Actigraphy for evaluation of mood disorders: A systematic review and meta-analysis
•Depressive patients less active with longer wake after sleep onset than healthy controls.•Total sleep time, sleep latency, and wake after sleep onset longer in euthymic/remitted patients than healthy controls.•Sleep latency, wake after sleep onset, and sleep efficiency significantly improved in pre...
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| Veröffentlicht in: | Journal of affective disorders 2019-06, Vol.253, p.257-269 |
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| container_title | Journal of affective disorders |
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| creator | Tazawa, Yuuki Wada, Masataka Mitsukura, Yasue Takamiya, Akihiro Kitazawa, Momoko Yoshimura, Michitaka Mimura, Masaru Kishimoto, Taishiro |
| description | •Depressive patients less active with longer wake after sleep onset than healthy controls.•Total sleep time, sleep latency, and wake after sleep onset longer in euthymic/remitted patients than healthy controls.•Sleep latency, wake after sleep onset, and sleep efficiency significantly improved in pre- and post-treatment comparisons.
Actigraphy has enabled consecutive observation of individual health conditions such as sleep or daily activity. This study aimed to examine the usefulness of actigraphy in evaluating depressive and/or bipolar disorder symptoms.
A systematic review and meta-analysis was conducted. We selected studies that used actigraphy to compare either patients vs. healthy controls, or pre- vs. post-treatment data from the same patient group. Common actigraphy measurements, namely daily activity and sleep-related data, were extracted and synthesized.
Thirty-eight studies (n = 3,758) were included in the analysis. Compared with healthy controls, depressive patients were less active (standardized mean difference; SMD=1.27, 95%CI=[0.97, 1.57], P |
| doi_str_mv | 10.1016/j.jad.2019.04.087 |
| format | Article |
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Actigraphy has enabled consecutive observation of individual health conditions such as sleep or daily activity. This study aimed to examine the usefulness of actigraphy in evaluating depressive and/or bipolar disorder symptoms.
A systematic review and meta-analysis was conducted. We selected studies that used actigraphy to compare either patients vs. healthy controls, or pre- vs. post-treatment data from the same patient group. Common actigraphy measurements, namely daily activity and sleep-related data, were extracted and synthesized.
Thirty-eight studies (n = 3,758) were included in the analysis. Compared with healthy controls, depressive patients were less active (standardized mean difference; SMD=1.27, 95%CI=[0.97, 1.57], P<0.001) and had longer wake after sleep onset (SMD= − 0.729, 95%CI=[− 1.20, − 0.25], p = 0.003). Total sleep time (SMD= − 0.33, 95%CI=[− 0.55, − 0.11], P = 0.004), sleep latency (SMD= − 0.22, 95%CI=[− 0.42, − 0.02], P = 0.032), and wake after sleep onset (SMD= − 0.22, 95%CI=[− 0.39, − 0.04], P = 0.015) were longer in euthymic/remitted patients compared to healthy controls. In pre- and post-treatment comparisons, sleep latency (SMD=− 0.85, 95%CI=[− 1.53, − 0.17], P = 0.015), wake after sleep onset (SMD= − 0.65, 95%CI=[− 1.20, − 0.10], P = 0.022), and sleep efficiency (SMD=0.77, 95%CI=[0.29, 1.24], P = 0.002) showed significant improvement.
The sample sizes for each outcome were small. The type of actigraphy devices and patients’ illness severity differed across studies. It is possible that hospitalizations and medication influenced the outcomes.
We found significant differences between healthy controls and mood disorders patients for some actigraphy-measured modalities. Specific measurement patterns characterizing each mood disorder/status were also found. Additional actigraphy data linked to severity and/or treatment could enhance the clinical utility of actigraphy.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2019.04.087</identifier><identifier>PMID: 31060012</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Actigraphy ; Activities of Daily Living ; Activity ; Adult ; Bipolar disorder ; Bipolar Disorder - diagnosis ; Cyclothymic Disorder ; Depression ; Female ; Humans ; Male ; Mood Disorders - physiopathology ; Polysomnography ; Sleep ; Sleep Wake Disorders - diagnosis ; Wearable device</subject><ispartof>Journal of affective disorders, 2019-06, Vol.253, p.257-269</ispartof><rights>2019</rights><rights>Copyright © 2019. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-ebe018d9c12e122f68867e099f76d1f0ee3f0b2ab2f50f96b7b23caba8a319263</citedby><cites>FETCH-LOGICAL-c419t-ebe018d9c12e122f68867e099f76d1f0ee3f0b2ab2f50f96b7b23caba8a319263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0165032719303568$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31060012$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tazawa, Yuuki</creatorcontrib><creatorcontrib>Wada, Masataka</creatorcontrib><creatorcontrib>Mitsukura, Yasue</creatorcontrib><creatorcontrib>Takamiya, Akihiro</creatorcontrib><creatorcontrib>Kitazawa, Momoko</creatorcontrib><creatorcontrib>Yoshimura, Michitaka</creatorcontrib><creatorcontrib>Mimura, Masaru</creatorcontrib><creatorcontrib>Kishimoto, Taishiro</creatorcontrib><title>Actigraphy for evaluation of mood disorders: A systematic review and meta-analysis</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>•Depressive patients less active with longer wake after sleep onset than healthy controls.•Total sleep time, sleep latency, and wake after sleep onset longer in euthymic/remitted patients than healthy controls.•Sleep latency, wake after sleep onset, and sleep efficiency significantly improved in pre- and post-treatment comparisons.
