Depression and sleep quality in older adults: a meta-analysis
Open accessAbstract
The literature emphasizes depression and poor sleep quality as problems that affect many elderly individuals. However, these problems have been related in few studies and there is no meta-analysis performed so far on this relationship. The present research reviewed the studies performed on the subjective sleep quality in order to understand how it relates to depression in older adults. The review was conducted in January 2016 and comprised publications between 2005 and 2015. Based on the electronic databases Web of Science and EBSCO, we used the keywords 'sleep quality', 'depression', and 'older' to identify the empirical studies performed. After assessing the collected studies, we selected those that presented the elderly as participants, resulting in nine papers (N = 3069). A random-effects method was used to evaluate the relationship between depression and sleep. We found that an older person's lack of good sleep quality is significantly related with depression. The main limitation of this study was the difficulty in collecting a greater number of studies. Future research should consider the importance of additional variables (e.g. moderators) in order to understand and investigate viable interventions for prevention and health promotion in the elderly.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Sleep is frequently impaired in depression.
“Sleep is frequently impaired in depression (Becker et al., 2017).”
From The orbitofrontal cortex: reward, emotion and depression (2020) · cites this paper as Becker et al., 2017
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234 · see citing works
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · BMJ · doi:10.1136/bmj.b2700 · Cited by 17,648 · see citing works
Methods of Meta-Analysis: Correcting Error and Bias in Research Findings
Schmidt, F. L., & Hunter, J. E. (2015) · doi:10.4135/9781483398105 · Cited by 5,542 · see citing works
Hunter, J., & Schmidt, F. (2004) · doi:10.4135/9781412985031 · Cited by 3,023 · see citing works
Sleep Health: Can We Define It? Does It Matter?
Buysse, D. J. (2014) · SLEEP · doi:10.5665/sleep.3298 · Cited by 2,607 · see citing works
Morris, S. B., & DeShon, R. P. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.1.105 · Cited by 2,502 · see citing works
Ellis, P. D. (2010) · doi:10.1017/cbo9780511761676 · Cited by 2,461 · see citing works
The role of sleep hygiene in promoting public health: a review of empirical evidence
Irish, L. A., Kline, C. E., Gunn, H. E., Buysse, D. J., & Hall, M. H. (2015) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2014.10.001 · Cited by 931 · see citing works
Cautionary Statement for Forensic Use of DSM-5
(2014) · Diagnostic and Statistical Manual of Mental Disorders, 5th Edition · doi:10.1176/appi.books.9780890425596.744053 · Cited by 624 · see citing works
Davey, J., Turner, R. M., Clarke, M. J., & Higgins, J. P. (2011) · BMC Medical Research Methodology · doi:10.1186/1471-2288-11-160 · Cited by 404 · see citing works
What Are the Causes of Late-Life Depression?
Aziz, R., & Steffens, D. C. (2013) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2013.08.001 · Cited by 362 · see citing works
Sleep Disturbance and Depression Recurrence in Community-Dwelling Older Adults: A Prospective Study
Cho, H. J., Lavretsky, H., Olmstead, R., Levin, M. J., Oxman, M. N., & Irwin, M. R. (2008) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2008.07121882 · Cited by 318 · see citing works
Insomnia, depression and aging. Assessing sleep and mood interactions in older adults.
Buysse, D. J. (2004) · PubMed · Cited by 145 · see citing works
Depressive Symptoms and Subjective and Objective Sleep in Community‐Dwelling Older Women
Maglione, J. E., Ancoli‐Israel, S., Peters, K. W., Paudel, M. L., Yaffe, K. S., Ensrud, K. E., & Stone, K. L. (2012) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2012.03908.x · Cited by 132 · see citing works
Wu, C., Su, T., Fang, C.-L., & Chang, M. Y. (2012) · Journal of the Chinese Medical Association · doi:10.1016/j.jcma.2011.12.011 · Cited by 117 · see citing works
An Illustration of the Consequences of Meta-Analysis Model Choice
Kisamore, J. L., & Brannick, M. Τ. (2007) · Organizational Research Methods · doi:10.1177/1094428106287393 · Cited by 116 · see citing works
Villar, J., Mackey, M. E., Carroli, G., & Donner, A. (2001) · Statistics in Medicine · doi:10.1002/sim.1096 · Cited by 96 · see citing works
Yao, K.-W., Yu, S., Cheng, S.-P., & Chen, I.-J. (2008) · Journal of Nursing Research · doi:10.1097/01.jnr.0000387298.37419.ff · Cited by 95 · see citing works
