Attention-deficit hyperactivity disorder symptoms add risk to circadian rhythm sleep problems in depression and anxiety
Abstract Background Comorbid ADHD symptoms may partly account for circadian rhythm disturbances in depression and anxiety disorders. Methods Self-reported sleep characteristics of 2090 participants in the Netherlands Study of Depression and Anxiety were assessed using the Munich Chronotype Questionn...
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| Veröffentlicht in: | Journal of affective disorders 2016-08, Vol.200, p.74-81 |
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| container_title | Journal of affective disorders |
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| creator | Bron, T.I Bijlenga, D Kooij, J.J.S Vogel, S.W.N Wynchank, D Beekman, A.T.F Penninx, B.W.J.H |
| description | Abstract Background Comorbid ADHD symptoms may partly account for circadian rhythm disturbances in depression and anxiety disorders. Methods Self-reported sleep characteristics of 2090 participants in the Netherlands Study of Depression and Anxiety were assessed using the Munich Chronotype Questionnaire. We defined 3 groups: healthy controls (HC), persons with lifetime depression and/or anxiety disorders (LDA), and those with both LDA and high ADHD symptoms (LDA+ADHD), using the Conner's Adult ADHD Rating Scale. Results Sleep characteristics were least favorable in the LDA+ADHD group. Important group differences between LDA+ADHD, LDA and HC were found for extremely late chronotype (12% vs. 5% vs. 3%; p |
| doi_str_mv | 10.1016/j.jad.2016.04.022 |
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Methods Self-reported sleep characteristics of 2090 participants in the Netherlands Study of Depression and Anxiety were assessed using the Munich Chronotype Questionnaire. We defined 3 groups: healthy controls (HC), persons with lifetime depression and/or anxiety disorders (LDA), and those with both LDA and high ADHD symptoms (LDA+ADHD), using the Conner's Adult ADHD Rating Scale. Results Sleep characteristics were least favorable in the LDA+ADHD group. Important group differences between LDA+ADHD, LDA and HC were found for extremely late chronotype (12% vs. 5% vs. 3%; p <.001), sleep duration <6 h (15% vs. 5% vs. 4%; p <.001), and for an indication of the Delayed Sleep Phase Syndrome (DSPS; 16% vs. 8% vs. 5%; p <.001). After adjustment for covariates, including depression and anxiety, presence of ADHD symptoms increased the odds ratio for late chronotype (OR=2.6; p =.003), indication of DSPS (OR=2.4; p =.002), and sleep duration <6 h (OR=2.7; p =.007). Limitations ADHD conceptually overlaps with symptom presentation of depression and anxiety. We used a cross-sectional study design, and used self reported sleep characteristics. Conclusions High ADHD symptoms were associated with an increased rate of circadian rhythm sleep disturbances in an already at-risk population of people with depression and/or anxiety disorders. Circadian rhythm sleep disorders, as often seen in ADHD are not entirely due to any comorbid depression and/or anxiety disorder. Adequate treatment of such sleep problems is needed and may prevent serious health conditions in the long term.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2016.04.022</identifier><identifier>PMID: 27128360</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>ADHD symptoms ; Adult ; Anxiety ; Anxiety Disorders - complications ; Attention Deficit Disorder with Hyperactivity - complications ; Attention Deficit Disorder with Hyperactivity - physiopathology ; Case-Control Studies ; Chronotype ; Circadian Rhythm - physiology ; Circadian rhythm disturbances ; Comorbidity ; Cross-Sectional Studies ; Depression ; Depression - epidemiology ; Depressive Disorder - complications ; Female ; Humans ; Male ; Middle Aged ; Netherlands ; Odds Ratio ; Psychiatry ; Risk ; Risk Factors ; Sleep Disorders, Circadian Rhythm - etiology ; Sleep problems</subject><ispartof>Journal of affective disorders, 2016-08, Vol.200, p.74-81</ispartof><rights>Elsevier B.V.</rights><rights>2016 Elsevier B.V.