Longitudinal Association Between Depressive Symptoms and Multidimensional Sleep Health: The SWAN Sleep Study
Abstract Background Depressive symptoms and sleep disturbances disproportionately affect midlife women. While there may be a bidirectional association, few studies have examined whether depressive symptoms are longitudinally associated with subsequent sleep. Sleep is typically considered unidimensio...
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| Veröffentlicht in: | Annals of behavioral medicine 2021-06, Vol.55 (7), p.641-652 |
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| container_title | Annals of behavioral medicine |
| container_volume | 55 |
| creator | Bowman, Marissa A Kline, Christopher E Buysse, Daniel J Kravitz, Howard M Joffe, Hadine Matthews, Karen A Bromberger, Joyce T Roecklein, Kathryn A Krafty, Robert T Hall, Martica H |
| description | Abstract
Background
Depressive symptoms and sleep disturbances disproportionately affect midlife women. While there may be a bidirectional association, few studies have examined whether depressive symptoms are longitudinally associated with subsequent sleep. Sleep is typically considered unidimensional, despite emerging evidence that multidimensional sleep health provides novel information on the sleep–health link.
Purpose
The current study examined whether higher depressive symptoms were longitudinally associated with poorer multidimensional sleep health.
Method
Depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale across six to nine annual assessments in 302 midlife women from the Study of Women’s Health Across the Nation. Six months after their last assessment, actigraphy (mean ± standard deviation = 29.3 ± 6.9 days) and self-report were used to assess sleep health components: efficiency, duration, mid-sleep timing, regularity, alertness, and satisfaction, which were dichotomized and summed to create a composite multidimensional sleep health score. Mixed-effects models were used to evaluate the longitudinal associations between depressive symptoms and multidimensional sleep health, as well as individual sleep health components, adjusting for covariates. Exploratory analyses stratified models by race/ethnicity.
Results
Higher depressive symptoms were associated with subsequent poorer multidimensional sleep health (p < .0.001) and lower alertness (p < .0001) and satisfaction with sleep (p < .0001).
Conclusions
Our finding that higher average depressive symptoms were associated longitudinally with actigraphy-measured poorer sleep health in midlife women is novel and converges with the larger body of evidence that these two common symptoms are strongly associated. The bidirectional relationship between these two prevalent symptoms needs to be studied in prospective longitudinal studies.
In midlife women, more severe symptoms of depression over 6-9 years are associated with poorer subsequent sleep health |
| doi_str_mv | 10.1093/abm/kaaa107 |
| format | Article |
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Background
Depressive symptoms and sleep disturbances disproportionately affect midlife women. While there may be a bidirectional association, few studies have examined whether depressive symptoms are longitudinally associated with subsequent sleep. Sleep is typically considered unidimensional, despite emerging evidence that multidimensional sleep health provides novel information on the sleep–health link.
Purpose
The current study examined whether higher depressive symptoms were longitudinally associated with poorer multidimensional sleep health.
Method
Depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale across six to nine annual assessments in 302 midlife women from the Study of Women’s Health Across the Nation. Six months after their last assessment, actigraphy (mean ± standard deviation = 29.3 ± 6.9 days) and self-report were used to assess sleep health components: efficiency, duration, mid-sleep timing, regularity, alertness, and satisfaction, which were dichotomized and summed to create a composite multidimensional sleep health score. Mixed-effects models were used to evaluate the longitudinal associations between depressive symptoms and multidimensional sleep health, as well as individual sleep health components, adjusting for covariates. Exploratory analyses stratified models by race/ethnicity.
Results
Higher depressive symptoms were associated with subsequent poorer multidimensional sleep health (p < .0.001) and lower alertness (p < .0001) and satisfaction with sleep (p < .0001).
Conclusions
Our finding that higher average depressive symptoms were associated longitudinally with actigraphy-measured poorer sleep health in midlife women is novel and converges with the larger body of evidence that these two common symptoms are strongly associated. The bidirectional relationship between these two prevalent symptoms needs to be studied in prospective longitudinal studies.