Potvin, O., Lorrain, D., Belleville, G., Grenier, S., & Préville, M. (2014) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4106 · Cited by 91 · see citing works
Martin, J. L., Fiorentino, L., Jouldjian, S., Josephson, K. R., & Alessi, C. (2010) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2010.02815.x · Cited by 74 · see citing works
Doing and reporting a meta-analysis
Botella, J., & Gambara, H. (2006) · Cited by 68 · see citing works
The Prevalence and Predictors of Severe Depression Among the Elderly in Malaysia
Rashid, A., & Tahir, I. (2014) · Journal of Cross-Cultural Gerontology · doi:10.1007/s10823-014-9248-3 · Cited by 63 · see citing works
Prevalence and predictors of poor sleep quality in K orean older adults
Park, J., Yoo, M., & Bae, S. H. (2013) · International Journal of Nursing Practice · doi:10.1111/ijn.12047 · Cited by 61 · see citing works
Relationship between sleep quality and depression among elderly nursing home residents in Turkey
Orhan, F. Ö., Tunçel, D., Taş, F., Demirci, N., Özer, A., & Karaaslan, M. F. (2011) · Sleep And Breathing · doi:10.1007/s11325-011-0601-2 · Cited by 49 · see citing works
Comparison of Weights for Meta-Analysis of r and d Under Realistic Conditions
Brannick, M. Τ., Yang, L., & Cafri, G. (2010) · Organizational Research Methods · doi:10.1177/1094428110368725 · Cited by 45 · see citing works
Patterns and Predictors of Sleep Quality Before, During, and After Hospitalization in Older Adults
Dzierzewski, J. M., Mitchell, M. N., Rodrı́guez, J. C., Fung, C. H., Jouldjian, S., Alessi, C., & Martin, J. L. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4362 · Cited by 25 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
The orbitofrontal cortex: reward, emotion and depression
Rolls, E. T., Cheng, W., & Feng, J. (2020) · Brain Communications · doi:10.1093/braincomms/fcaa196 · Cited by 474 · see citing works
“Sleep, depression, and increased lateral orbitofrontal cortex connectivity Sleep is frequently impaired in depression (Becker et al., 2017).”
BackgroundCheng, W., Rolls, E. T., Ruan, H., & Feng, J. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.1941 · Cited by 291 · see citing works
Trabelsi, K., Ammar, A., Masmoudi, L., Boukhris, O. F., Chtourou, H., Bouaziz, B., Brach, M., Bentlage, E., How, D., Ahmed, M. G. A. E., et al. (2021) · Biology of Sport · doi:10.5114/biolsport.2021.101605 · Cited by 175 · see citing works
Prevalence of Poor Sleep Quality in Nursing Staff: A Meta-Analysis of Observational Studies
Zeng, L., Yang, Y., Wang, C., Li, X.-H., Xiang, Y.-F., Hall, B. J., Ungvari, G. S., Li, C., Chen, C., Chen, L., et al. (2019) · Behavioral Sleep Medicine · doi:10.1080/15402002.2019.1677233 · Cited by 139 · see citing works
Yang, Y., Li, W., Ma, T., Zhang, L., Hall, B. J., Ungvari, G. S., & Xiang, Y. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00161 · Cited by 137 · see citing works
Depression and Dementia in Older Adults: A Neuropsychological Review
Tetsuka, S. (2021) · Aging and Disease · doi:10.14336/ad.2021.0526 · Cited by 111 · see citing works
Depression and quality of life in older adults: Mediation effect of sleep quality
Becker, N. B., de Jesús, S. N., Viseu, J. N. R., Stobäus, C. D., Guerreiro, M., & Domingues, R. B. (2017) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2017.10.002 · Cited by 106 · see citing works
A meta-analysis of the relationship between subjective sleep and depressive symptoms in adolescence
O’Callaghan, V. S., Couvy‐Duchesne, B., Strike, L. T., McMahon, K. L., Byrne, E. M., & Wright, M. J. (2021) · Sleep Medicine · doi:10.1016/j.sleep.2021.01.011 · Cited by 103 · see citing works
Zhou, Y., Yang, Y., Shi, T., Song, Y., Zhou, Y., Zhang, Z., Guo, Y., Li, X., Liu, Y., Xu, G., et al. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00520 · Cited by 97 · see citing works
Mo, Y., Deng, L., Zhang, L., Lang, Q., He, P., Liao, C., Wang, N., Tao, P., & Huang, H. (2020) · Journal of Clinical Nursing · doi:10.1111/jocn.15549 · Cited by 76 · see citing works
Association between sleep quality and depressive symptoms
Joo, H. J., Kwon, K. A., Shin, J., Park, S., & Jang, S. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.05.004 · Cited by 77 · see citing works
Liu, C., Zhao, Y., Qin, S., Wang, X., Jiang, Y., & Wu, W. (2021) · Annals of Translational Medicine · doi:10.21037/atm-21-3845 · Cited by 66 · see citing works
“The symptoms of insomnia and anxiety/depression are closely related and can promote and affect each other (7-9).”
