Bidirectional associations between insomnia, posttraumatic stress disorder, and depressive symptoms among adolescent earthquake survivors: a longitudinal multiwave cohort study
To assess insomnia symptoms in adolescents with probable posttraumatic stress disorder (PTSD) and to determine whether there are longitudinal and reciprocal associations between insomnia, PTSD, and depressive symptoms. Participants were 1,492 adolescent survivors who had been exposed to the 2008 Wen...
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| Veröffentlicht in: | Sleep (New York, N.Y.) N.Y.), 2019-11, Vol.42 (11) |
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| container_title | Sleep (New York, N.Y.) |
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| creator | Geng, Fulei Liang, Yingxin Li, Yuanyuan Fang, Yi Pham, Tien Sy Liu, Xianchen Fan, Fang |
| description | To assess insomnia symptoms in adolescents with probable posttraumatic stress disorder (PTSD) and to determine whether there are longitudinal and reciprocal associations between insomnia, PTSD, and depressive symptoms.
Participants were 1,492 adolescent survivors who had been exposed to the 2008 Wenchuan earthquake in China. Insomnia, PTSD, and depressive symptoms were measured at 12 months (T1, n = 1407), 18 months (T2, n = 1335), and 24 months (T3, n = 1361) postearthquake by self-report questionnaires. Generalized estimating equation (GEE) models were used to examine the cross-sectional and longitudinal associations of insomnia with PTSD and depression.
Insomnia, PTSD, and depressive symptoms were common among adolescent survivors. Among participants with probable PTSD, approximately 47% (48.5%, T1; 48.1%, T2; and 44.2%, T3) reported difficulty falling asleep or difficulty maintaining sleep. Cross-sectional analyses showed that insomnia co-occurred with PTSD (odds ratio [OR] = 2.04) and depressive symptoms (OR = 2.10). Longitudinal analyses revealed that probable PTSD (OR = 1.50) and depression (OR = 1.42) predicted the incidence of insomnia; in turn, insomnia predicted the incidence of depression (OR = 1.65) over time. Furthermore, PTSD predicted (OR = 3.11) and was predicted (OR = 3.25) by depressive symptoms.
There is a bidirectional relationship between insomnia, PTSD, and depressive symptoms. This suggests that insomnia, PTSD, and depression are intertwined over time. |
| doi_str_mv | 10.1093/sleep/zsz162 |
| format | Article |
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Participants were 1,492 adolescent survivors who had been exposed to the 2008 Wenchuan earthquake in China. Insomnia, PTSD, and depressive symptoms were measured at 12 months (T1, n = 1407), 18 months (T2, n = 1335), and 24 months (T3, n = 1361) postearthquake by self-report questionnaires. Generalized estimating equation (GEE) models were used to examine the cross-sectional and longitudinal associations of insomnia with PTSD and depression.
Insomnia, PTSD, and depressive symptoms were common among adolescent survivors. Among participants with probable PTSD, approximately 47% (48.5%, T1; 48.1%, T2; and 44.2%, T3) reported difficulty falling asleep or difficulty maintaining sleep. Cross-sectional analyses showed that insomnia co-occurred with PTSD (odds ratio [OR] = 2.04) and depressive symptoms (OR = 2.10). Longitudinal analyses revealed that probable PTSD (OR = 1.50) and depression (OR = 1.42) predicted the incidence of insomnia; in turn, insomnia predicted the incidence of depression (OR = 1.65) over time. Furthermore, PTSD predicted (OR = 3.11) and was predicted (OR = 3.25) by depressive symptoms.
