Promoting Health by Improving Subjective Sleep Quality? Reduction in Depressive Symptoms and Inflammation as Potential Mechanisms and Implications for Trauma-Exposed Persons

Increasing evidence suggests that eveningness is associated with increased risk for depression. Eveningness, however, is also associated with poor sleep quality and the unique role of eveningness in depressive symptomatology remains to be elucidated. The goal of the current study, therefore, was to examine the inter-relationships between eveningness, subjective sleep quality and depressive symptoms in healthy participants free of current or previous depression and sleep disorder. Here, 167 healthy participants (mean age 24.16, 129/38 females/males) completed the reduced Morningness-Eveningness Questionnaire (rMEQ), the Pittsburgh Sleep Quality Index (PSQI) and the Centre for Epidemiological Studies Depression Scale (CES-D). Bootstrap mediation analysis for a simple mediation model including rMEQ, PSQI and CES-D was applied. Eveningness was associated with increased depressive symptoms and mediation analysis showed that this relationship was partly mediated by sleep quality. Our results suggest that indicators of depression observed in evening-type individuals cannot be attributed exclusively to disturbed sleep. We suggest that interventions that target both sleep quality and dysfunctionl cognitive styles would be optimal to promote well-being in evening-type individuals.

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Investigating the Effects of Estradiol or Estradiol/Progesterone Treatment on Mood, Depressive Symptoms, Menopausal Symptoms and Subjective Sleep Quality in Older Healthy Hysterectomized Women: A Questionnaire Study

Neuropsychobiology ◽

10.1159/000086173 ◽

2005 ◽

Vol 52 (1) ◽

pp. 17-23 ◽

Cited By ~ 14

Author(s):

A.B. Heinrich ◽

O.T. Wolf

Keyword(s):

Depressive Symptoms ◽

Sleep Quality ◽

Menopausal Symptoms ◽

Questionnaire Study ◽

Subjective Sleep Quality ◽

Subjective Sleep ◽

Progesterone Treatment

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Depressive symptoms effect subjective sleep quality in Chinese patients with Parkinson’s disease

Clinical Neurology and Neurosurgery ◽

10.1016/j.clineuro.2020.105950 ◽

2020 ◽

Vol 195 ◽

pp. 105950

Author(s):

Jun Zhu ◽

Min Zhong ◽

Jun Yan ◽

Zhuang Wu ◽

Yang Pan ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Depressive Symptoms ◽

Sleep Quality ◽

Chinese Patients ◽

Subjective Sleep Quality ◽

Subjective Sleep

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Subjective sleep quality and association with depression syndrome, chronic diseases and health-related physical fitness in the middle-aged and elderly

10.21203/rs.2.23848/v4 ◽

2021 ◽

Author(s):

Min-Fang Hsu ◽

Kang-Yun Lee ◽

Tsung-Ching Lin ◽

Wen-Te Liu ◽

Shu-Chuan Ho

Keyword(s):

Depressive Symptoms ◽

Physical Fitness ◽

Sleep Quality ◽

Chronic Diseases ◽

Sleep Latency ◽

Middle Aged ◽

Subjective Sleep Quality ◽

Subjective Sleep ◽

Self Rated Health ◽

Health Related

Abstract Background: As a complex phenomenon, sleep quality is difficult to objectively define and measure, and multiple factors related to sleep quality, such as age, lifestyle, physical activity, and physical fitness, feature prominently in older adult populations. The aim of the present study was to evaluate subjective sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and to associate sleep quality with health-related physical fitness factors, depressive symptoms, and the number of chronic diseases in the middle-aged and elderly.Methods: We enrolled a total of 283 middle-aged and elderly participants from a rehabilitation clinic or health examination department. The PSQI was used to evaluate sleep quality. The health-related fitness assessment included anthropometric and physical fitness parameters. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D) short form. Data were analyzed with SPSS 18.0, and descriptive statistics and logistic regression analysis were used for the analyses.Results: Overall, 27.9% of participants in this study demonstrated bad sleepers (with a PSQI score of >5), 10.2% of study participants frequently used sleep medication to help them fall asleep, and 6.0% reported having significant depressive symptoms (with a CES-D score of ≥10). There are two major findings: (1) depression symptoms, the number of chronic diseases, self-rated health, and arthritis were significantly associated with a poor sleep quality, and (2) the 2-min step test was associated with longer sleep latency. These results confirmed that the 2-min step was associated with a longer sleep latency among the health-related physical fitness items.Conclusions: Our study found that depressive syndrome, chronic disease numbers, a poor self-rated health status, and arthritis were the main risk factors that influenced subjective sleep quality.