BackgroundLi, X.-L., Wei, J., Zhang, X., Meng, Z., & Zhu, W. (2023) · Frontiers in Physiology · doi:10.3389/fphys.2023.1085091 · Cited by 69 · see citing works
“Furthermore, some meta-analyses emphasized depression and poor sleep quality as an unfavorable effect on older individuals (Becker et al., 2017).”
BackgroundOlds, T., Burton, N. W., Sprod, J. A., Maher, C. A., Ferrar, K., Brown, W. J., van Uffelen, J. G. Z., & Dumuid, D. (2018) · PLoS ONE · doi:10.1371/journal.pone.0199605 · Cited by 64 · see citing works
Saadeh, H., Saadeh, M., Almobaideen, W. A., Refaei, A. H. A., Shewaikani, N., Fayez, R. Q. A., Khawaldah, H. A., Abu‐Shanab, S., & Al-Hussaini, M. A. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.605676 · Cited by 65 · see citing works
The neuroscience of emotional disorders
Rolls, E. T. (2021) · Handbook of clinical neurology · doi:10.1016/b978-0-12-822290-4.00002-5 · Cited by 62 · see citing works
Wahlstrom, K. L., & Owens, J. A. (2017) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000368 · Cited by 57 · see citing works
Salehinejad, M. A., Majidinezhad, M., Ghanavati, E., Kouestanian, S., Vicario, C. M., Nitsche, M. A., & Nejati, V. (2020) · EXCLI journal · doi:10.17179/excli2020-2831 · Cited by 53 · see citing works
“…and reduced quality of life in healthy individuals (Bower et al., 2010; Choi et al., 2019), enhanced severity of symptoms in some psychiatric disorders (e.g., mood disorders, pain), and physical illness (Zhang et al., 2016; Becker et al., 2017; Lee et al., 2017; Castro‐Marrero et al., 2018).”
Kumar, S., V, Wong, P. S., Hasan, S. S., & Kairuz, T. E. (2019) · PLoS ONE · doi:10.1371/journal.pone.0224122 · Cited by 47 · see citing works
“There is evidence that sleep quality correlates with chronic disease [33], depression [42,43] and sleep medications [9,39,44,45].”
BackgroundHuang, M. T., Liu, K., Liang, C., Wang, Y., & Guo, Z. (2023) · BMC Geriatrics · doi:10.1186/s12877-023-04161-0 · Cited by 44 · see citing works
“In addition, studies have shown that improving sleep quality could improve depressive symptoms and quality of life [33, 69].”
BackgroundZhu, X., Zheng, T., Ding, L., & Zhang, X. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e17521 · Cited by 42 · see citing works
Sleep, Sleep Disorders, and Mental Health: A Narrative Review
Howarth, N. E., & Miller, M. A. (2024) · Heart and Mind · doi:10.4103/hm.hm-d-24-00030 · Cited by 46 · see citing works
“[63] In participants ( n = 84,404) from the UK Biobank, it was shown that a “U‑shaped” relationship was found between sleep duration and diseases including diabetes, hypertension, heart disease, and depression; short and long sleep durations, along with fragmented sleep, were associated with…”
The factors associated with geriatric depression in rural China: stratified by household structure
Gong, F., Zhao, D., Zhao, Y., Lu, S., Qian, Z., & Sun, Y. (2017) · Psychology Health & Medicine · doi:10.1080/13548506.2017.1400671 · Cited by 36 · see citing works
Mindfulness-based therapy improves brain functional network reconfiguration efficiency
Yue, W. L., Ng, K. K., Koh, A. J., Perini, F., Doshi, K., Zhou, J. H., & Lim, J. (2023) · Translational Psychiatry · doi:10.1038/s41398-023-02642-9 · Cited by 41 · see citing works
Tian, H., & Wang, Y. (2023) · Behavioral Sciences · doi:10.3390/bs13020153 · Cited by 39 · see citing works
“[18] used a meta-analysis method to select related studies with elderly participants to evaluate the association between depression and sleep using a random effects method.”
MethodOlfati, M., Samea, F., Faghihroohi, S., Balajoo, S. M., Küppers, V., Genon, S., Patil, K. R., Eickhoff, S. B., & Tahmasian, M. (2024) · EBioMedicine · doi:10.1016/j.ebiom.2024.105313 · Cited by 31 · see citing works
The impact of physical pain and depression on sleep quality in older adults with chronic disease
Tsai, L., Chen, S., Chen, Y., & Lee, L. (2021) · Journal of Clinical Nursing · doi:10.1111/jocn.16000 · Cited by 30 · see citing works
Jayakody, O. M., Blumen, H. M., Breslin, M. C., Wang, C., & Verghese, J. (2024) · Journal of the American Geriatrics Society · doi:10.1111/jgs.19032 · Cited by 25 · see citing works
“38 Grip strength emerged as a new risk factor for MCR in all studies with effect sizes for weak grip being greater than those of several established risk factors.”