There is a bidirectional relationship between insomnia, PTSD, and depressive symptoms. This suggests that insomnia, PTSD, and depression are intertwined over time.</description><identifier>ISSN: 0161-8105</identifier><identifier>EISSN: 1550-9109</identifier><identifier>DOI: 10.1093/sleep/zsz162</identifier><identifier>PMID: 31328781</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adolescent ; China - epidemiology ; Cohort analysis ; Cohort Studies ; Comorbidity ; Depression - epidemiology ; Earthquakes ; Female ; Humans ; Insomnia ; Longitudinal Studies ; Male ; Mental depression ; Post traumatic stress disorder ; Sleep Initiation and Maintenance Disorders - epidemiology ; Stress Disorders, Post-Traumatic - epidemiology ; Surveys and Questionnaires ; Survivors - statistics & numerical data ; Teenagers</subject><ispartof>Sleep (New York, N.Y.), 2019-11, Vol.42 (11)</ispartof><rights>Sleep Research Society 2019. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-826e3073120e5e024f2923dc1954585c88f44eed4c98c8998b871762512a15753</citedby><cites>FETCH-LOGICAL-c456t-826e3073120e5e024f2923dc1954585c88f44eed4c98c8998b871762512a15753</cites><orcidid>0000-0003-0411-1050</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31328781$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Geng, Fulei</creatorcontrib><creatorcontrib>Liang, Yingxin</creatorcontrib><creatorcontrib>Li, Yuanyuan</creatorcontrib><creatorcontrib>Fang, Yi</creatorcontrib><creatorcontrib>Pham, Tien Sy</creatorcontrib><creatorcontrib>Liu, Xianchen</creatorcontrib><creatorcontrib>Fan, Fang</creatorcontrib><title>Bidirectional associations between insomnia, posttraumatic stress disorder, and depressive symptoms among adolescent earthquake survivors: a longitudinal multiwave cohort study</title><title>Sleep (New York, N.Y.)</title><addtitle>Sleep</addtitle><description>To assess insomnia symptoms in adolescents with probable posttraumatic stress disorder (PTSD) and to determine whether there are longitudinal and reciprocal associations between insomnia, PTSD, and depressive symptoms.
Participants were 1,492 adolescent survivors who had been exposed to the 2008 Wenchuan earthquake in China. Insomnia, PTSD, and depressive symptoms were measured at 12 months (T1, n = 1407), 18 months (T2, n = 1335), and 24 months (T3, n = 1361) postearthquake by self-report questionnaires. Generalized estimating equation (GEE) models were used to examine the cross-sectional and longitudinal associations of insomnia with PTSD and depression.
Insomnia, PTSD, and depressive symptoms were common among adolescent survivors. Among participants with probable PTSD, approximately 47% (48.5%, T1; 48.1%, T2; and 44.2%, T3) reported difficulty falling asleep or difficulty maintaining sleep. Cross-sectional analyses showed that insomnia co-occurred with PTSD (odds ratio [OR] = 2.04) and depressive symptoms (OR = 2.10). Longitudinal analyses revealed that probable PTSD (OR = 1.50) and depression (OR = 1.42) predicted the incidence of insomnia; in turn, insomnia predicted the incidence of depression (OR = 1.65) over time. Furthermore, PTSD predicted (OR = 3.11) and was predicted (OR = 3.25) by depressive symptoms.
There is a bidirectional relationship between insomnia, PTSD, and depressive symptoms. This suggests that insomnia, PTSD, and depression are intertwined over time.</description><subject>Adolescent</subject><subject>China - epidemiology</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Depression - epidemiology</subject><subject>Earthquakes</subject><subject>Female</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mental depression</subject><subject>Post traumatic stress disorder</subject><subject>Sleep Initiation and Maintenance Disorders - epidemiology</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Surveys and Questionnaires</subject><subject>Survivors - statistics & numerical data</subject><subject>Teenagers</subject><issn>0161-8105</issn><issn>1550-9109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkT1vFDEQhi0EIsdBR40s0VDcEn-sd226EPElRaKBeuWz54jD7nrjsS-6_Cp-Ij4uUFCNZubROx8vIS85e8uZkec4Aizn93jPO_GIrLhSrDG185isGO94ozlTZ-QZ4g2reWvkU3ImuRS613xFfr0PPiRwOcTZjtQiRhfsMUO6hXwHMNMwY5zmYDd0iZhzsmWqhKOYEyBSHzAmD2lD7eyph-VYDXugeJiWHCekdorzD2p9HAEdzJmCTfn6ttifFSppH_Yx4Ttq6Vi5kIsPx12mMuZwZ6uQi9cx5Tqv-MNz8mRnR4QXD3FNvn_88O3yc3P19dOXy4urxrWqy40WHUjWSy4YKGCi3QkjpHfcqFZp5bTetS2Ab53RThujt7rnfScUF5arXsk1eXPSXVK8LYB5mEJdfhztDLHgIETHTd9qIyv6-j_0JpZUT6iU7KqiMvXha7I5US5FxAS7YUlhsukwcDYcnRz-ODmcnKz4qwfRsp3A_4P_Wid_A__FoBM</recordid><startdate>20191101</startdate><enddate>20191101</enddate><creator>Geng, Fulei</creator><creator>Liang, Yingxin</creator><creator>Li, Yuanyuan</creator><creator>Fang, Yi</creator><creator>Pham, Tien Sy</creator><creator>Liu, Xianchen</creator><creator>Fan, Fang</creator><general>Oxford University Press</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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0411-1050</orcidid></search><sort><creationdate>20191101</creationdate><title>Bidirectional associations between insomnia, posttraumatic stress disorder, and depressive symptoms among adolescent earthquake survivors: a longitudinal multiwave cohort study</title><author>Geng, Fulei ; Liang, Yingxin ; Li, Yuanyuan ; Fang, Yi ; Pham, Tien Sy ; Liu, Xianchen ; Fan, Fang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-826e3073120e5e024f2923dc1954585c88f44eed4c98c8998b871762512a15753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>China - epidemiology</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Depression - epidemiology</topic><topic>Earthquakes</topic><topic>Female</topic><topic>Humans</topic><topic>Insomnia</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mental depression</topic><topic>Post traumatic stress disorder</topic><topic>Sleep Initiation and Maintenance Disorders - epidemiology</topic><topic>Stress Disorders, Post-Traumatic - epidemiology</topic><topic>Surveys and Questionnaires</topic><topic>Survivors - statistics & numerical data</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Geng, Fulei</creatorcontrib><creatorcontrib>Liang, Yingxin</creatorcontrib><creatorcontrib>Li, Yuanyuan</creatorcontrib><creatorcontrib>Fang, Yi</creatorcontrib><creatorcontrib>Pham, Tien Sy</creatorcontrib><creatorcontrib>Liu, Xianchen</creatorcontrib><creatorcontrib>Fan, Fang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database (ProQuest)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Geng, Fulei</au><au>Liang, Yingxin</au><au>Li, Yuanyuan</au><au>Fang, Yi</au><au>Pham, Tien Sy</au><au>Liu, Xianchen</au><au>Fan, Fang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bidirectional associations between insomnia, posttraumatic stress disorder, and depressive symptoms among adolescent earthquake survivors: a longitudinal multiwave cohort study</atitle><jtitle>Sleep (New York, N.Y.)</jtitle><addtitle>Sleep</addtitle><date>2019-11-01</date><risdate>2019</risdate><volume>42</volume><issue>11</issue><issn>0161-8105</issn><eissn>1550-9109</eissn><abstract>To assess insomnia symptoms in adolescents with probable posttraumatic stress disorder (PTSD) and to determine whether there are longitudinal and reciprocal associations between insomnia, PTSD, and depressive symptoms.
Participants were 1,492 adolescent survivors who had been exposed to the 2008 Wenchuan earthquake in China. Insomnia, PTSD, and depressive symptoms were measured at 12 months (T1, n = 1407), 18 months (T2, n = 1335), and 24 months (T3, n = 1361) postearthquake by self-report questionnaires. Generalized estimating equation (GEE) models were used to examine the cross-sectional and longitudinal associations of insomnia with PTSD and depression.
Insomnia, PTSD, and depressive symptoms were common among adolescent survivors. Among participants with probable PTSD, approximately 47% (48.5%, T1; 48.1%, T2; and 44.2%, T3) reported difficulty falling asleep or difficulty maintaining sleep. Cross-sectional analyses showed that insomnia co-occurred with PTSD (odds ratio [OR] = 2.04) and depressive symptoms (OR = 2.10). Longitudinal analyses revealed that probable PTSD (OR = 1.50) and depression (OR = 1.42) predicted the incidence of insomnia; in turn, insomnia predicted the incidence of depression (OR = 1.65) over time. Furthermore, PTSD predicted (OR = 3.11) and was predicted (OR = 3.25) by depressive symptoms.
There is a bidirectional relationship between insomnia, PTSD, and depressive symptoms. This suggests that insomnia, PTSD, and depression are intertwined over time.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>31328781</pmid><doi>10.1093/sleep/zsz162</doi><orcidid>https://orcid.org/0000-0003-0411-1050</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent China - epidemiology Cohort analysis Cohort Studies Comorbidity Depression - epidemiology Earthquakes Female Humans Insomnia Longitudinal Studies Male Mental depression Post traumatic stress disorder Sleep Initiation and Maintenance Disorders - epidemiology Stress Disorders, Post-Traumatic - epidemiology Surveys and Questionnaires Survivors - statistics & numerical data Teenagers |
| title | Bidirectional associations between insomnia, posttraumatic stress disorder, and depressive symptoms among adolescent earthquake survivors: a longitudinal multiwave cohort study |
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