Longitudinal Association Between Depressive Symptoms and Multidimensional Sleep Health: The SWAN Sleep Study

Abstract Background Depressive symptoms and sleep disturbances disproportionately affect midlife women. While there may be a bidirectional association, few studies have examined whether depressive symptoms are longitudinally associated with subsequent sleep. Sleep is typically considered unidimensional, despite emerging evidence that multidimensional sleep health provides novel information on the sleep–health link. Purpose The current study examined whether higher depressive symptoms were longitudinally associated with poorer multidimensional sleep health. Method Depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale across six to nine annual assessments in 302 midlife women from the Study of Women’s Health Across the Nation. Six months after their last assessment, actigraphy (mean ± standard deviation = 29.3 ± 6.9 days) and self-report were used to assess sleep health components: efficiency, duration, mid-sleep timing, regularity, alertness, and satisfaction, which were dichotomized and summed to create a composite multidimensional sleep health score. Mixed-effects models were used to evaluate the longitudinal associations between depressive symptoms and multidimensional sleep health, as well as individual sleep health components, adjusting for covariates. Exploratory analyses stratified models by race/ethnicity. Results Higher depressive symptoms were associated with subsequent poorer multidimensional sleep health (p < .0.001) and lower alertness (p < .0001) and satisfaction with sleep (p < .0001). Conclusions Our finding that higher average depressive symptoms were associated longitudinally with actigraphy-measured poorer sleep health in midlife women is novel and converges with the larger body of evidence that these two common symptoms are strongly associated. The bidirectional relationship between these two prevalent symptoms needs to be studied in prospective longitudinal studies.

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Antidepressant use and depressive symptomatology among older people from the Australian Longitudinal Study of Ageing

International Psychogeriatrics ◽

10.1017/s1041610209991554 ◽

2010 ◽

Vol 22 (3) ◽

pp. 437-444 ◽

Cited By ~ 19

Author(s):

Ying Zhang ◽

Veronica Chow ◽

Agnes I. Vitry ◽

Philip Ryan ◽

Elizabeth E. Roughead ◽

...

Keyword(s):

Depressive Symptoms ◽

Longitudinal Study ◽

Health Status ◽

Depressive Symptomatology ◽

Depression Scale ◽

Epidemiologic Studies ◽

Self Report ◽

Perceived Health Status ◽

Australian Longitudinal Study ◽

Antidepressant Use

ABSTRACTBackground:Depression is one of the leading contributors to the burden of non-fatal diseases in Australia. Although there is an overall increasing trend in antidepressant use, the relationship between use of antidepressants and depressive symptomatology is not clear, particularly in the older population.Methods:Data for this study were obtained from the Australian Longitudinal Study of Ageing (ALSA), a cohort of 2087 people aged over 65 years at baseline. Four waves of home interviews were conducted between 1992 and 2004 to collect information on sociodemographic and health status. Depressive symptoms were measured by the Center for Epidemiologic Studies – Depression Scale. Use of antidepressants was based on self-report, with the interviewer able to check packaging details if available. Longitudinal analysis was performed using logistic generalized estimating equations to detect if there was any trend in the use of antidepressants, adjusting for potential confounding factors.Results:The prevalence of depressive symptoms was 15.2% in 1992 and 15.8% in 2004 (p> 0.05). The prevalence of antidepressant users increased from 6.5% to 10.9% (p< 0.01) over this period. Among people with depressive symptoms, less than 20% were taking antidepressants at any wave. Among people without depressive symptoms, the prevalence of antidepressant use was 5.2% in 1992 and 12.0% in 2004 (p< 0.01). Being female (OR = 1.67, 95%CI: 1.25–2.24), having poor self-perceived health status (OR = 1.17, 95%CI: 1.04–1.32), having physical impairment (OR = 1.48, 95%CI: 1.14–1.91) and having depressive symptoms (OR = 1.62, 95%CI: 1.24–2.13) significantly increased the use of antidepressants, while living in community (OR = 0.51, 95%CI: 0.37–0.71) reduced the risk of antidepressant use.Conclusions:Use of antidepressants increased, while depressive symptoms remained stable, in the ALSA over a 12-year period. Use of antidepressants was low for people with depressive symptoms.