Li, C., Schreiber, J., Bittner, N., Li, S., Huang, R., Moebus, S., Bauer, A., Caspers, S., & Elmenhorst, D. (2020) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2020.578037 · Cited by 25 · see citing works
Hausman, H. K., Dai, Y. E., O’Shea, A. M., Dominguez, V. N., Fillingim, M., Calfee, K., Carballo, D., Hernandez, C. M., Perryman, S., Kraft, J. N., et al. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.999107 · Cited by 26 · see citing works
“, 2020), which can negatively affect sleep behaviors (Magee and Carmin, 2010; Becker et al., 2016; Weeks et al., 2019).”
BackgroundDeViva, J. C., McCarthy, E., Southwick, S. M., Tsai, J., & Pietrzak, R. H. (2021) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2021.102413 · Cited by 23 · see citing works
Dean, G. E., Weiss, C., Morris, J. L., & Chasens, E. R. (2017) · Nursing Clinics of North America · doi:10.1016/j.cnur.2017.04.009 · Cited by 21 · see citing works
Sui, G., Liu, G., Jia, L., Wang, L., & Yang, G. (2018) · Environmental Science and Pollution Research · doi:10.1007/s11356-018-2881-6 · Cited by 20 · see citing works
Treatment of sleep disturbance in older adults
Reynolds, A. C., & Adams, R. (2019) · Journal of Pharmacy Practice and Research · doi:10.1002/jppr.1565 · Cited by 20 · see citing works
AI for mental health: clinician expectations and priorities in computational psychiatry
Fischer, L., Mann, P. A., Nguyen, M.-H. H., Becker, S., Khodadadi, S. H. A., Schulz, A., Thanarajah, S. E., Repple, J., Hahn, T., Reif, A., et al. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06957-3 · Cited by 21 · see citing works
Disentangling the Relationship between Food Insecurity and Poor Sleep Health
Lee, S., Deason, K., Rancourt, D., & Gray, H. L. (2021) · Ecology of Food and Nutrition · doi:10.1080/03670244.2021.1926245 · Cited by 19 · see citing works
Yue, Z., Zhang, Y. L., Cheng, X., & Zhang, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192114296 · Cited by 19 · see citing works
Collinge, A. N., & Bath, P. A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054534 · Cited by 19 · see citing works
Menculini, G., Cirimbilli, F., Raspa, V., Scopetta, F., Cinesi, G., Chieppa, A. G., Cuzzucoli, L., Moretti, P., Balducci, P. M., Attademo, L., et al. (2024) · Brain Sciences · doi:10.3390/brainsci14080802 · Cited by 22 · see citing works
“This is of particular interest since poor sleep quality has been demonstrated to significantly worsen the quality of life in elderly populations, also mediating the onset of mood disorders, particularly depression [40,86].”
BackgroundAguilar‐Latorre, A., Algorta, G. P., Navarro-Guzmán, C., Serrano-Ripoll, M. J., & Oliván‐Blázquez, B. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.954644 · Cited by 19 · see citing works
Ahmed, O., Dawel, A., Walsh, E., & Cherbuin, N. (2025) · Addictive Behaviors · doi:10.1016/j.addbeh.2025.108446 · Cited by 20 · see citing works
Barrenetxea, J., Pan, A., Feng, Q., & Koh, W. (2021) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5666 · Cited by 16 · see citing works
“The association between poor sleep quality and depression was the strongest among all health factors in our study, which concurred with previous results showing poor sleep as a predictor for depression.(37,68) As for other demographic and social factors included in the model, the associations between poor social suppo…”
ResultSleep and health in older adults
Li, J., & Gooneratne, N. S. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-815373-4.00004-6 · Cited by 19 · see citing works
Wang, L., Li, J., Dang, Y., Ma, H., & Niu, Y. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.725197 · Cited by 16 · see citing works
“Ameta-analysis revealed that lack of good sleep quality in an old individual is significantly related with depression (16).”
BackgroundDrew, R. J., Morgan, P. J., Collins, C. E., Callister, R., KAY‐LAMBKIN, F. J., Kelly, B. J., & Young, M. D. (2021) · Annals of Behavioral Medicine · doi:10.1093/abm/kaab109 · Cited by 15 · see citing works
Jahrami, H., BaHammam, A. S., Stubbs, B., Sabah, A., Saif, Z., Bragazzi, N. L., & Vitiello, M. V. (2021) · Sleep And Breathing · doi:10.1007/s11325-021-02388-y · Cited by 15 · see citing works
A network perspective on neuropsychiatric and cognitive symptoms of the post-COVID syndrome
Scharfenberg, D., Schild, A., Warnke, C., & Maier, F. (2022) · Europe’s Journal of Psychology · doi:10.5964/ejop.10097 · Cited by 15 · see citing works
“…neuropsychiatric symptoms are not independent, e.g. that depressive and anxiety disorders have common symptoms connecting their network symptom clusters (Beard et al., 2016; Kaiser et al., 2021) or that both of them are associated with sleeping disorders (Becker et al., 2017; Cox & Olatunji, 2020).”
