Does insomnia treatment prevent depression?

Abstract Rates of major depressive disorder (MDD) are increasing globally, in part due to the coronavirus disease 2019 pandemic, contributing to disease burden. It has long been known that insomnia is intricately connected with depression as indicated by greater depression severity and lower treatme...

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Veröffentlicht in:Sleep (New York, N.Y.) N.Y.), 2023-06, Vol.46 (6), p.1
Hauptverfasser: Boland, Elaine M, Goldschmied, Jennifer R, Gehrman, Philip R
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container_title Sleep (New York, N.Y.)
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creator Boland, Elaine M
Goldschmied, Jennifer R
Gehrman, Philip R
description Abstract Rates of major depressive disorder (MDD) are increasing globally, in part due to the coronavirus disease 2019 pandemic, contributing to disease burden. It has long been known that insomnia is intricately connected with depression as indicated by greater depression severity and lower treatment response. Furthermore, insomnia is a significant risk factor for new-onset depression. Treatment of insomnia is thus a logical target for prevention of incidents and recurrent MDD. This systematic review sought to evaluate the current evidence for the preventive effects of insomnia treatment on depression onset. A database search yielded 186 studies, six of which met criteria for inclusion in this review. All of the studies utilized cognitive behavioral treatment for insomnia (CBT-I) as the target intervention and most delivered treatment via a digital platform. Four of the studies found significantly lower rates of MDD onset in those who received CBT-I compared to a control condition. The two remaining studies failed to confirm these effects in primary analyses but secondary analyses suggested evidence of a preventive effect. There was significant methodologic heterogeneity across studies in terms of sample selection, outcomes, and follow-up periods, limiting the ability to draw firm conclusions. The evidence overall is in the direction of insomnia treatment reducing the risk for onset of MDD, but further research is warranted.
doi_str_mv 10.1093/sleep/zsad104
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It has long been known that insomnia is intricately connected with depression as indicated by greater depression severity and lower treatment response. Furthermore, insomnia is a significant risk factor for new-onset depression. Treatment of insomnia is thus a logical target for prevention of incidents and recurrent MDD. This systematic review sought to evaluate the current evidence for the preventive effects of insomnia treatment on depression onset. A database search yielded 186 studies, six of which met criteria for inclusion in this review. All of the studies utilized cognitive behavioral treatment for insomnia (CBT-I) as the target intervention and most delivered treatment via a digital platform. Four of the studies found significantly lower rates of MDD onset in those who received CBT-I compared to a control condition. The two remaining studies failed to confirm these effects in primary analyses but secondary analyses suggested evidence of a preventive effect. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Analysis
Behavior therapy
Behavioral health care
Cognitive therapy
Coronavirus infections
Coronaviruses
COVID-19
Database searching
Depression - psychology
Depression, Mental
Depressive Disorder, Major - complications
Drug therapy
Epidemics
Humans
Insomnia
Insomnia and Psychiatric Disorders
Internet/Web search services
Mental depression
Online searching
Prevention
Sleep Initiation and Maintenance Disorders - complications
Treatment Outcome
title Does insomnia treatment prevent depression?
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