Actigraphy has enabled consecutive observation of individual health conditions such as sleep or daily activity. This study aimed to examine the usefulness of actigraphy in evaluating depressive and/or bipolar disorder symptoms.
A systematic review and meta-analysis was conducted. We selected studies that used actigraphy to compare either patients vs. healthy controls, or pre- vs. post-treatment data from the same patient group. Common actigraphy measurements, namely daily activity and sleep-related data, were extracted and synthesized.
Thirty-eight studies (n = 3,758) were included in the analysis. Compared with healthy controls, depressive patients were less active (standardized mean difference; SMD=1.27, 95%CI=[0.97, 1.57], P<0.001) and had longer wake after sleep onset (SMD= − 0.729, 95%CI=[− 1.20, − 0.25], p = 0.003). Total sleep time (SMD= − 0.33, 95%CI=[− 0.55, − 0.11], P = 0.004), sleep latency (SMD= − 0.22, 95%CI=[− 0.42, − 0.02], P = 0.032), and wake after sleep onset (SMD= − 0.22, 95%CI=[− 0.39, − 0.04], P = 0.015) were longer in euthymic/remitted patients compared to healthy controls. In pre- and post-treatment comparisons, sleep latency (SMD=− 0.85, 95%CI=[− 1.53, − 0.17], P = 0.015), wake after sleep onset (SMD= − 0.65, 95%CI=[− 1.20, − 0.10], P = 0.022), and sleep efficiency (SMD=0.77, 95%CI=[0.29, 1.24], P = 0.002) showed significant improvement.
The sample sizes for each outcome were small. The type of actigraphy devices and patients’ illness severity differed across studies. It is possible that hospitalizations and medication influenced the outcomes.
We found significant differences between healthy controls and mood disorders patients for some actigraphy-measured modalities. Specific measurement patterns characterizing each mood disorder/status were also found. Additional actigraphy data linked to severity and/or treatment could enhance the clinical utility of actigraphy.</description><subject>Actigraphy</subject><subject>Activities of Daily Living</subject><subject>Activity</subject><subject>Adult</subject><subject>Bipolar disorder</subject><subject>Bipolar Disorder - diagnosis</subject><subject>Cyclothymic Disorder</subject><subject>Depression</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mood Disorders - physiopathology</subject><subject>Polysomnography</subject><subject>Sleep</subject><subject>Sleep Wake Disorders - diagnosis</subject><subject>Wearable device</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFP3DAQRq2Kqmxpf0AvlY9cks44GyempxWCthJSpQrOlmOPwaskXuws1f77Gi3lyGku73vSPMa-INQIKL9t661xtQBUNaxr6Lt3bIVt11Sixe6ErQrTVtCI7pR9zHkLAFJ18IGdNggSAMWK_dnYJdwns3s4cB8Tpycz7s0S4syj51OMjruQY3KU8gXf8HzIC00FsDzRU6C_3MyOT7SYysxmPOSQP7H33oyZPr_cM3Z3fXV7-bO6-f3j1-XmprJrVEtFAwH2TlkUhEJ42feyI1DKd9KhB6LGwyDMIHwLXsmhG0RjzWB606ASsjlj50fvLsXHPeVFTyFbGkczU9xnLUSDvZKibQuKR9SmmHMir3cpTCYdNIJ-Tqm3uqTUzyk1rHVJWTZfX_T7YSL3uvjfrgDfjwCVJ0uKpLMNNFtyIZFdtIvhDf0_MkCEcA</recordid><startdate>20190615</startdate><enddate>20190615</enddate><creator>Tazawa, Yuuki</creator><creator>Wada, Masataka</creator><creator>Mitsukura, Yasue</creator><creator>Takamiya, Akihiro</creator><creator>Kitazawa, Momoko</creator><creator>Yoshimura, Michitaka</creator><creator>Mimura, Masaru</creator><creator>Kishimoto, Taishiro</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></search><sort><creationdate>20190615</creationdate><title>Actigraphy for evaluation of mood disorders: A systematic review and meta-analysis</title><author>Tazawa, Yuuki ; Wada, Masataka ; Mitsukura, Yasue ; Takamiya, Akihiro ; Kitazawa, Momoko ; Yoshimura, Michitaka ; Mimura, Masaru ; Kishimoto, Taishiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-ebe018d9c12e122f68867e099f76d1f0ee3f0b2ab2f50f96b7b23caba8a319263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Actigraphy</topic><topic>Activities of Daily Living</topic><topic>Activity</topic><topic>Adult</topic><topic>Bipolar disorder</topic><topic>Bipolar Disorder - diagnosis</topic><topic>Cyclothymic Disorder</topic><topic>Depression</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mood