</rights><rights>Copyright © 2016 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c507t-d8379d71bf68556491bc2d449d9c31a4f0bc93c6d0afce475bdcfece3aa5d1903</citedby><cites>FETCH-LOGICAL-c507t-d8379d71bf68556491bc2d449d9c31a4f0bc93c6d0afce475bdcfece3aa5d1903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0165032716306073$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27128360$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bron, T.I</creatorcontrib><creatorcontrib>Bijlenga, D</creatorcontrib><creatorcontrib>Kooij, J.J.S</creatorcontrib><creatorcontrib>Vogel, S.W.N</creatorcontrib><creatorcontrib>Wynchank, D</creatorcontrib><creatorcontrib>Beekman, A.T.F</creatorcontrib><creatorcontrib>Penninx, B.W.J.H</creatorcontrib><title>Attention-deficit hyperactivity disorder symptoms add risk to circadian rhythm sleep problems in depression and anxiety</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>Abstract Background Comorbid ADHD symptoms may partly account for circadian rhythm disturbances in depression and anxiety disorders. Methods Self-reported sleep characteristics of 2090 participants in the Netherlands Study of Depression and Anxiety were assessed using the Munich Chronotype Questionnaire. We defined 3 groups: healthy controls (HC), persons with lifetime depression and/or anxiety disorders (LDA), and those with both LDA and high ADHD symptoms (LDA+ADHD), using the Conner's Adult ADHD Rating Scale. Results Sleep characteristics were least favorable in the LDA+ADHD group. Important group differences between LDA+ADHD, LDA and HC were found for extremely late chronotype (12% vs. 5% vs. 3%; p <.001), sleep duration <6 h (15% vs. 5% vs. 4%; p <.001), and for an indication of the Delayed Sleep Phase Syndrome (DSPS; 16% vs. 8% vs. 5%; p <.001). After adjustment for covariates, including depression and anxiety, presence of ADHD symptoms increased the odds ratio for late chronotype (OR=2.6; p =.003), indication of DSPS (OR=2.4; p =.002), and sleep duration <6 h (OR=2.7; p =.007). Limitations ADHD conceptually overlaps with symptom presentation of depression and anxiety. We used a cross-sectional study design, and used self reported sleep characteristics. Conclusions High ADHD symptoms were associated with an increased rate of circadian rhythm sleep disturbances in an already at-risk population of people with depression and/or anxiety disorders. Circadian rhythm sleep disorders, as often seen in ADHD are not entirely due to any comorbid depression and/or anxiety disorder. Adequate treatment of such sleep problems is needed and may prevent serious health conditions in the long term.</description><subject>ADHD symptoms</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Anxiety Disorders - complications</subject><subject>Attention Deficit Disorder with Hyperactivity - complications</subject><subject>Attention Deficit Disorder with Hyperactivity - physiopathology</subject><subject>Case-Control Studies</subject><subject>Chronotype</subject><subject>Circadian Rhythm - physiology</subject><subject>Circadian rhythm disturbances</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Depression</subject><subject>Depression - epidemiology</subject><subject>Depressive Disorder - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Odds Ratio</subject><subject>Psychiatry</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Sleep Disorders, Circadian Rhythm - etiology</subject><subject>Sleep problems</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk2LFDEQhoMo7rj6A7xIjl66rSTdnW4EYVn8ggUP6jmkK9VMZvvLJLNr_3szzOrBgx5CAnnequJ9i7GXAkoBonlzKA_WlTI_S6hKkPIR24laq0LWQj9mu_xRF6CkvmDPYjwAQNNpeMoupBayVQ3s2P1VSjQnv8yFo8GjT3y_rRQsJn_n08adj0twFHjcpjUtU-TWOR58vOVp4egDWuftzMN-S_uJx5Fo5WtY-pEy62fuaA0UY-7A7ezy-ekpbc_Zk8GOkV483Jfs-4f3364_FTdfPn6-vropsAadCtcq3Tkt-qFp67qpOtGjdFXVuQ6VsNUAPXYKGwd2QKp03TscCElZWzvRgbpkr89180g_jhSTmXxEGkc703KMRrTQ6uyc7v6PZkYKpVuVUXFGMSwxBhrMGvxkw2YEmFM05mByNOYUjYHK5AZZ8-qh_LGfyP1R_M4iA2_PAGU_7jwFE9HTjOR8IEzGLf6f5d_9pcbRzx7teEsbxcNyDHM22ggTpQHz9bQbp9UQjYIGtFK_AP2stmg</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Bron, T.I</creator><creator>Bijlenga, D</creator><creator>Kooij, J.J.S</creator><creator>Vogel, S.W.N</creator><creator>Wynchank, D</creator><creator>Beekman, A.T.F</creator><creator>Penninx, B.W.J.H</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>20160801</creationdate><title>Attention-deficit hyperactivity disorder symptoms add risk to circadian rhythm sleep problems in depression and anxiety</title><author>Bron, T.I ; Bijlenga, D ; Kooij, J.J.S ; Vogel, S.W.N ; Wynchank, D ; Beekman, A.T.F ; Penninx, B.W.J.H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c507t-d8379d71bf68556491bc2d449d9c31a4f0bc93c6d0afce475bdcfece3aa5d1903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>ADHD symptoms</topic><topic>Adult</topic><topic>Anxiety</topic><topic>Anxiety Disorders - complications</topic><topic>Attention Deficit Disorder with Hyperactivity - complications</topic><topic>Attention Deficit Disorder with Hyperactivity - physiopathology</topic><topic>Case-Control Studies</topic><topic>Chronotype</topic><topic>Circadian Rhythm - physiology</topic><topic>Circadian rhythm disturbances</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Depression</topic><topic>Depression - epidemiology</topic><topic>Depressive Disorder - complications</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Odds Ratio</topic><topic>Psychiatry</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Sleep Disorders, Circadian Rhythm - etiology</topic><topic>Sleep problems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bron, T.I</creatorcontrib><creatorcontrib>Bijlenga, D</creatorcontrib><creatorcontrib>Kooij, J.J.S</creatorcontrib><creatorcontrib>Vogel, S.W.N</creatorcontrib><creatorcontrib>Wynchank, D</creatorcontrib><creatorcontrib>Beekman, A.T.F</creatorcontrib><creatorcontrib>Penninx, B.W.J.H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bron, T.I</au><au>Bijlenga, D</au><au>Kooij, J.J.S</au><au>Vogel, S.W.N</au><au>Wynchank, D</au><au>Beekman, A.T.F</au><au>Penninx, B.W.J.H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Attention-deficit hyperactivity disorder symptoms add risk to circadian rhythm sleep problems in depression and anxiety</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>200</volume><spage>74</spage><epage>81</epage><pages>74-81</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><abstract>Abstract Background Comorbid ADHD symptoms may partly account for circadian rhythm disturbances in depression and anxiety disorders. Methods Self-reported sleep characteristics of 2090 participants in the Netherlands Study of Depression and Anxiety were assessed using the Munich Chronotype Questionnaire. We defined 3 groups: healthy controls (HC), persons with lifetime depression and/or anxiety disorders (LDA), and those with both LDA and high ADHD symptoms (LDA+ADHD), using the Conner's Adult ADHD Rating Scale. Results Sleep characteristics were least favorable in the LDA+ADHD group. Important group differences between LDA+ADHD, LDA and HC were found for extremely late chronotype (12% vs. 5% vs. 3%; p <.001), sleep duration <6 h (15% vs. 5% vs. 4%; p <.001), and for an indication of the Delayed Sleep Phase Syndrome (DSPS; 16% vs. 8% vs. 5%; p <.001). After adjustment for covariates, including depression and anxiety, presence of ADHD symptoms increased the odds ratio for late chronotype (OR=2.6; p =.003), indication of DSPS (OR=2.4; p =.002), and sleep duration <6 h (OR=2.7; p =.007). Limitations ADHD conceptually overlaps with symptom presentation of depression and anxiety. We used a cross-sectional study design, and used self reported sleep characteristics. Conclusions High ADHD symptoms were associated with an increased rate of circadian rhythm sleep disturbances in an already at-risk population of people with depression and/or anxiety disorders. Circadian rhythm sleep disorders, as often seen in ADHD are not entirely due to any comorbid depression and/or anxiety disorder. Adequate treatment of such sleep problems is needed and may prevent serious health conditions in the long term.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>27128360</pmid><doi>10.1016/j.jad.2016.04.022</doi><tpages>8</tpages></addata></record> |
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| subjects | ADHD symptoms Adult Anxiety Anxiety Disorders - complications Attention Deficit Disorder with Hyperactivity - complications Attention Deficit Disorder with Hyperactivity - physiopathology Case-Control Studies Chronotype Circadian Rhythm - physiology Circadian rhythm disturbances Comorbidity Cross-Sectional Studies Depression Depression - epidemiology Depressive Disorder - complications Female Humans Male Middle Aged Netherlands Odds Ratio Psychiatry Risk Risk Factors Sleep Disorders, Circadian Rhythm - etiology Sleep problems |
| title | Attention-deficit hyperactivity disorder symptoms add risk to circadian rhythm sleep problems in depression and anxiety |
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