Cited by 162Sleep and related disordersHealth and Well-being StudiesAging, Health, and Disability

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

Depression and sleep quality in older adults: a meta-analysis

Open access

Becker, Nathália B., Jesus, Saul N., João, Karine A. D. R., Viseu, João N., Martins, Rute I. S.·2017·Psychology, Health & Medicine

DOI 10.1080/13548506.2016.1274042

Open this paper in CoChat — free account

Abstract

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

Crossref · 10.1080/13548506.2016.1274042

Cites

27 of 27 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

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?

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 109,845
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
The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration
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
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
Methods of Meta-Analysis
Hunter, J., & Schmidt, F. (2004) · doi:10.4135/9781412985031 · Cited by 3,023
Sleep Health: Can We Define It? Does It Matter?
Buysse, D. J. (2014) · SLEEP · doi:10.5665/sleep.3298 · Cited by 2,777
Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs.
Morris, S. B., & DeShon, R. P. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.1.105 · Cited by 2,502
The Essential Guide to Effect Sizes: Statistical Power, Meta-Analysis, and the Interpretation of Research Results
Ellis, P. D. (2010) · doi:10.1017/cbo9780511761676 · Cited by 2,461
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
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

Show all 27 references

Research works printed but not linked: 7

Botella J., 2006, International Journal of Clinical and Health Psychology, 6, 425
Buysse D. J., 2004, Geriatrics, 59, 47
10.1176/appi.ajp.2008.07121882.Sleep · DOI
10.5664/jcms.4362 · DOI
Jesus S. N., 2011, Annals of Spiru Haret University. Sociology and Psychology Series, 23
Jesus S. N., 2013, Stress and Anxiety. Applications to health and well-being, work stressors and assessment, 143
10.1037//1082-989X.7.1.105 · DOI · Paper page

