Ying, Ma, Jun, Wang, Ru-Jia, Shi, Le, Wang, Tong-Yu, He, Jia, Yue, Jing-Li +3 more·2017·Neuroscience & Biobehavioral Reviews

Abstract

The present study pooled the prevalence of sleep disturbances and depression in community-dwelling older adults (mean age≥60years) and quantified the strength of evidence of the relationship between these two problems. From 23 cross-sectional studies and five sets of baseline data, a high pooled prevalence of sleep disturbances (30.5%), depressive symptoms (18.1%) and coexisting disorders (10.6%) were found. In the 23 cohort studies, self-reported sleep disturbances increased the risk of the onset of depression (relative risk [RR]=1.92). Persistent sleep disturbances increased the risk of the development (RR=3.90), recurrence (RR=7.70), and worsening (RR=1.46) of depression in older adults. Little support was found for a predictive role for objective sleep characteristics in the development of depression. Older adults with depression had a higher risk of developing (RR=1.72) and worsening (RR=1.73) symptoms of sleep disturbances. This review emphasizes the importance of timely interventions in incipient sleep disturbances and depression among older adults, preventing the development of more serious comorbidities.

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Crossref · 10.1016/j.neubiorev.2017.01.032

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Authors
Bao, Y.-P., Han, Y., Ma, J., Wang, R.-J., Shi, L., Wang, T.-Y., He, J., Yue, J.-L., Shi, J., Tang, X.-D., & Lu, L.
Affiliations
Peking University (CN)
Venue
Neuroscience & Biobehavioral Reviews
Publisher
Elsevier BV
Published
2017-04
Volume
75
Pages
257-273
ISSN
0149-7634 (ISSN-L)
OpenAlex
W2583719463
Cited by
275
References
123
Citations by year
2026: 30 · 2025: 36 · 2024: 34 · 2023: 36 · 2022: 37 · 2021: 35 · 2020: 27 · 2019: 19 · 2018: 17 · 2017: 4
FWCI
2.94
Type
journal article
Language
en
Open access
closed
Locations
  • Neuroscience & Biobehavioral Reviews (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Basic Research Program of China (2015CB856400, 2015CB553503)
  • National Natural Science Foundation of China (81521063)
  • Beijing Municipal Science and Technology Commission (Z151100003915121)
  • Thirteenth Five-Year Program of the Chinese Ministry of Science and Technology (2016YFC0800907)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
Keywords
sleep disorders, depression, older adults, bidirectional prediction, comorbidities, prevalence, depression recurrence, community-dwelling older adults
MeSH terms
Cross-Sectional Studies, Depression, Depressive Disorder, Humans, Middle Aged, Sleep Wake Disorders, Comorbidity

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