In midlife women, more severe symptoms of depression over 6-9 years are associated with poorer subsequent sleep health</description><identifier>ISSN: 0883-6612</identifier><identifier>ISSN: 1532-4796</identifier><identifier>EISSN: 1532-4796</identifier><identifier>DOI: 10.1093/abm/kaaa107</identifier><identifier>PMID: 33410460</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Actigraphy ; Adult ; Asian ; Black or African American ; Depression - epidemiology ; Ethnicity - statistics & numerical data ; Female ; Humans ; Longitudinal Studies ; Middle Aged ; Regular ; Sleep ; United States - epidemiology ; White People ; Women's Health</subject><ispartof>Annals of behavioral medicine, 2021-06, Vol.55 (7), p.641-652</ispartof><rights>Society of Behavioral Medicine 2021. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2021</rights><rights>Society of Behavioral Medicine 2021. 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-c478t-69ba9c21e242204ab9e78c6e977d0a5e4ce8ac1776f99b26304b733afdbf63b03</citedby><cites>FETCH-LOGICAL-c478t-69ba9c21e242204ab9e78c6e977d0a5e4ce8ac1776f99b26304b733afdbf63b03</cites><orcidid>0000-0002-9146-7890 ; 0000-0001-8013-783X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33410460$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bowman, Marissa A</creatorcontrib><creatorcontrib>Kline, Christopher E</creatorcontrib><creatorcontrib>Buysse, Daniel J</creatorcontrib><creatorcontrib>Kravitz, Howard M</creatorcontrib><creatorcontrib>Joffe, Hadine</creatorcontrib><creatorcontrib>Matthews, Karen A</creatorcontrib><creatorcontrib>Bromberger, Joyce T</creatorcontrib><creatorcontrib>Roecklein, Kathryn A</creatorcontrib><creatorcontrib>Krafty, Robert T</creatorcontrib><creatorcontrib>Hall, Martica H</creatorcontrib><title>Longitudinal Association Between Depressive Symptoms and Multidimensional Sleep Health: The SWAN Sleep Study</title><title>Annals of behavioral medicine</title><addtitle>Ann Behav Med</addtitle><description>Abstract
Background
Depressive symptoms and sleep disturbances disproportionately affect midlife women. While there may be a bidirectional association, few studies have examined whether depressive symptoms are longitudinally associated with subsequent sleep. Sleep is typically considered unidimensional, despite emerging evidence that multidimensional sleep health provides novel information on the sleep–health link.
Purpose
The current study examined whether higher depressive symptoms were longitudinally associated with poorer multidimensional sleep health.
Method
Depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale across six to nine annual assessments in 302 midlife women from the Study of Women’s Health Across the Nation. Six months after their last assessment, actigraphy (mean ± standard deviation = 29.3 ± 6.9 days) and self-report were used to assess sleep health components: efficiency, duration, mid-sleep timing, regularity, alertness, and satisfaction, which were dichotomized and summed to create a composite multidimensional sleep health score. Mixed-effects models were used to evaluate the longitudinal associations between depressive symptoms and multidimensional sleep health, as well as individual sleep health components, adjusting for covariates. Exploratory analyses stratified models by race/ethnicity.
Results
Higher depressive symptoms were associated with subsequent poorer multidimensional sleep health (p < .0.001) and lower alertness (p < .0001) and satisfaction with sleep (p < .0001).
Conclusions
Our finding that higher average depressive symptoms were associated longitudinally with actigraphy-measured poorer sleep health in midlife women is novel and converges with the larger body of evidence that these two common symptoms are strongly associated. The bidirectional relationship between these two prevalent symptoms needs to be studied in prospective longitudinal studies.
In midlife women, more severe symptoms of depression over 6-9 years are associated with poorer subsequent sleep health</description><subject>Actigraphy</subject><subject>Adult</subject><subject>Asian</subject><subject>Black or African American</subject><subject>Depression - epidemiology</subject><subject>Ethnicity - statistics & numerical data</subject><subject>Female</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Middle Aged</subject><subject>Regular</subject><subject>Sleep</subject><subject>United States - epidemiology</subject><subject>White People</subject><subject>Women's Health</subject><issn>0883-6612</issn><issn>1532-4796</issn><issn>1532-4796</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1v1DAQxS0EokvhxB3lhCqhUH-tnXBA2rZAkRY4bBFHa5JMugbHDrFTtP99jXZb0QunkWZ-895oHiEvGX3LaC1OoRlOfwEAo_oRWbCl4KXUtXpMFrSqRKkU40fkWYw_KaVCMvWUHIlcqVR0Qdw6-Gub5s56cMUqxtBaSDb44gzTH0RfXOA4YYz2BovNbhhTGGIBviu-zC7Zzg7oY8bz8sYhjsUlgkvbd8XVNvM_Vl8P7U222D0nT3pwEV8c6jH5_vHD1flluf726fP5al22UlepVHUDdcsZcsk5ldDUqKtWYa11R2GJssUKWqa16uu64UpQ2WghoO-aXomGimPyfq87zs2AXYs-TeDMONkBpp0JYM3Dibdbcx1uTMUlZUJkgZODwBR-zxiTGWxs0TnwGOZouNT5q8tqqTP6Zo-2U4hxwv7ehlHzNx-T8zGHfDL96t_L7tm7QDLweg-Eefyv0i33ypvq</recordid><startdate>20210628</startdate><enddate>20210628</enddate><creator>Bowman, Marissa A</creator><creator>Kline, Christopher E</creator><creator>Buysse, Daniel J</creator><creator>Kravitz, Howard M</creator><creator>Joffe, Hadine</creator><creator>Matthews, Karen A</creator><creator>Bromberger, Joyce T</creator><creator>Roecklein, Kathryn A</creator><creator>Krafty, Robert T</creator><creator>Hall, Martica