BackgroundThe association between cotinine-measured smoking intensity and sleep quality
Oh, S., Kim, S., Sung, E., Kim, C.-H., Kang, J., Shin, H. C., & Cho, I. Y. (2022) · Tobacco Induced Diseases · doi:10.18332/tid/152221 · Cited by 15 · see citing works
Christodoulou, E., Pavlidou, E., Mantzorou, M., Koutelidakis, A. Ε., Vadikolias, Κ., Psara, E., Vorvolakos, T., Antasouras, G., Serdari, A., Vasios, G. K., et al. (2023) · Psychology Health & Medicine · doi:10.1080/13548506.2023.2221446 · Cited by 13 · see citing works
“, 2007), and studies have also linked depression to physical activity and sleep quality (Becker et al., 2017; Gianfredi et al., 2020).”
BackgroundLiu, I., Huang, Y., Wang, L., Tsai, Y., Hsu, S.-L., Chang, C., Li, Y., Hsiao, Y., Chen, C., & Wann, S. (2021) · International Journal of Older People Nursing · doi:10.1111/opn.12410 · Cited by 12 · see citing works
Clayborne, Z. M., Dopko, R. L., Wang, C., Betancourt, M. T., Roberts, K. C., & Capaldi, C. A. (2023) · Health Promotion and Chronic Disease Prevention in Canada · doi:10.24095/hpcdp.43.5.04 · Cited by 14 · see citing works
Li, S., Xu, H., & Li, Y. (2021) · Current Psychology · doi:10.1007/s12144-021-01787-4 · Cited by 12 · see citing works
“In addition, a meta-analysis suggested that lack of good sleep quality in older persons is significantly related to depression (Becker et al., 2017).”
BackgroundWilliamson, T. J., Garon, E. B., Irwin, M. R., Choi, A. K., Goldman, J. W., & Stanton, A. L. (2024) · Psychosomatic Medicine · doi:10.1097/psy.0000000000001299 · Cited by 11 · see citing works
“Sleep disruption is a particularly important mediator to investigate given that it is associated with myriad adverse health outcomes including depression (12,13) and mortality (14).”
BackgroundSalehinejad, M. A., Majidinezhad, M., Ghanavati, E., Kouestanian, S., Vicario, C. M., Nitsche, M. A., & Nejati, V. (2020) · medRxiv · doi:10.1101/2020.07.09.20149138 · Cited by 11 · see citing works
“…and reduced quality of life in healthy individuals (Bower et al., 2010; Choi et al., 2019), enhanced severity of symptoms in some psychiatric disorders (e.g., mood disorders, pain), and physical illness (Zhang et al., 2016; Becker et al., 2017; Lee et al., 2017; Castro Marrero et al., 2018).”
BackgroundSun, X., Tan, J., Chen, Y., Liu, Y., Dong, G., Yang, B., Li, N., Wang, L., Li, S., Chen, G., et al. (2023) · International Journal of Hygiene and Environmental Health · doi:10.1016/j.ijheh.2023.114218 · Cited by 10 · see citing works
Castelnuovo, G., Pérez-Díaz-del-Campo, N., Rosso, C., Guariglia, M., Armandi, A., Nicolosi, A., Caviglia, G. P., & Bugianesi, E. (2023) · Nutrients · doi:10.3390/nu15143257 · Cited by 10 · see citing works
“In this regard, sleep quality may be altered by hypertension, depression [46] and OSAS [47].”
BackgroundMou, H., Xu, D., Zhu, S., Zhao, M., Wang, Y., & Wang, K. (2023) · BMC Geriatrics · doi:10.1186/s12877-023-04124-5 · Cited by 10 · see citing works
“In a recent meta-analysis [17], older adults with a lack of good sleep quality were significantly associated with depression.”
Sleep Disorders and Fatigue among Patients with MS: The Role of Depression, Stress, and Anxiety
Mohammadi, N. Z., Kianimoghadam, A. S., Mikaeili, N., Asgharian, S. S., Jafari, M., & Masjedi‐Arani, A. (2024) · Neurology Research International · doi:10.1155/2024/6776758 · Cited by 11 · see citing works
“In addition, the role of neurotransmitters such as 5-hydroxytryptamine (5-HT) and norepinephrine (NE) in the manifestation of both anxiety and sleep disorders has been proven [79].”
