Poor reported sleep quality predicts low positive affect in daily life among healthy and mood-disordered persons: Sleep quality and affect
Abstract
Sleep disturbance is a core symptom of mood disorders. However, surprisingly little is known about the relationship between sleep quality and ambulatory daily mood, especially in mood-disordered populations. We assessed ambulatory positive affect (PA) and negative affect (NA) 10 times daily for three consecutive days with the computerized experience sampling method among persons with major depression (n = 35), minor depression (n = 25) and healthy controls (n = 36). Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI). Poorer sleep quality predicted lower ambulatory PA, even after accounting for the effects of diagnostic group and self-reported anxiety. Conversely, sleep quality did not predict ambulatory NA once diagnostic group was accounted for. Analyzes of specific PSQI component scores indicated that poor subjective sleep quality and self-reported daytime dysfunction were the sleep components most strongly tied to reports of low ambulatory PA. Impaired sleep quality may be responsible for reduced pleasurable experience in everyday life.
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Bower et al. (2010) reported that poor sleep quality was predictive of low current levels of positive affect even when group status (MDD or control) was accounted for.
“While Bower et al. (2010) reported that poor sleep quality was predictive of low current levels of PA even when group status (MDD or control) was accounted for, Peeters et al. (2006) found no such association.”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Bower et al., 2010
Bower et al. (2010) reported worse sleep quality in the MDD group than in a control group, which predicted low daily levels of positive affect.
“Bower et al. (2010) reported worse sleep quality in the MDD group than in a control group, which predicted low daily levels of PA.”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Bower et al. (2010)
No such restorative effect of sleep was apparent in adult MDD patients.
“No such effect was apparent in the adult patients (Bower et al., 2010; Peeters et al., 2006).”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Bower et al., 2010
Sleep might be mood-restorative in youth with MDD but not or no longer in adults with MDD.
“Data from studies that have looked at PA and NA in relation to sleep suggest that sleep might be mood-restorative in youth with MDD (Cousins et al., 2011), but not or no longer in adults with MDD (Bower et al., 2010; Peeters et al., 2006).”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Bower et al., 2010
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- Authors
- BOWER, B., BYLSMA, L. M., MORRIS, B. H., & ROTTENBERG, J.
- Affiliations
- University of South Florida (US)
- Corresponding author
- ROTTENBERG, JONATHAN
- Venue
- Journal of Sleep Research
- Publisher
- Wiley
- Published
- 2010-03-31
- Volume
- 19
- Issue
- 2
- Pages
- 323-332
- ISSN
- 0962-1105 (ISSN-L)
- 1365-2869
- OpenAlex
- W2097431992
- Cited by
- 192
- References
- 53
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 12 · 2023: 17 · 2022: 14 · 2021: 28 · 2020: 19 · 2019: 8 · 2018: 5 · 2017: 10 · 2016: 16 · 2015: 13 · 2014: 12 · 2013: 14 · 2012: 10
- FWCI
- 11.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Sleep Research (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons - University of South Florida (University of South Florida) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- sleep quality, positive affect, negative affect, mood disorders, major depressive disorder, minor depression, ecological momentary assessment, daytime dysfunction, subjective sleep quality, anxiety
- MeSH terms
- Activities of Daily Living, Adult, Affect, Anxiety, Major Depressive Disorder, Depressive Disorder, Female, Humans, Male, Psychiatric Status Rating Scales, Regression Analysis, Sleep, Sleep Wake Disorders, Case-Control Studies, Mood Disorders, Pleasure
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