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0712 CPAP Compliance: Roles Of Depressive Symptoms, Polysomnographic And Self-report Sleep Measures

SLEEP ◽

10.1093/sleep/zsaa056.708 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A271-A271

Author(s):

B Dubrovsky ◽

A Inamac ◽

L Gikashvili ◽

J Weingarten ◽

J Cunningham

Keyword(s):

Depressive Symptoms ◽

Depression Scale ◽

Epidemiologic Studies ◽

Self Report ◽

Early Interventions ◽

Limited Sample ◽

Major Health ◽

Days Of Therapy ◽

Cpap Compliance ◽

Pre Treatment

Abstract Introduction OSA poses major health risks; however, CPAP compliance is often suboptimal. Comorbid insomnia and depression contributed to poor CPAP compliance in different studies. Presently, PSG variables, self-report measures of insomnia, sleep quality and depression were tested simultaneously as predictors of compliance in new CPAP users who at 180 days of therapy had any non-zero use of CPAP. Methods PSG-diagnosed 47 patients (18-79 y.o., 24 women) were titrated in the lab and initiated on CPAP. Compliance was assessed during days 1-30 and 151-180. For each period, percentage of days with >4hrs of CPAP use (%>4h-days30, %>4h-days180) and the average hours-per-day use (Tav30, Tav180) were measured. After regressing each compliance variable on age, sex and BMI, one at a time were tested: PSG variables from the diagnostic and titration studies, subjective reactions to CPAP after titration (sleep better vs. same/worse than usual; will vs. won’t use CPAP at home), pre-treatment ISI, PSQI, ESS, and Center for Epidemiologic Studies Depression Scale-Revised (CESDR). Results AHI ranged 6/hr-101/hr (M=24.2±19.5); %>4h-days30, 0-100% (M=68%±32%); Tav30, 0.0-9.8 hours (M=5.2±2.5); %>4h-days180, 0-100% (M=64%±34%); Tav180, 0.2-10.5 hours (M=4.7±2.8). PSG variables from both diagnostic and titration studies, reactions to CPAP, ESS and CESDR were not significant predictors of compliance (all p>0.1). ISI was marginally inversely related to %>4h-days30 (p=0.087) and Tav30 (p=0.075). Higher pre-treatment PSQI was related to lower %>4h-days30 (p=0.003, R2=19%) and Tav30 (p=0.011, R2=15%). Entered alone, PSQI was related to %>4h-days180 (p=0.042) and Tav180 (p=0.043); however, when the 1-30-day compliance was accounted for, PSQI no longer related to the 151-180-day compliance. The 1-30-day compliance strongly predicted respective 151-180-day measures (%>4h-days, p<0.001, R2=55%; Tav, p<0.001, R2=68%). Conclusion In this limited sample of naive CPAP users, higher pre-treatment sleep disturbance reported on PSQI was a useful predictor of lower 1-30-day CPAP compliance. Neither depressive symptoms nor PSG variables from diagnostic and titration studies predicted compliance. As the initial 30-day compliance is the best predictor of later CPAP use, early interventions are crucial. Support none

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Relation Between Lack of Forgiveness and Depression

Psychological Reports ◽

10.1177/0033294116663520 ◽

2016 ◽

Vol 119 (3) ◽

pp. 573-585 ◽

Cited By ~ 12

Author(s):

Myung-Sun Chung

Keyword(s):

Depressive Symptoms ◽

Depression Scale ◽

Epidemiologic Studies ◽

Poor Mental Health ◽

The Self ◽

Self Report ◽

Moderated Multiple Regression ◽

Self Compassion ◽

The Relationship ◽

Compassion Scale

Although an association between lack of forgiveness and poor mental health is known, prior studies have reported mixed findings of the relationship between lack of forgiveness and depressive symptoms. In an attempt to explain the strength differences between lack of forgiveness and depressive symptoms, this study examined the moderating effect of self-compassion. A total of 311 Korean teachers (89 men, 222 women; M age = 39.3 year, SD = 9.1) were asked to complete self-report questionnaires, including the Korean versions of the Trait Forgivingness Scale, the Self-Compassion Scale, and the Center for Epidemiologic Studies Depression Scale. Moderated multiple regression was used for analysis, and a buffering interaction of self-compassion was discovered. Specifically, self-compassion moderated the relationship between lack of forgiveness and depression; the relationship was stronger for those low on self-compassion.