BackgroundHwang, G., Cho, Y. H., Kim, E. J., Woang, J. W., Hong, C. H., Roh, H. W., & Son, S. J. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.820427 · Cited by 10 · see citing works
Yin, L., Rong, T., Zhang, Y., & Gao, J. (2023) · Geriatric Nursing · doi:10.1016/j.gerinurse.2023.10.005 · Cited by 10 · see citing works
Socially-supported sleep in older adults aged 50 and older: a concept analysis
Huang, Y., & Fleury, J. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1364639 · Cited by 10 · see citing works
“…example, impaired sleep quality is associated with increased systemic inflammation (15), cardiovascular diseases (16, 17), depression and anxiety (18), cognitive impairment (7, 19–21), fall risk ( 22 A body of research provides support for the role of social relationships in healthy aging…”
BackgroundBlanco-García, F. J., López-López, J. A., Ordoñana, J. R., & Madrid‐Valero, J. J. (2025) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2025.102149 · Cited by 9 · see citing works
Aslan, B., & Önal, Ö. (2022) · Educational Gerontology · doi:10.1080/03601277.2022.2065440 · Cited by 9 · see citing works
Zhang, W., Zhou, B., Jiang, C., Jin, Y., Zhu, T., Zhu, F., Cheng, K. K., Lam, T. H., & Xu, L. (2023) · BMC Geriatrics · doi:10.1186/s12877-023-04579-6 · Cited by 11 · see citing works
“Additionally, our results were consistent with population-based cross-sectional studies in Korea [10], Singapore [13] and Japan [54], and evidence from meta-analyses on 9 cross-sectional studies and population-based surveys in Europe and America [9, 11, 55].”
BackgroundResultZhang, N., Wang, C., Li, Y., Chen, F., & Yan, P. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.01.113 · Cited by 9 · see citing works
Alnaser, A. R., Joudeh, R. M., Zitoun, O. A., Battah, A., Al-Odat, I. A., Jum’ah, M., & Battah, A. A. (2021) · Middle East Current Psychiatry · doi:10.1186/s43045-021-00150-4 · Cited by 9 · see citing works
Desjardins, S., Lapierre, S., Vasiliadis, H.-M., & Hudon, C. (2020) · Clinical Interventions in Aging · doi:10.2147/cia.s277252 · Cited by 8 · see citing works
Predicting Symptom Improvement During Depression Treatment Using Sleep Sensory Data
Shende, C., Sahoo, S., Sam, S., Patel, P., Morillo, R., Wang, X., Ware, S., Bi, J., Kamath, J., Russell, A. C., et al. (2023) · Proceedings of the ACM on Interactive Mobile Wearable and Ubiquitous Technologies · doi:10.1145/3610932 · Cited by 10 · see citing works
de Almeida, J. R. V., Barros, G. V. D. S., Valente, V. J. M. B. D. S., Santana, W. L., dos Santos, E. C. F., Aguiar, J. L. P., Farah, B. Q., & Lins-Filho, O. (2025) · Sleep Science · doi:10.1055/s-0045-1806954 · Cited by 8 · see citing works
“3,4 Furthermore, a previous meta-analysis demonstrated that adults and the elderly with depression are more likely to experience poor sleep quality, 5 further exacerbating the health condition of these individuals.”
Luo, Y., Ling, C., Liu, Y., Deng, C., Waaga-Gasser, A. M., Chen, M., He, Z., Chen, E., Wei, L., Luo, S., et al. (2021) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2021/6611942 · Cited by 8 · see citing works
“Furthermore, patients with higher levels of anxiety and sleep disturbance showed worse outcome [21, 22].”
BackgroundYuan, B., Tian, S., Pu, X., Yin, J., Wang, M., Feng, S., Lv, X., Sun, Y., Yao, H., Li, M., et al. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.106852 · Cited by 8 · see citing works
Zamora, A. N., Walia, A. S., & King, A. C. (2025) · Journal of Activity Sedentary and Sleep Behaviors · doi:10.1186/s44167-024-00071-7 · Cited by 7 · see citing works
“Numerous studies have supported the independent association of depression and depressive symptoms with decreased physical activity [7, 8], sedentary lifestyles [9–11], and poor sleep patterns [12, 13].”
Kałduńska, J., Skonieczna‐Żydecka, K., Ryterská, K., Palma, J., Żwierełło, W., Maciejewska, D., Czerwińska-Rogowska, M., Wolska, A., Stachowska, Z., Budawski, R., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17218092 · Cited by 7 · see citing works
“Furthermore, in a meta-analysis published by Becker and colleagues, it was shown that a strong relationship between sleep deprivation and depression exists [60].”