Disorders - physiopathology</topic><topic>Polysomnography</topic><topic>Sleep</topic><topic>Sleep Wake Disorders - diagnosis</topic><topic>Wearable device</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tazawa, Yuuki</creatorcontrib><creatorcontrib>Wada, Masataka</creatorcontrib><creatorcontrib>Mitsukura, Yasue</creatorcontrib><creatorcontrib>Takamiya, Akihiro</creatorcontrib><creatorcontrib>Kitazawa, Momoko</creatorcontrib><creatorcontrib>Yoshimura, Michitaka</creatorcontrib><creatorcontrib>Mimura, Masaru</creatorcontrib><creatorcontrib>Kishimoto, Taishiro</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><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tazawa, Yuuki</au><au>Wada, Masataka</au><au>Mitsukura, Yasue</au><au>Takamiya, Akihiro</au><au>Kitazawa, Momoko</au><au>Yoshimura, Michitaka</au><au>Mimura, Masaru</au><au>Kishimoto, Taishiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Actigraphy for evaluation of mood disorders: A systematic review and meta-analysis</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2019-06-15</date><risdate>2019</risdate><volume>253</volume><spage>257</spage><epage>269</epage><pages>257-269</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><abstract>•Depressive patients less active with longer wake after sleep onset than healthy controls.•Total sleep time, sleep latency, and wake after sleep onset longer in euthymic/remitted patients than healthy controls.•Sleep latency, wake after sleep onset, and sleep efficiency significantly improved in pre- and post-treatment comparisons.
Actigraphy has enabled consecutive observation of individual health conditions such as sleep or daily activity. This study aimed to examine the usefulness of actigraphy in evaluating depressive and/or bipolar disorder symptoms.
A systematic review and meta-analysis was conducted. We selected studies that used actigraphy to compare either patients vs. healthy controls, or pre- vs. post-treatment data from the same patient group. Common actigraphy measurements, namely daily activity and sleep-related data, were extracted and synthesized.
Thirty-eight studies (n = 3,758) were included in the analysis. Compared with healthy controls, depressive patients were less active (standardized mean difference; SMD=1.27, 95%CI=[0.97, 1.57], P<0.001) and had longer wake after sleep onset (SMD= − 0.729, 95%CI=[− 1.20, − 0.25], p = 0.003). Total sleep time (SMD= − 0.33, 95%CI=[− 0.55, − 0.11], P = 0.004), sleep latency (SMD= − 0.22, 95%CI=[− 0.42, − 0.02], P = 0.032), and wake after sleep onset (SMD= − 0.22, 95%CI=[− 0.39, − 0.04], P = 0.015) were longer in euthymic/remitted patients compared to healthy controls. In pre- and post-treatment comparisons, sleep latency (SMD=− 0.85, 95%CI=[− 1.53, − 0.17], P = 0.015), wake after sleep onset (SMD= − 0.65, 95%CI=[− 1.20, − 0.10], P = 0.022), and sleep efficiency (SMD=0.77, 95%CI=[0.29, 1.24], P = 0.002) showed significant improvement.
The sample sizes for each outcome were small. The type of actigraphy devices and patients’ illness severity differed across studies. It is possible that hospitalizations and medication influenced the outcomes.
We found significant differences between healthy controls and mood disorders patients for some actigraphy-measured modalities. Specific measurement patterns characterizing each mood disorder/status were also found. Additional actigraphy data linked to severity and/or treatment could enhance the clinical utility of actigraphy.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>31060012</pmid><doi>10.1016/j.jad.2019.04.087</doi><tpages>13</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Actigraphy Activities of Daily Living Activity Adult Bipolar disorder Bipolar Disorder - diagnosis Cyclothymic Disorder Depression Female Humans Male Mood Disorders - physiopathology Polysomnography Sleep Sleep Wake Disorders - diagnosis Wearable device |
| title | Actigraphy for evaluation of mood disorders: A systematic review and meta-analysis |
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