Insomnia and incident depression: role of objective sleep duration and natural history

Fernandez‐Mendoza, Julio; Shea, Sarah; Vgontzas, Alexandros N.; Calhoun, Susan L.; Liao, Duanping; Bixler, Edward O.

doi:10.1111/jsr.12285

Cited by 148Sleep and related disordersAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesSleep and Work-Related Fatigue

Insomnia and incident depression: role of objective sleep duration and natural history

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Fernandez‐Mendoza, Julio, Shea, Sarah, Vgontzas, Alexandros N., Calhoun, Susan L., Liao, Duanping, Bixler, Edward O.·2015·Journal of Sleep Research

DOI 10.1111/jsr.12285PMC PMC7155163

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Abstract

Summary: Longitudinal studies that have examined the association of insomnia with incident depression using objective sleep measures are very limited. The aim of this study was to examine the predictive role of the severity of insomnia for incident depression in a general population sample using psychometric and polysomnographic data. From a random, general population sample of 1741 individuals of the Penn State Adult Cohort, 1137 adults without depression were followed up with a structured telephone interview after 7.5 years. All subjects completed a full medical evaluation, 1‐night polysomnogram and Multiphasic Minnesota Personality Inventory at baseline. The incidence of depression was 15%. Poor sleep (odds ratio = 1.5, P = 0.001) and insomnia (odds ratio = 1.9, P = 0.031) were significantly associated with incident depression. The odds of incident depression were highest (odds ratio = 2.2, P = 0.019) in insomnia with objective short sleep duration and independent of Multiphasic Minnesota Personality Inventory Ego Strength scores, an index of poor coping resources. The persistence of insomnia and worsening of poor sleep into insomnia significantly increased the odds of incident depression (odds ratios ranged from 1.8 to 6.3), whereas their full remission did not (odds ratio ranged from 1.2 to 1.8). Insomnia with short sleep duration is associated with incident depression independent of poor coping resources, whereas the association of insomnia with normal sleep duration with incident depression was mediated by poor coping resources. Persistence and worsening of poor sleep or insomnia, but not their full remission, are significant predictors of incident depression. These data suggest that there is a significant relationship between the severity of insomnia and incident depression.

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Short self-reported sleep duration is associated with increased cross-sectional and longitudinal risk for depression, whether measured as symptoms or as a diagnosis.
“Short self-reported sleep duration is associated with increased cross-sectional and longitudinal risk for depression, whether measured as symptoms or as a diagnosis.77,79–84,86”
From Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society on the Recommended Amount of Sleep for a Healthy Adult: Methodology and Discussion (2015) · cites this paper as [83]

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0951 Insomnia, Short-sleepers And Rem-related Sleep Disordered Breathing As Risk Factors For Incident Depression In The Episono Cohort
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Insomnia as a Risk for Depression
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Persistent Insomnia: the Role of Objective Short Sleep Duration and Mental Health
Vgontzas, A. N., Fernandez-Mendoza, J., Bixler, E. O., Singareddy, R., Shaffer, M. L., Calhoun, S. L., Liao, D., Basta, M., & Chrousos, G. P. (2012) · Sleep · doi:10.5665/sleep.1586 · Cited by 113 · see citing works
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Relationship between insomnia and depression in a community sample depends on habitual sleep duration
Tubbs, A. S., Gallagher, R., Perlis, M. L., Hale, L. E., Branas, C. C., Barrett, M. S., Gehrels, J.-A., Alfonso‐Miller, P., & Grandner, M. A. (2020) · Sleep and Biological Rhythms · doi:10.1007/s41105-020-00255-z · Cited by 16 · see citing works

Authors: Fernandez‐Mendoza, J., Shea, S., Vgontzas, A. N., Calhoun, S. L., Liao, D., & Bixler, E. O.
Affiliations: Sleep Research and Treatment Center Department of Psychiatry Pennsylvania State University College of Medicine Hershey PA USA
Pennsylvania State University (US)
ORCID: Vgontzas, Alexandros N.
Calhoun, Susan L.
Liao, Duanping
Venue: Journal of Sleep Research
Publisher: Wiley
Published: 2015-02-27
Volume: 24
Issue: 4
Pages: 390-398
ISSN: 0962-1105 (ISSN-L)
1365-2869
DOI: 10.1111/jsr.12285
PMC: PMC7155163
OpenAlex: W2066242845
Cited by: 148
References: 40
Citations by year: 2026: 5 · 2025: 7 · 2024: 10 · 2023: 13 · 2022: 12 · 2021: 18 · 2020: 15 · 2019: 9 · 2018: 20 · 2017: 11 · 2016: 22 · 2015: 6
FWCI: 29.72
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Sleep Research (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (RO1 HL51931, RO1 HL40916, RO1 HL64415)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Keywords: insomnia, incident depression, sleep duration, objective sleep measures, polysomnography, coping resources, ego strength, risk factors for depression
MeSH terms: Depression, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Pennsylvania, Personality, Sleep, Time Factors, Cohort Studies, Incidence, Odds Ratio, Polysomnography

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Insomnia and incident depression: role of objective sleep duration and natural history

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