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
“Sleep, depression, and increased lateral orbitofrontal cortex connectivity Sleep is frequently impaired in depression (Becker et al., 2017).”
Background
Functional connectivities in the brain that mediate the association between depressive problems and sleep quality
Cheng, W., Rolls, E. T., Ruan, H., & Feng, J. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.1941 · Cited by 291
Globally altered sleep patterns and physical activity levels by confinement in 5056 individuals: ECLB COVID-19 international online survey
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 181
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
Prevalence of Poor Sleep Quality in Perinatal and Postnatal Women: A Comprehensive Meta-Analysis of Observational Studies
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
Depression and Dementia in Older Adults: A Neuropsychological Review
Tetsuka, S. (2021) · Aging and Disease · doi:10.14336/ad.2021.0526 · Cited by 120
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
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
Prevalence and Demographic Correlates of Poor Sleep Quality Among Frontline Health Professionals in Liaoning Province, China During the COVID-19 Outbreak
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
Anxiety of Nurses to support Wuhan in fighting against COVID‐19 Epidemic and its Correlation With Work Stress and Self‐efficacy
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
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 79
Randomized controlled trial of acupuncture for anxiety and depression in patients with chronic insomnia
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 68
“The symptoms of insomnia and anxiety/depression are closely related and can promote and affect each other (7-9).”
Background
Relationship between night-sleep duration and risk for depression among middle-aged and older people: A dose–response meta-analysis
Li, X.-L., Wei, J., Zhang, X., Meng, Z., & Zhu, W. (2023) · Frontiers in Physiology · doi:10.3389/fphys.2023.1085091 · Cited by 70
“Furthermore, some meta-analyses emphasized depression and poor sleep quality as an unfavorable effect on older individuals (Becker et al., 2017).”
Background
One day you'll wake up and won't have to go to work: The impact of changes in time use on mental health following retirement
Olds, 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
Effect of COVID-19 Quarantine on the Sleep Quality and the Depressive Symptom Levels of University Students in Jordan During the Spring of 2020
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 66
The neuroscience of emotional disorders.
Rolls, E. (2021) · Handbook of Clinical Neurology · doi:10.1016/b978-0-12-822290-4.00002-5 · Cited by 29
School start time effects on adolescent learning and academic performance, emotional health and behaviour
Wahlstrom, K., & Owens, J. (2017) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000368 · Cited by 49
Negative impact of COVID-19 pandemic on sleep quantitative parameters, quality, and circadian alignment
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 57
“…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).”
The relationship between sleep quality, inappropriate medication use and frailty among older adults in aged care homes in Malaysia
Kumar, S., V, Wong, P. S., Hasan, S. S., & Kairuz, T. E. (2019) · PLoS ONE · doi:10.1371/journal.pone.0224122 · Cited by 47
“There is evidence that sleep quality correlates with chronic disease [33], depression [42,43] and sleep medications [9,39,44,45].”
Background
The relationship between living alone or not and depressive symptoms in older adults: a parallel mediation effect of sleep quality and anxiety
Huang, M. T., Liu, K., Liang, C., Wang, Y., & Guo, Z. (2023) · BMC Geriatrics · doi:10.1186/s12877-023-04161-0 · Cited by 44
“In addition, studies have shown that improving sleep quality could improve depressive symptoms and quality of life [33, 69].”
Background
Exploring associations between eHealth literacy, cyberchondria, online health information seeking and sleep quality among university students: A cross-section study
Zhu, X., Zheng, T., Ding, L., & Zhang, X. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e17521 · Cited by 46
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 52
“[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
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
Mobile Phone Addiction and Sleep Quality among Older People: The Mediating Roles of Depression and Loneliness
Tian, H., & Wang, Y. (2023) · Behavioral Sciences · doi:10.3390/bs13020153 · Cited by 41
“[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.”
Method
Prediction of depressive symptoms severity based on sleep quality, anxiety, and gray matter volume: a generalizable machine learning approach across three datasets
Olfati, 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
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
Risk factors associated with the Motoric Cognitive Risk syndrome: A meta‐analysis of data from a cross‐national study
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
“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.”
White Matter Microstructure Underlies the Effects of Sleep Quality and Life Stress on Depression Symptomatology in Older Adults
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
The longitudinal impact of the COVID-19 pandemic on health behaviors, psychosocial factors, and cognitive functioning in older adults
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 28
“, 2020), which can negatively affect sleep behaviors (Magee and Carmin, 2010; Becker et al., 2016; Weeks et al., 2019).”
Background
The impact of sleep quality on the incidence of PTSD: Results from a 7-Year, Nationally Representative, Prospective Cohort of U.S. Military Veterans
DeViva, 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 27
Impaired Sleep
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 22
The association between ambient air pollution exposure and mental health status in Chinese female college students: a cross-sectional study
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
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 21
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 23
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
Sleep Quality among the Elderly in 21st Century Shandong Province, China: A Ten-Year Comparative Study