H</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>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9146-7890</orcidid><orcidid>https://orcid.org/0000-0001-8013-783X</orcidid></search><sort><creationdate>20210628</creationdate><title>Longitudinal Association Between Depressive Symptoms and Multidimensional Sleep Health: The SWAN Sleep Study</title><author>Bowman, Marissa A ; Kline, Christopher E ; Buysse, Daniel J ; Kravitz, Howard M ; Joffe, Hadine ; Matthews, Karen A ; Bromberger, Joyce T ; Roecklein, Kathryn A ; Krafty, Robert T ; Hall, Martica H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-69ba9c21e242204ab9e78c6e977d0a5e4ce8ac1776f99b26304b733afdbf63b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Actigraphy</topic><topic>Adult</topic><topic>Asian</topic><topic>Black or African American</topic><topic>Depression - epidemiology</topic><topic>Ethnicity - statistics & numerical data</topic><topic>Female</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Middle Aged</topic><topic>Regular</topic><topic>Sleep</topic><topic>United States - epidemiology</topic><topic>White People</topic><topic>Women's Health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bowman, Marissa A</creatorcontrib><creatorcontrib>Kline, Christopher E</creatorcontrib><creatorcontrib>Buysse, Daniel J</creatorcontrib><creatorcontrib>Kravitz, Howard M</creatorcontrib><creatorcontrib>Joffe, Hadine</creatorcontrib><creatorcontrib>Matthews, Karen A</creatorcontrib><creatorcontrib>Bromberger, Joyce T</creatorcontrib><creatorcontrib>Roecklein, Kathryn A</creatorcontrib><creatorcontrib>Krafty, Robert T</creatorcontrib><creatorcontrib>Hall, Martica 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>PubMed Central (Full Participant titles)</collection><jtitle>Annals of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bowman, Marissa A</au><au>Kline, Christopher E</au><au>Buysse, Daniel J</au><au>Kravitz, Howard M</au><au>Joffe, Hadine</au><au>Matthews, Karen A</au><au>Bromberger, Joyce T</au><au>Roecklein, Kathryn A</au><au>Krafty, Robert T</au><au>Hall, Martica H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Longitudinal Association Between Depressive Symptoms and Multidimensional Sleep Health: The SWAN Sleep Study</atitle><jtitle>Annals of behavioral medicine</jtitle><addtitle>Ann Behav Med</addtitle><date>2021-06-28</date><risdate>2021</risdate><volume>55</volume><issue>7</issue><spage>641</spage><epage>652</epage><pages>641-652</pages><issn>0883-6612</issn><issn>1532-4796</issn><eissn>1532-4796</eissn><abstract>Abstract
Background
Depressive symptoms and sleep disturbances disproportionately affect midlife women. While there may be a bidirectional association, few studies have examined whether depressive symptoms are longitudinally associated with subsequent sleep. Sleep is typically considered unidimensional, despite emerging evidence that multidimensional sleep health provides novel information on the sleep–health link.
Purpose
The current study examined whether higher depressive symptoms were longitudinally associated with poorer multidimensional sleep health.
Method
Depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale across six to nine annual assessments in 302 midlife women from the Study of Women’s Health Across the Nation. Six months after their last assessment, actigraphy (mean ± standard deviation = 29.3 ± 6.9 days) and self-report were used to assess sleep health components: efficiency, duration, mid-sleep timing, regularity, alertness, and satisfaction, which were dichotomized and summed to create a composite multidimensional sleep health score. Mixed-effects models were used to evaluate the longitudinal associations between depressive symptoms and multidimensional sleep health, as well as individual sleep health components, adjusting for covariates. Exploratory analyses stratified models by race/ethnicity.
Results
Higher depressive symptoms were associated with subsequent poorer multidimensional sleep health (p < .0.001) and lower alertness (p < .0001) and satisfaction with sleep (p < .0001).
Conclusions
Our finding that higher average depressive symptoms were associated longitudinally with actigraphy-measured poorer sleep health in midlife women is novel and converges with the larger body of evidence that these two common symptoms are strongly associated. The bidirectional relationship between these two prevalent symptoms needs to be studied in prospective longitudinal studies.
In midlife women, more severe symptoms of depression over 6-9 years are associated with poorer subsequent sleep health</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>33410460</pmid><doi>10.1093/abm/kaaa107</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-9146-7890</orcidid><orcidid>https://orcid.org/0000-0001-8013-783X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-6612 |
| ispartof | Annals of behavioral medicine, 2021-06, Vol.55 (7), p.641-652 |
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| language | eng |
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| source | MEDLINE; Oxford University Press Journals Current |
| subjects | Actigraphy Adult Asian Black or African American Depression - epidemiology Ethnicity - statistics & numerical data Female Humans Longitudinal Studies Middle Aged Regular Sleep United States - epidemiology White People Women's Health |
| title | Longitudinal Association Between Depressive Symptoms and Multidimensional Sleep Health: The SWAN Sleep Study |
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