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Objective and Subjective Rated Depression, Daytime Sleepiness and Sleep Quality in Different Sleep Disorders

European Psychiatry ◽

10.1016/s0924-9338(09)70886-7 ◽

2009 ◽

Vol 24 (S1) ◽

pp. 1-1

Author(s):

Z. Lattova ◽

M. Keckeis ◽

C. Lauer ◽

T. Pollmacher

Keyword(s):

Depressive Symptoms ◽

Sleep Quality ◽

Sleep Disorders ◽

Daytime Sleepiness ◽

Hamilton Depression Scale ◽

Healthy Controls ◽

Subjective Sleep Quality ◽

Psychiatric Interview ◽

Subjective Sleep ◽

Disturbed Sleep

Objective:Daytime sleepiness and disturbed sleep quality are core symptoms of sleep disorders. In addition, depressive symptoms are often reported. In the present study, we examined the possible relationships of daytime sleepiness, sleep quality and objective and subjective rated depressive symptoms in three major sleep disorders: obstructive sleep apnea (OSA; n = 25), restless legs syndrome (RLS; n = 18) and psychophysiological insomnia (n = 21), compared to healthy controls (n = 33).Method:Otherwise healthy subjects without a history of psychiatric disorder or psychotropic medication use were included. The Epworth Sleepiness Scale (ESS) for daytime sleepiness assessment and the Pittsburg Sleep Quality Inventory (PSQI) for subjective sleep quality were administered. Participants filled in the Beck Depression Inventory (BDI) as indicator of subjective rated depression and underwent a standard psychiatric interview; observer ratings comprised the Hamilton Depression Scale (HAMD) and the Hamilton Anxiety Scale (HAMA).Results:As expected daytime sleepiness was highest in OSA, whereas insomnia patients showed the highest depression and anxiety scores and the worst subjective sleep assessment. In contrast to the HAMD, the BDI was unable to differentiate among patient groups. Objective (HAMD) and subjective (BDI) rated depression correlated significantly in insomnia, RLS and healthy controls, but surprisingly not in OSA. Subjective rated depression (BDI) correlated significantly with subjective sleep quality (PSQI) in these patients. This correlation was not present in insomnia, RLS or controls. Therefore, increased BDI levels in OSA are possibly related to disturbed sleep (PSQI) rather than to depression.

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Subjective sleep quality and association with depression syndrome, chronic diseases and health-related physical fitness in the middle-aged and elderly

10.21203/rs.2.23848/v2 ◽

2020 ◽

Author(s):

Min-Fang Hsu ◽

Kang-Yun Lee ◽

Tsung-Ching Lin ◽

Wen-Te Liu ◽

Shu-Chuan Ho

Keyword(s):

Depressive Symptoms ◽

Physical Fitness ◽

Sleep Quality ◽

Chronic Diseases ◽

Poor Sleep ◽

Middle Aged ◽

Poor Sleep Quality ◽

Subjective Sleep Quality ◽

Subjective Sleep ◽

Health Related

Abstract Background: As a complex phenomenon, sleep quality is difficult to objectively define and measure, and multiple factors related to sleep quality, such as age, lifestyle, physical activity, and physical fitness, feature prominently in older adult populations. The aim of the present study was to evaluate subjective sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and to associate sleep quality with health-related physical fitness factors, depressive symptoms, and the number of chronic diseases in the middle-aged and elderly.Methods: We enrolled a total of 283 middle-aged and elderly participants from a rehabilitation clinic or health examination department. The PSQI was used to evaluate sleep quality. The health-related fitness assessment included anthropometric and physical fitness parameters. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D) short form. Data were analyzed with SPSS 18.0, and descriptive statistics and logistic regression analysis were used for the analyses.Results: Overall, 27.9% of participants in this study demonstrated poor sleep quality (with a PSQI score of >5), 10.2% of study participants frequently used sleep medication to help them fall asleep, and 6.0% reported having significant depressive symptoms (with a CES-D score of ≥10). There are two major findings: (1) depression symptoms, the number of chronic diseases, self-rated health, and arthritis were significantly associated with a poor sleep quality, and (2) the 2-min step test was associated with longer sleep latency. These results confirmed that the 2-min step was associated with a longer sleep latency among the health-related physical fitness items.Conclusions: Our study found that depressive syndrome, chronic disease numbers, a poor self-rated health status, and arthritis were the main risk factors that influenced subjective sleep quality.

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Psychological Pathways Linking Parent-Child Relationships to Subjective and Objective Sleep Among Older Adults

Innovation in Aging ◽

10.1093/geroni/igaa057.1926 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 579-579

Author(s):

Haowei Wang ◽

Kyungmin Kim ◽

Jeffrey Burr ◽

Bei Wu

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Sleep Quality ◽

Social Life ◽

Structural Equation ◽

Equation Modeling ◽

Subjective Sleep Quality ◽

Subjective Sleep ◽

Parent Child Relationships ◽

Parent Child

Abstract This study investigated whether older adults’ relationships with their children were associated with their self-reported subjective sleep quality and actigraphy-measured objective sleep characteristics, as well as whether depressive symptoms and loneliness mediated the association between these parent-child relationships and sleep. Data were taken from the second wave of the National Social life, Health, and Aging Project, in which 569 respondents (age 57-85) participated in the sleep module, along with the social network module that provided relationship information for participants and their children. Results from structural equation modeling showed that (1) parents’ closeness with children was associated with better objective sleep (i.e., fragmentation of sleep and percent sleep), (2) more frequent contact with children was related to better subjective sleep quality, (3) depressive symptoms and loneliness were associated with worse subjective sleep quality, and (4) less closeness with children were related to worse subjective sleep quality via older adults’ depressive symptoms. Part of a symposium sponsored by the Sleep, Circadian Rhythms and Aging Interest Group.