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Validation of the Japanese Version of the Center for Epidemiologic Studies Depression Scale—Revised: A Preliminary Analysis

Behavioral Sciences ◽

10.3390/bs11080107 ◽

2021 ◽

Vol 11 (8) ◽

pp. 107

Author(s):

Hirohito Tsuboi ◽

Yui Takakura ◽

Hiromasa Tsujiguchi ◽

Sakae Miyagi ◽

Keita Suzuki ◽

...

Keyword(s):

Factor Analysis ◽

Depressive Symptoms ◽

Native Speakers ◽

Depression Scale ◽

Japanese Version ◽

Population Based ◽

Epidemiologic Studies ◽

Community Dwelling ◽

Two Factors ◽

Study Population

To make the Japanese version of the CESD-R—a revised version of the Center for Epidemiologic Studies depression scale (CES-D)—in the assessment of depressive symptoms in a general population. The English version of CESD-R was translated into Japanese, and back-translated into English by three native speakers of Japanese and English; then, we selected the version most completely consistent with the original items. The CESD-R was applied to 398 community-dwelling people (191 men: 48.0%, and 207 women: 52.0%) who were over 40 years old. The Japanese version of the CES-D was also carried out in the same population. Factor analysis was performed. Additionally, the correlations between the CESD-R and CES-D results were identified. The CESD-R scores showed a significantly positive correlation with CES-D scores (r = 0.74, p < 0.0005). Analysis of the CESD-R yielded a Cronbach’s alpha result of 0.90. Factor analysis revealed one principal factor in the CESD-R, whereas the original CES-D had two factors because of reversed items. The Japanese version of the CESD-R appears to have the reliability to be applicable for assessing depressive symptoms in population-based samples. However, because the Japanese expressions for some items might be unusual, our study population was also limited; further studies on other populations and on incorporating improved Japanese terminology will be needed.

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Bidirectional Association Between Knee Osteoarthritis and Depressive Symptoms: A Nationwide Cohort Study

Innovation in Aging ◽

10.1093/geroni/igaa057.710 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 220-220

Author(s):

Han Lu ◽

Shaomei Shang ◽

Limin Wang ◽

Hongbo Chen

Keyword(s):

Cohort Study ◽

Depressive Symptoms ◽

Knee Osteoarthritis ◽

Proportional Hazards ◽

Depression Scale ◽

Cox Proportional Hazards ◽

Depression Symptoms ◽

Physical And Mental Health ◽

Bidirectional Association ◽

Bidirectional Relationship

Abstract Both knee osteoarthritis (KOA) and depressive symptoms are common health issues affecting the quality of life of old adults. Although it is presumed that KOA has a bidirectional relationship with the depressive symptoms, no cohort study has proven it. This is the first study to determine the strength of association for the bidirectional relationship between KOA and depressive symptoms. Data were gathered from the nationally survey of China Health and Retirement Longitudinal Study in 2011-2015. The presence of depressive symptoms was defined by the 10-item Center for Epidemiologic Studies Depression Scale score of 10 or higher. The adjusted Cox proportional hazards regression model was conducted to estimate hazards ratios (HRs). Controlled covariates include gender, age, education, marital status, residence, number of chronic diseases, and disability. The analysis of KOA predicting the depressive symptoms onset consisted of 4,377 participants free from depressive symptoms at baseline. During 4 years follow-up, diagnosed KOA participants were more likely to have depressive symptoms than their peers without KOA (HR = 1.50, 95% CI: 1.23-1.83). The parallel analysis of depressive symptoms predicting KOA onset included 6,848 participants without KOA at baseline, those with depressive symptoms had a higher relative risk of developing KOA (HR = 1.64, 95% CI: 1.41-1.92). Our results provide compelling evidence that the KOA-depressive symptoms association is bidirectional, highlighting the importance of evaluating the relationship between physical and mental health among older people. Particularly, taking this association into consideration in the risk assessment and primary prevention of KOA and depression symptoms.

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Trajectories of maternal depressive symptoms and offspring’s risk behavior in early adolescence: data from the 2004 Pelotas birth cohort study

BMC Psychiatry ◽

10.1186/s12888-020-03026-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ana Beatriz Bozzini ◽

Jessica Mayumi Maruyama ◽

Tiago N. Munhoz ◽

Aluísio J. D. Barros ◽

Fernando C. Barros ◽

...

Keyword(s):

Cohort Study ◽

Depressive Symptoms ◽

Alcohol Use ◽

Maternal Depression ◽

Risk Behavior ◽

Birth Cohort ◽

Depression Scale ◽

Self Report ◽

Birth Cohort Study ◽

Maternal Depressive Symptoms

Abstract Background This longitudinal study explored the relationship between trajectories of maternal depressive symptoms and offspring’s risk behavior in adolescence contributing to an extremely scarce literature about the impacts of maternal depression trajectories on offspring risk behaviors. Methods We included 3437 11-year-old adolescents from the 2004 Pelotas Birth Cohort Study. Trajectories of maternal depressive symptoms were constructed using Edinburgh Postnatal Depression Scale (EDPS) from age 3 months to 11 years. We identified five trajectories of maternal depressive symptoms: “low” “moderate low”, “increasing”, “decreasing”, and “chronic high”. The following adolescent outcomes were identified via self-report questionnaire and analyzed as binary outcome –yes/no: involvement in fights and alcohol use at age 11. We used logistic regression models to examine the effects of trajectories of maternal depressive symptoms on offspring’s risk behavior adjusting for potential confounding variable. Results Alcohol use and/or abuse as well as involvement in fights during adolescence, were not significantly associated with any specific trajectory of maternal depressive symptoms neither in the crude nor in the adjusted analyses. Conclusion Alcohol use and involvement in fights at age 11 were not associated with any specific trajectory of maternal depression.

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Effects of social support, hope and resilience on depressive symptoms within 18 months after diagnosis of prostate cancer

Health and Quality of Life Outcomes ◽

10.1186/s12955-020-01660-1 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Xinxin Zhao ◽

Ming Sun ◽

Ye Yang

Keyword(s):

Prostate Cancer ◽

Social Support ◽

Depressive Symptoms ◽

Perceived Social Support ◽

Depression Scale ◽

Psychosocial Interventions ◽

Epidemiologic Studies ◽

Depression Symptoms ◽

Cross Sectional ◽

Modifiable Factors

Abstract Background The prevalence of depression symptoms and related modifiable factors in prostate cancer (PCa) are not well evaluated. We aimed to assess the effects of perceived social support, hope and resilience on depressive symptoms within 18 months after diagnosis of PCa, and to evaluate the role of hope and resilience as mediators of that relationship. Method A cross-sectional study was analyzed in consecutive inpatients with PCa during the months of January 2018 and August 2019. A total of 667 patients eligible for this study completed questionnaires on demographic and clinic variables, Center for Epidemiologic Studies Depression Scale, Multidimensional Scale of Perceived Social Support, Adult Hope Scale, and Resilience Scale (14 items). All registered patients were all volunteers and anonymous. Depressive symptoms, perceived social support, hope and resilience were measured anonymously. Out of 667 patients, a total of 564 effective respondents (< 30% missing data) became our subjects. Hierarchical linear regression was used to identify the factors associated with depressive symptoms. Asymptotic and resampling strategies were used to conduct the mediating effects of hope and resilience. Results The prevalence of depressive symptoms was 65.9% in PCa patients. Hierarchical regression analyses indicated that perceived social support, hope, and resilience together accounted for 27.5% variance of depressive symptoms. Support from family, hope, and resilience significantly associated with depressive symptoms, respectively. Hope (a*b = − 0.0783, BCa95% CI: − 0.134 to − 0.0319, p < 0.05), and resilience (a*b = − 0.1315, BCa95% CI: − 0.1894 to − 0.0783, p < 0.05) significantly mediated the association between perceived social support and depressive symptoms. Conclusions The high prevalence of depressive symptoms among PCa patients should receive more attention. Perceived social support, hope and resilience could be positive resources for combating depressive symptoms, and hope and resilience mediated the association between perceived social support and depressive symptoms. Enhancing social support, particularly the support form family, and improving patients’ outlook and resilience may be potential targets for future psychosocial interventions aimed at reducing depressive symptoms.

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Prevalence of depression and depressive symptoms among outpatients: a systematic review and meta-analysis

BMJ Open ◽

10.1136/bmjopen-2017-017173 ◽

2017 ◽

Vol 7 (8) ◽

pp. e017173 ◽

Cited By ~ 83

Author(s):

Jinghui Wang ◽

Xiaohang Wu ◽

Weiyi Lai ◽

Erping Long ◽

Xiayin Zhang ◽

...

Keyword(s):

Systematic Review ◽

Depressive Symptoms ◽

Meta Analysis ◽

Significant Proportion ◽

Depression Scale ◽

Developed Countries ◽

Self Report ◽

Cochrane Library ◽

Significant Heterogeneity ◽

Prevalence Of Depression

ObjectivesDepression and depressive symptoms are common mental disorders that have a considerable effect on patients’ health-related quality of life and satisfaction with medical care, but the prevalence of these conditions varies substantially between published studies. The aim of this study is to conduct a systematic review and meta-analysis to provide a precise estimate of the prevalence of depression or depressive symptoms among outpatients in different clinical specialties.DesignSystematic review and meta-analysis.Data sources and eligibility criteriaThe PubMed and PsycINFO, EMBASE and Cochrane Library databases were searched to identify observational studies that contained information on the prevalence of depression and depressive symptoms in outpatients. All studies included were published before January 2016. Data characteristics were extracted independently by two investigators. The point prevalence of depression or depressive symptoms was measured using validated self-report questionnaires or structured interviews. Assessments were pooled using a random-effects model. Differences in study-level characteristics were estimated by meta-regression analysis. Heterogeneity was assessed using standard χ2tests and the I2statistic. The study protocol has been registered with PROSPERO under number CRD42017054738.ResultsEighty-three cross-sectional studies involving 41 344 individuals were included in this study. The overall pooled prevalence of depression or depressive symptoms was 27.0% (10 943/41 344 individuals; 95% CI 24.0% to 29.0%), with significant heterogeneity between studies (p<0.0001, τ2=0.3742, I2=96.7%). Notably, a significantly higher prevalence of depression and depressive symptoms was observed in outpatients than in the healthy controls (OR 3.16, 95% CI 2.66 to 3.76, I2=72.0%, χ2=25.33). The highest depression/depressive symptom prevalence estimates occurred in studies of outpatients from otolaryngology clinics (53.0%), followed by dermatology clinics (39.0%) and neurology clinics (35.0%). Subgroup analyses showed that the prevalence of depression and depressive symptoms in different specialties varied from 17.0% to 53.0%. The prevalence of depression and depressive symptoms was higher among outpatients in developing countries than in outpatients from developed countries. Moreover, the prevalence of depression and depressive symptoms in outpatients slightly decreased from 1996 to 2010. Regarding screening instruments, the Beck Depression Inventory led to a higher estimate of the prevalence of depression and depressive symptoms (1316/4702, 36.0%, 95% CI 29.0% to 44.0%, I2=94.8%) than the Hospital Anxiety and Depression Scale (1003/2025, 22.0%, 95% CI 12.0% to 35.0%, I2=96.6%).ConclusionOur study provides evidence that a significant proportion of outpatients experience depression or depressive symptoms, highlighting the importance of developing effective management strategies for the early identification and treatment of these conditions among outpatients in clinical practice. The substantial heterogeneity between studies was not fully explained by the variables examined.

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Association between depressive symptoms and psychosocial factors and perception of maternal self-efficacy in teenage mothers

Salud Mental ◽

10.17711/sm.0185-3325.2017.026 ◽

2017 ◽

Vol 40 (5) ◽

pp. 201-208

Author(s):

Ma Asunción Lara ◽

◽

Pamela Patiño ◽

Laura Navarrete ◽

Zaira Hernández ◽

...

Keyword(s):

Social Support ◽

Depressive Symptoms ◽

Adolescent Mothers ◽

Self Efficacy ◽

Teenage Pregnancy ◽

Post Partum ◽

Depression Scale ◽

Epidemiologic Studies ◽

Bivariate Analysis ◽

Cross Sectional

Introduction. Teenage pregnancy is a national health priority. Having to deal with pregnancy during adolescence can cause the mother, at an already vulnerable age, to doubt her maternal capacity to cope with a challenge of this magnitude. The teenage mother’s assessment of her maternal self-efficacy is associated with her performance, in other words, the way she relates and responds to the needs of her infant, which has major implications for the latter’s development. Objective. To study the association between personal (depressive symptoms, self-esteem) and environmental characteristics (social support, partner satisfaction) and those of the infant (problems with infant care, the infants’s temperament) and the perception of maternal self-efficacy (PME) in adolescent mothers. Method. Cross-sectional study. The following instruments were applied: Center for Epidemiologic Studies Depression Scale (CES-D), Post-partum Depression Predictors Inventory-Revised (PDPI-R), and Maternal Efficacy Questionnaire to 120 mothers under 20 during the first six months postpartum. Bivariate lineal regression and hierarchical linear regression analyses were used for the data analysis. Results. When adjusting for other variables, symptoms of depression and difficult infant temperament were associated with lower PME. Social support was only associated with increased PME in the bivariate analysis. Discussion and conclusion. These findings contribute to the limited literature on the subject and provide elements for designing strategies to improve adolescent mothers’ PME to encourage behaviors that are more relevant and sensitive to infants’ physical and emotional needs.

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Depressive Symptoms and Resilience among Pregnant Adolescents: A Case-Control Study

Obstetrics and Gynecology International ◽

10.1155/2010/952493 ◽

2010 ◽

Vol 2010 ◽

pp. 1-7 ◽

Cited By ~ 32

Author(s):

Danny Salazar-Pousada ◽

Dalton Arroyo ◽

Luis Hidalgo ◽

Faustino R. Pérez-López ◽

Peter Chedraui

Keyword(s):

Depressive Symptoms ◽

Depressed Mood ◽

Depression Scale ◽

Case Control ◽

Epidemiologic Studies ◽

Pregnant Adolescents ◽

Control Approach ◽

Resilience Scale ◽

Study Programs ◽

Adolescents And Adults

Background. Data regarding depression and resilience among adolescents is still lacking.Objective. To assess depressive symptoms and resilience among pregnant adolescents.Method. Depressive symptoms and resilience were assessed using two validated inventories, the 10-item Center for Epidemiologic Studies Short Depression Scale (CESD-10) and the 14-item Wagnild and Young Resilience Scale (RS), respectively. A case-control approach was used to compare differences between adolescents and adults.Results. A total of 302 pregnant women were enrolled in the study, 151 assigned to each group. Overall, 56.6% of gravids presented total CESD-10 scores 10 or more indicating depressed mood. Despite this, total CESD-10 scores and depressed mood rate did not differ among studied groups. Adolescents did however display lower resilience reflected by lower total RS scores and a higher rate of scores below the calculated median (P<.05). Logistic regression analysis could not establish any risk factor for depressed mood among studied subjects; however, having an adolescent partner (OR, 2.0 CI 95% 1.06–4.0,P=.03) and a preterm delivery (OR, 3.0 CI 95% 1.43–6.55,P=.004) related to a higher risk for lower resilience.Conclusion. In light of the findings of the present study, programs oriented at giving adolescents support before, during, and after pregnancy should be encouraged.

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