BackgroundA cross-sectional network analysis of successful aging in a resilience-based framework
Brinkhof, L. P., Ridderinkhof, K. R., de Wit, S., Krugers, H. J., & Murre, J. M. J. (2025) · PLoS ONE · doi:10.1371/journal.pone.0315445 · Cited by 7 · see citing works
Ciências da Saúde: Investigação e Prática
Pérez, G. J. G., & López, M. G. V. (2023) · Editora Artemis eBooks · doi:10.37572/edart_291123093 · Cited by 6 · see citing works
Does sunlight exposure predict next-night sleep? A daily diary study among U.S. adults
Anderson, A. R., Ostermiller, L., Lastrapes, M., & Hales, L. S. (2024) · Journal of Health Psychology · doi:10.1177/13591053241262643 · Cited by 6 · see citing works
Salminen, M. J., Luther-Tontasse, E., Koskenniemi, J., Vahlberg, T. J., Wuorela, M., Viitanen, M. H., Korhonen, P. E., & Viikari, L. (2025) · BMC Geriatrics · doi:10.1186/s12877-025-05794-z · Cited by 6 · see citing works
“Further, according to a meta-analysis, older adults’ lack of good sleep quality is significantly related to depression [41].”
Sleep Quality among Homeless-Experienced Older Adults: Exploratory Results from the HOPE HOME Study
Garcia, C. M., Schrier, E., Carey, C. A., Valle, K. A., Evans, J. L., & Kushel, M. (2023) · Journal of General Internal Medicine · doi:10.1007/s11606-023-08429-4 · Cited by 7 · see citing works
Sewell, K. R., Collins, A. M., Oberlin, L. E., Chappel-Farley, M. G., Huang, H., Grove, G., Jakicic, J. M., Kramer, A. F., McAuley, E., Burns, J. M., et al. (2025) · Alzheimer s & Dementia Translational Research & Clinical Interventions · doi:10.1002/trc2.70110 · Cited by 5 · see citing works
Validation of the geriatric sleep questionnaire
Espírito‐Santo, H., Dias-Azedo, D., Lemos, L., Grasina, A., de Andrade, D. A. F. S., Henriques, S., Paraíso, L., & Daniel, F. (2021) · Sleep Medicine · doi:10.1016/j.sleep.2021.10.022 · Cited by 5 · see citing works
Antonsdottir, I. M., Low, D. V., Chen, D., Rabinowitz, J. A., Yue, Y., Urbanek, J. K., Wu, M. N., Zeitzer, J. M., Rosenberg, P. B., Friedman, L., et al. (2023) · Advanced Biology · doi:10.1002/adbi.202300138 · Cited by 5 · see citing works
Choi, N. G., Choi, B. Y., & Marti, C. N. (2024) · Gerontology and Geriatric Medicine · doi:10.1177/23337214241241397 · Cited by 5 · see citing works
“…of depression/anxiety symptoms with pain and sleep disturbances—especially self-reported sleep problems—in older adults (Bao et al., 2017; Becker et al., 2017; Bergmans et al., 2021; Eslami et al., 2016; Fang et al., 2019; Li et al., 2018; Liu et al., 2021; Nadorff et al., 2018; Nielson…”
BackgroundDrug-induced insomnia in old and very old patients
Ostroumova, O. D., Isaev, R. I., & Pereverzev, A. P. (2019) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro2019119081142 · Cited by 5 · see citing works
Urmanche, A. A., Solomonov, N., Sankin, L. S., Subramanyam, A., Pedreza-Cumba, M., Scaduto, L., Garcia, J., Jockers, K., Wolf, R., & Sirey, J. A. (2022) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2022.12.191 · Cited by 5 · see citing works
“Previous literature supports these areas as prevalent and linked with long-term negative psychological and medical outcomes.(31-34) We hypothesized that the tool would be integrated”
BackgroundJemcov, A., Olthuis, J. V., Watt, M. C., & Stewart, S. H. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2023.102731 · Cited by 7 · see citing works
Minaeva, O., Schat, E., Ceulemans, E., Kunkels, Y., Smit, A., Wichers, M., Booij, S., & Riese, H. (2024) · Scientific Reports · doi:10.1038/s41598-023-50960-1 · Cited by 9 · see citing works
“Our findings partly deviate from the group-level evidence regarding sleep duration, as depressed individuals often report either shorter or excessively longer sleep duration 7,8,43 , while we only found increased sleep duration after a transition in depressive symptoms.”