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
Socioeconomic Background and Self-Reported Sleep Quality in Older Adults during the COVID-19 Pandemic: An Analysis of the English Longitudinal Study of Ageing (ELSA)
Collinge, A. N., & Bath, P. A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054534 · Cited by 19
Insights into the Effect of Light Pollution on Mental Health: Focus on Affective Disorders—A Narrative Review
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 23
“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].”
Background
Effectiveness of a lifestyle modification programme in the treatment of depression symptoms in primary care
Aguilar‐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 21
Longitudinal associations between problematic social media use and mental health: Mediating role of sleep
Ahmed, O., Dawel, A., Walsh, E., & Cherbuin, N. (2025) · Addictive Behaviors · doi:10.1016/j.addbeh.2025.108446 · Cited by 25
Factors associated with depression across age groups of older adults: The Singapore Chinese health study
Barrenetxea, J., Pan, A., Feng, Q., & Koh, W. (2021) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5666 · Cited by 16
“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…”
Result
Sleep 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
Relationship Between Social Capital and Depressive Symptoms Among Type 2 Diabetes Mellitus Patients in Northwest China: A Mediating Role of Sleep Quality
Wang, L., Li, J., Dang, Y., Ma, H., & Niu, Y. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.725197 · Cited by 16
“Ameta-analysis revealed that lack of good sleep quality in an old individual is significantly related with depression (16).”
Background
Behavioral and Cognitive Outcomes of an Online Weight Loss Program for Men With Low Mood: A Randomized Controlled Trial
Drew, 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
Eight-week high-intensity interval training is associated with improved sleep quality and cardiorespiratory fitness in patients with depressive disorders
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 19
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
“…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).”
Background
The 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
Depression is associated with worse health-related quality of life, lower physical activity levels, and inadequate sleep quality in a Greek elderly population
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
“, 2007), and studies have also linked depression to physical activity and sleep quality (Becker et al., 2017; Gianfredi et al., 2020).”
Background
Dual trajectories of loneliness and depression and their baseline correlates over a 14‐year follow‐up period in older adults: Results from a nationally representative sample in Taiwan
Liu, 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
Associations of sleep duration and sleep quality with indicators of mental health among youth and adults: findings from the 2015 Canadian Community Health Survey
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 15
Influence of grandparenting stress, sleep quality, and grandparenting type on depressive symptoms among Chinese older adults who care for their grandchildren: A moderated-mediation study
Li, S., Xu, H., & Li, Y. (2021) · Current Psychology · doi:10.1007/s12144-021-01787-4 · Cited by 12
“In addition, a meta-analysis suggested that lack of good sleep quality in older persons is significantly related to depression (Becker et al., 2017).”
Background
Sleep Disturbance as a Mediator of Lung Cancer Stigma on Psychological Distress and Physical Symptom Burden
Williamson, 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
“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).”
Background
Negative impact of the COVID-19 pandemic on sleep quantitative parameters, quality, and circadian alignment: Implications for psychological well-being and emotional regulationPreprint
Salehinejad, 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 10
“…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).”
Background
The association between long-term exposure to outdoor artificial light at night and poor sleep quality among Chinese veterans: A multi-city study
Sun, 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 12
Impact of Chronotype and Mediterranean Diet on the Risk of Liver Fibrosis in Patients with Non-Alcoholic Fatty Liver Disease
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
“In this regard, sleep quality may be altered by hypertension, depression [46] and OSAS [47].”
Background
The sleep patterns and their associations with mental health among nursing home residents: a latent profile approach
Mou, H., Xu, D., Zhu, S., Zhao, M., Wang, Y., & Wang, K. (2023) · BMC Geriatrics · doi:10.1186/s12877-023-04124-5 · Cited by 10
“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
“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].”
Background
Differential Effects of Sleep Disturbance and Malnutrition on Late-Life Depression Among Community-Dwelling Older Adults
Hwang, 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
The relationship between sleep quality and anxiety and depression among older caregivers of centenarians in China: A cross-sectional study
Yin, L., Rong, T., Zhang, Y., & Gao, J. (2023) · Geriatric Nursing · doi:10.1016/j.gerinurse.2023.10.005 · Cited by 10
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
“…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…”
Background
Genetic association between sleep quality, insomnia, and psychological distress: a systematic review and meta-analysis
Blanco-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
Effect of loneliness and sociodemographic, health, COVID-19 pandemic-related factors on depression among older adults
Aslan, B., & Önal, Ö. (2022) · Educational Gerontology · doi:10.1080/03601277.2022.2065440 · Cited by 9
Associations of daytime napping and nighttime sleep quality with depressive symptoms in older Chinese: the Guangzhou biobank cohort study
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
“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].”
BackgroundResult
Hypothetical interventions on risk factors for depression among middle-aged and older community-dwellers in China: An application of the parametric g-formula in a longitudinal study
Zhang, 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