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Subjective sleep quality and association with depression syndrome, chronic diseases and health-related physical fitness in the middle-aged and elderly

10.21203/rs.2.23848/v3 ◽

2020 ◽

Author(s):

Min-Fang Hsu ◽

Kang-Yun Lee ◽

Tsung-Ching Lin ◽

Wen-Te Liu ◽

Shu-Chuan Ho

Keyword(s):

Depressive Symptoms ◽

Physical Fitness ◽

Sleep Quality ◽

Chronic Diseases ◽

Poor Sleep ◽

Middle Aged ◽

Poor Sleep Quality ◽

Subjective Sleep Quality ◽

Subjective Sleep ◽

Health Related

Abstract Background: As a complex phenomenon, sleep quality is difficult to objectively define and measure, and multiple factors related to sleep quality, such as age, lifestyle, physical activity, and physical fitness, feature prominently in older adult populations. The aim of the present study was to evaluate subjective sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and to associate sleep quality with health-related physical fitness factors, depressive symptoms, and the number of chronic diseases in the middle-aged and elderly.Methods: We enrolled a total of 283 middle-aged and elderly participants from a rehabilitation clinic or health examination department. The PSQI was used to evaluate sleep quality. The health-related fitness assessment included anthropometric and physical fitness parameters. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D) short form. Data were analyzed with SPSS 18.0, and descriptive statistics and logistic regression analysis were used for the analyses.Results: Overall, 27.9% of participants in this study demonstrated poor sleep quality (with a PSQI score of >5), 10.2% of study participants frequently used sleep medication to help them fall asleep, and 6.0% reported having significant depressive symptoms (with a CES-D score of ≥10). There are two major findings: (1) depression symptoms, the number of chronic diseases, self-rated health, and arthritis were significantly associated with a poor sleep quality, and (2) the 2-min step test was associated with longer sleep latency. These results confirmed that the 2-min step was associated with a longer sleep latency among the health-related physical fitness items.Conclusions: Our study found that depressive syndrome, chronic disease numbers, a poor self-rated health status, and arthritis were the main risk factors that influenced subjective sleep quality.

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Depressive Symptoms, Subjective Cognitive Decline, and Subjective Sleep Quality Are Associated with Slips and Falls: Data from the Community Health Survey in Korean Adults

Gerontology ◽

10.1159/000518007 ◽

2021 ◽

pp. 1-11

Author(s):

Ji Hee Kim ◽

Joon Ho Song ◽

Jee Hye Wee ◽

Jung Woo Lee ◽

Hyo Geun Choi

Keyword(s):

Risk Factors ◽

Depressive Symptoms ◽

Sleep Quality ◽

Cognitive Decline ◽

Sleep Problems ◽

Subjective Cognitive Decline ◽

Poor Sleep ◽

Subjective Sleep Quality ◽

Subjective Sleep ◽

Risk Factors For Falls

Background: Identifying the risk factors for falls among the elderly population is arguably one of the most imperative public health issues in the current aging society. Objectives: This study aimed to determine the associations between depressive symptoms, subjective cognitive decline (SCD), and poor subjective sleep quality and the risk of slips/falls in a Korean older population. Methods: This cross-sectional study involved 228,340 elderly individuals living in Korea. Measurements included self-reported depressive symptoms, SCD, and self-reported sleep quality. The risk of slips/falls was dichotomized depending on whether slips/falls had occurred during the past year, and the associations between different risk factors and slips/falls were explored. Multiple logistic regression was used to obtain the odds ratios (ORs) and 95% confidence intervals (CIs). Complex sampling methods were used to estimate the weighted value of each participant. Results: The risk of slips/falls was significantly associated with high levels of depressive symptoms (adjusted OR 1.06, 95% CI: 1.05–1.07) and SCD (adjusted OR 1.33, 95% CI: 1.19–1.50). Regarding each sleep quality component, the adjusted ORs for slips/falls were 1.85 for very poor sleep quality, 1.49 for long sleep latency, 1.04 for <5 h of sleep duration, 1.32 for low sleep efficiency, 2.78 for high sleep disturbance, 1.52 for the use of sleep medication ≥3 times a week, and 1.82 for high daytime dysfunction due to sleep problems compared to the respective good sleep conditions. Conclusions: Our results demonstrated that depressive symptoms, SCD, and poor subjective sleep quality are independent factors affecting the occurrence of slips/falls. Thus, efforts to manage depressive symptoms and cognitive decline early and to improve sleep quality can be an alternative strategy to decrease the likelihood of falls.

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