ResultHillebrand, M. C., & Wilz, G. (2019) · Zeitschrift für Gerontologie und Geriatrie · doi:10.1007/s00391-019-01579-3 · Cited by 5 · see citing works
Argiuolo, A., Canfora, F., Muzii, B., D’Antonio, C., D’Auria, D., Giudice, A., Musella, G., D’Aniello, L., Aria, M., Maldonato, N. M., et al. (2025) · Journal of Oral Pathology and Medicine · doi:10.1111/jop.70026 · Cited by 4 · see citing works
Choi, J., Son, G., & Choi, K. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1459300 · Cited by 4 · see citing works
Factors affecting sleep quality in patients with type 2 diabetes: a cross-sectional study in Iran
Kia, N. S., Gharib, E., Doustmohamadian, S., Mansori, K., & Ghods, E. (2023) · Middle East Current Psychiatry · doi:10.1186/s43045-023-00310-8 · Cited by 5 · see citing works
Investigating the link between sleep quality and belief in conspiracy theories
Jolley, D., Dinnick, I., Burgin, L., Ryan, S., Morgan-Finn, O., & Muncer, S. (2025) · Journal of Health Psychology · doi:10.1177/13591053251320598 · Cited by 2 · see citing works
“A meta-analysis by Becker et al. (2017) significantly demonstrated that older people’s lack of sleep quality significantly increased their levels of depression.”
Gündoğan, S. (2023) · TED EĞİTİM VE BİLİM · doi:10.15390/eb.2023.11497 · Cited by 4 · see citing works
Isaev, R. I., Mkhitaryan, E. A., Vasilevskaya, V. V., Marakhovskaya, E. A., & Ткачева, О. Н. (2024) · Problems of Geroscience · doi:10.37586/2949-4745-2-2024-75-85 · Cited by 4 · see citing works
Liu, M., Li, M., Liu, Q., Fu, Y., Wu, Y., Huang, R., Cao, Q., & Yang, H. (2024) · AIDS Research and Therapy · doi:10.1186/s12981-024-00684-7 · Cited by 3 · see citing works
Qiu, Y., & Zhu, X. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120536 · Cited by 3 · see citing works
Ji, H., Roswal, G., Liu, J. M., Liu, Y., & Yuan, Y. Q. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1706591 · Cited by 3 · see citing works
“…con fi rmed that depression and its associated symptoms are independently linked to several unhealthy lifestyle movement behaviors, including physical inactivity (15, 16), extended periods of sedentary behavior (SB) (17 – 19), and inadequate or poor-quality sleep (SLP) patterns (20, 21).”
Associations of personality traits with actigraphic sleep in middle-aged and older adults
Rabinowitz, J. A., Zhou, Y., Chen, D., Yue, Y., Rojo‐Wissar, D. M., An, Y., Wanigatunga, S., Schrack, J. A., Zipunnikov, V. M., Simonsick, E. M., et al. (2025) · Scientific Reports · doi:10.1038/s41598-024-80426-x · Cited by 3 · see citing works
“For example, higher extraversion is associated with a lower risk for depression 49 , higher levels of social support 50 , and greater physical activity among adults 51 , all of which are associated with better sleep 52–54 .”
Sleep Quality, Body Mass Index and Waist-to-Hip Ratio in Older Adults
Kakazu, V. A., Pinto, R. Z., Dokkedal‐Silva, V., Fernandes, G. L., Gobbi, C., Andersen, M. L., Tufik, S., Pires, G. N., & Morelhao, P. K. (2021) · Physical & Occupational Therapy In Geriatrics · doi:10.1080/02703181.2021.1994098 · Cited by 3 · see citing works
A study of quality of sleep, quality of life, and cognition in elderly
Jadhav, S., Subramanyam, A. A., Raut, N., & Singh, S. (2021) · Journal of Geriatric Mental Health · doi:10.4103/jgmh.jgmh_35_21 · Cited by 3 · see citing works
Li, W., Sun, L., Yue, L., & Xiao, S. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e20751 · Cited by 6 · see citing works
“In addition, some meta-analyses have also revealed some link between sleep disorders and mood disorders [ [44 – 46]] .”
Background
- Authors
- Becker, N. B., Jesus, S. N., João, K. A. D. R., Viseu, J. N., & Martins, R. I. S.
- Affiliations
- University of Algarve (PT)
- Department of Psychology, Research Centre for Spatial and Organizational Dynamics, University of Algarve, Campus de Gambelas, Building 9, Faro, Portugal
- Corresponding author
- Becker, Nathália B.
- Venue
- Psychology, Health & Medicine
- Publisher
- Informa UK Limited
- Published
- 2016-12-26
- Volume
- 22
- Issue
- 8
- Pages
- 889-895
- ISSN
- 1354-8506 (ISSN-L)
- 1465-3966
- OpenAlex
- W2565024675
- Cited by
- 162
- References
- 27
- Citations by year
- 2026: 19 · 2025: 32 · 2024: 21 · 2023: 30 · 2022: 12 · 2021: 21 · 2020: 12 · 2019: 8 · 2018: 3 · 2017: 4
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- Locations
- Psychology Health & Medicine (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- Funders
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (BEX 1990/15-2)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- depression, sleep quality, older adults, subjective sleep, aging
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Depressive Disorder, Female, Health Promotion, Humans, Male, Sleep Wake Disorders, Statistics as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review