The impact of COVID-19 pandemic on medical students’ mental health and sleep quality in Jordan: a nationwide cross-sectional study
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
Evaluation of the Effects of an Intervention Intended to Optimize the Sleep Environment Among the Elderly: An Exploratory Study
Desjardins, S., Lapierre, S., Vasiliadis, H.-M., & Hudon, C. (2020) · Clinical Interventions in Aging · doi:10.2147/cia.s277252 · Cited by 8
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
Effect of Physical Exercise on Sleep Quality and Depressive Symptoms in Adults: A Systematic Review and Meta-Analysis
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 12
“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.”
The Beneficial Role of Auricular Point Pressure in Insomnia and Anxiety in Isolated COVID-19 Patients
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
“Furthermore, patients with higher levels of anxiety and sleep disturbance showed worse outcome [21, 22].”
Background
Esketamine improves postoperative sleep quality in women undergoing gynecological laparoscopy: A prospective, randomized, double-blind, and controlled trial
Yuan, 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
Adherence to the 24-hour movement behavior guidelines and depression risk among older adults from the United States
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 10
“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].”
Depressive Disorders and Sleeping Disturbances—Surveys Study of 923 Participants on the Pol’and’Rock Festival, Kostrzyn, Poland 2019
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
“Furthermore, in a meta-analysis published by Becker and colleagues, it was shown that a strong relationship between sleep deprivation and depression exists [60].”
Background
A 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 8
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
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
Factors contributing to self-rated health in community-dwelling independent 75-year-old Finns: a population-based cross-sectional cohort study
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
“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
Physical activity may mitigate sleep‐related cognitive deficits in older adults: Findings from the IGNITE study
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
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
24 h Rest/Activity Rhythms in Older Adults with Memory Impairment: Associations with Cognitive Performance and Depressive Symptomatology
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
Mediation of the Association Between Physical Exercise and Depressive/Anxiety Symptoms by Pain and Sleep Problems Among Older Adults
Choi, N. G., Choi, B. Y., & Marti, C. N. (2024) · Gerontology and Geriatric Medicine · doi:10.1177/23337214241241397 · Cited by 5
“…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…”
Background
Drug-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
Research-Practice Partnership to Develop and Implement Routine Mental Health Symptom Tracking Tool Among Older Adults During COVID-19
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
“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”
Background
Do anxiety sensitivity cognitive concerns and/or depression symptoms independently explain sleep disturbances in a high anxiety sensitive treatment-seeking sample?
Jemcov, 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
Individual-specific change points in circadian rest-activity rhythm and sleep in individuals tapering their antidepressant medication: an actigraphy study
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
“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.”
Result
Wie gut schlafen pflegende Angehörige von Menschen mit Demenz? Eine Untersuchung der Prävalenz und möglicher Prädiktoren
Hillebrand, M. C., & Wilz, G. (2019) · Zeitschrift für Gerontologie und Geriatrie · doi:10.1007/s00391-019-01579-3 · Cited by 5
Inside the Fire. Exploring the Impact of Anxiety, Depression, and Sleep Disturbances on Pain Perception in Burning Mouth Syndrome: A Cross‐Sectional Study of 200 Patients
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
Longitudinal relationships between daily activities, depressive symptoms, anxiety, and suicidality during the COVID-19 pandemic: a three-wave cross-lagged study
Choi, J., Son, G., & Choi, K. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1459300 · Cited by 4
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
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 4
“A meta-analysis by Becker et al. (2017) significantly demonstrated that older people’s lack of sleep quality significantly increased their levels of depression.”
The Relationship between Academic Stress and Sleep Quality in Adolescents: The Mediating Role of School Burnout and Depression
Gündoğan, S. (2023) · TED EĞİTİM VE BİLİM · doi:10.15390/eb.2023.11497 · Cited by 4
Sleep disorders in geriatrics
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
Incidence and risk factors regarding atherosclerotic cardiovascular disease in middle-aged and elderly people with HIV treated in Chongqing, China
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
Interpretable machine learning models for predicting depression status and remission three years later in older adults in China: A longitudinal study
Qiu, Y., & Zhu, X. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120536 · Cited by 3
Association between 24-hour movement behaviors and depressive symptoms among urban older adults in china: a compositional isotemporal substitution analysis
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
“…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
“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
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 4
The left temporal transverse cortex is affected by poor sleep quality, which in turn contributes to depressive symptoms in older adults
Li, W., Sun, L., Yue, L., & Xiao, S. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e20751 · Cited by 7
“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.
ORCID: Becker, Nathália B.
João, Karine A. D. R.
Viseu, João N.
Martins, Rute I. S.
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
DOI: 10.1080/13548506.2016.1274042
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

Depression and sleep quality in older adults: a meta-analysis

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks