Sleep complaints in adolescent depression: one year naturalistic follow-up study
Sleep complaints are highly prevalent in adolescents suffering from major depressive disorder (MDD). The aims of this study were to describe the longitudinal course of sleep complaints, and to assess the association between sleep complaints and clinical outcome in a sample of adolescents with MDD du...
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| Veröffentlicht in: | BMC psychiatry 2014-10, Vol.14 (1), p.283-283, Article 283 |
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| creator | Urrila, Anna S Karlsson, Linnea Kiviruusu, Olli Pankakoski, Maiju Pelkonen, Mirjami Strandholm, Thea Marttunen, Mauri |
| description | Sleep complaints are highly prevalent in adolescents suffering from major depressive disorder (MDD). The aims of this study were to describe the longitudinal course of sleep complaints, and to assess the association between sleep complaints and clinical outcome in a sample of adolescents with MDD during naturalistic follow-up.
A sample of adolescent outpatients (n = 166; age 13-19 years, 17.5% boys) diagnosed with MDD was followed-up during one year in naturalistic settings. Sleep symptoms and psychiatric symptoms were assessed with interviews and self-report questionnaires.
All sleep complaints were less frequent at one-year follow-up compared to baseline. Baseline sleep complaints did not adversely affect clinical outcome at one-year follow-up: severity of the sleep complaints at baseline was associated with a steeper improvement of depressive and anxiety symptoms, suicidality/self-harm symptoms, and overall psychosocial functioning over time.
Our results suggest that sleep disturbances at baseline do not necessarily lead to poorer clinical outcome during follow-up. Larger longitudinal studies combining both subjective and objective measures of sleep in depressed adolescents are needed to clarify the link between sleep and depression further. |
| doi_str_mv | 10.1186/s12888-014-0283-y |
| format | Article |
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A sample of adolescent outpatients (n = 166; age 13-19 years, 17.5% boys) diagnosed with MDD was followed-up during one year in naturalistic settings. Sleep symptoms and psychiatric symptoms were assessed with interviews and self-report questionnaires.
All sleep complaints were less frequent at one-year follow-up compared to baseline. Baseline sleep complaints did not adversely affect clinical outcome at one-year follow-up: severity of the sleep complaints at baseline was associated with a steeper improvement of depressive and anxiety symptoms, suicidality/self-harm symptoms, and overall psychosocial functioning over time.
Our results suggest that sleep disturbances at baseline do not necessarily lead to poorer clinical outcome during follow-up. Larger longitudinal studies combining both subjective and objective measures of sleep in depressed adolescents are needed to clarify the link between sleep and depression further.</description><identifier>ISSN: 1471-244X</identifier><identifier>EISSN: 1471-244X</identifier><identifier>DOI: 10.1186/s12888-014-0283-y</identifier><identifier>PMID: 25603383</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; Analysis ; Anxiety ; Anxiety - psychology ; Child & adolescent psychiatry ; Children & youth ; Comorbidity ; Comparative analysis ; Complaints ; Depressive Disorder, Major - psychology ; Emotional disorders ; Female ; Follow-Up Studies ; Health aspects ; Hospitals ; Humans ; Insomnia ; Longitudinal Studies ; Male ; Mental depression ; Patient outcomes ; Prevalence ; Psychiatry ; Psychological aspects ; Self Report ; Self-Injurious Behavior - psychology ; Sleep ; Sleep Wake Disorders - psychology ; Studies ; Suicide - psychology ; Surveys and Questionnaires ; Teenagers ; Young Adult</subject><ispartof>BMC psychiatry, 2014-10, Vol.14 (1), p.283-283, Article 283</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>2014 Urrila et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.</rights><rights>Urrila et al.; licensee BioMed Central Ltd. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c527t-e783278947e0a0dfcadeb657c0ca1e70172bda01e5b0531087d7af034cd602f23</citedby><cites>FETCH-LOGICAL-c527t-e783278947e0a0dfcadeb657c0ca1e70172bda01e5b0531087d7af034cd602f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4196090/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4196090/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25603383$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Urrila, Anna S</creatorcontrib><creatorcontrib>Karlsson, Linnea</creatorcontrib><creatorcontrib>Kiviruusu, Olli</creatorcontrib><creatorcontrib>Pankakoski, Maiju</creatorcontrib><creatorcontrib>Pelkonen, Mirjami</creatorcontrib><creatorcontrib>Strandholm, Thea</creatorcontrib><creatorcontrib>Marttunen, Mauri</creatorcontrib><creatorcontrib>Adolescent Depression Study group</creatorcontrib><creatorcontrib>Study group the Adolescent Depression</creatorcontrib><title>Sleep complaints in adolescent depression: one year naturalistic follow-up study</title><title>BMC psychiatry</title><addtitle>BMC Psychiatry</addtitle><description>Sleep complaints are highly prevalent in adolescents suffering from major depressive disorder (MDD). The aims of this study were to describe the longitudinal course of sleep complaints, and to assess the association between sleep complaints and clinical outcome in a sample of adolescents with MDD during naturalistic follow-up.
A sample of adolescent outpatients (n = 166; age 13-19 years, 17.5% boys) diagnosed with MDD was followed-up during one year in naturalistic settings. Sleep symptoms and psychiatric symptoms were assessed with interviews and self-report questionnaires.
All sleep complaints were less frequent at one-year follow-up compared to baseline. Baseline sleep complaints did not adversely affect clinical outcome at one-year follow-up: severity of the sleep complaints at baseline was associated with a steeper improvement of depressive and anxiety symptoms, suicidality/self-harm symptoms, and overall psychosocial functioning over time.
Our results suggest that sleep disturbances at baseline do not necessarily lead to poorer clinical outcome during follow-up. Larger longitudinal studies combining both subjective and objective measures of sleep in depressed adolescents are needed to clarify the link between sleep and depression further.</description><subject>Adolescent</subject><subject>Analysis</subject><subject>Anxiety</subject><subject>Anxiety - psychology</subject><subject>Child & adolescent psychiatry</subject><subject>Children & youth</subject><subject>Comorbidity</subject><subject>Comparative analysis</subject><subject>Complaints</subject><subject>Depressive Disorder, Major - psychology</subject><subject>Emotional disorders</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mental depression</subject><subject>Patient outcomes</subject><subject>Prevalence</subject><subject>Psychiatry</subject><subject>Psychological aspects</subject><subject>Self Report</subject><subject>Self-Injurious Behavior - psychology</subject><subject>Sleep</subject><subject>Sleep Wake Disorders - psychology</subject><subject>Studies</subject><subject>Suicide - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Teenagers</subject><subject>Young Adult</subject><issn>1471-244X</issn><issn>1471-244X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNUl9r1zAULaK4Of0AvkjBF186702aJvVBGGP-gYGCCr6F_NLbmZEmtWkn_fZL-c25iQ8-JSTnnJx7coriOcIxompeJ2RKqQqwroApXq0PikOsJVasrr8_vLM_KJ6kdAmAUgl8XBww0QDnih8Wn794orG0cRi9cWFOpQul6aKnZCnMZUfjRCm5GN6UMVC5kpnKYOZlMt6l2dmyj97HX9UylmleuvVp8ag3PtGzm_Wo-Pbu7Ovph-r80_uPpyfnlRVMzhVJxZlUbS0JDHS9NR3tGiEtWIMks1O26wwgiR0IjqBkJ00PvLZdA6xn_Kh4u9cdl91A3WY2W9Lj5AYzrToap-_fBPdDX8QrXWPbQAtZ4NWNwBR_LpRmPbg8s_cmUFySxkYw3jJU_D-gqFDIFuoMffkX9DIuU8hJbKj8dI0S_qAujCftQh-zRbuJ6hPBW9HyptlGPP4HymxRDc7m3-hdPr9HwD3BTjGlifrbOBD01hi9b4zOjdFbY_SaOS_u5njL-F0Rfg3OYbvP</recordid><startdate>20141008</startdate><enddate>20141008</enddate><creator>Urrila, Anna S</creator><creator>Karlsson, Linnea</creator><creator>Kiviruusu, Olli</creator><creator>Pankakoski, Maiju</creator><creator>Pelkonen, Mirjami</creator><creator>Strandholm, Thea</creator><creator>Marttunen, Mauri</creator><general>BioMed Central Ltd</general><general>BioMed Central</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>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</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>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20141008</creationdate><title>Sleep complaints in adolescent depression: one year naturalistic follow-up study</title><author>Urrila, Anna S ; 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The aims of this study were to describe the longitudinal course of sleep complaints, and to assess the association between sleep complaints and clinical outcome in a sample of adolescents with MDD during naturalistic follow-up.
A sample of adolescent outpatients (n = 166; age 13-19 years, 17.5% boys) diagnosed with MDD was followed-up during one year in naturalistic settings. Sleep symptoms and psychiatric symptoms were assessed with interviews and self-report questionnaires.
All sleep complaints were less frequent at one-year follow-up compared to baseline. Baseline sleep complaints did not adversely affect clinical outcome at one-year follow-up: severity of the sleep complaints at baseline was associated with a steeper improvement of depressive and anxiety symptoms, suicidality/self-harm symptoms, and overall psychosocial functioning over time.
Our results suggest that sleep disturbances at baseline do not necessarily lead to poorer clinical outcome during follow-up. Larger longitudinal studies combining both subjective and objective measures of sleep in depressed adolescents are needed to clarify the link between sleep and depression further.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>25603383</pmid><doi>10.1186/s12888-014-0283-y</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Analysis Anxiety Anxiety - psychology Child & adolescent psychiatry Children & youth Comorbidity Comparative analysis Complaints Depressive Disorder, Major - psychology Emotional disorders Female Follow-Up Studies Health aspects Hospitals Humans Insomnia Longitudinal Studies Male Mental depression Patient outcomes Prevalence Psychiatry Psychological aspects Self Report Self-Injurious Behavior - psychology Sleep Sleep Wake Disorders - psychology Studies Suicide - psychology Surveys and Questionnaires Teenagers Young Adult |
| title | Sleep complaints in adolescent depression: one year naturalistic follow-up study |
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