The role of depressive symptoms and symptom dimensions in actigraphy-assessed sleep, circadian rhythm, and physical activity
Considering the heterogeneity of depression, distinct depressive symptom dimensions may be differentially associated with more objective actigraphy-based estimates of physical activity (PA), sleep and circadian rhythm (CR). We examined the association between PA, sleep, and CR assessed with actigrap...
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| Veröffentlicht in: | Psychological medicine 2022-10, Vol.52 (13), p.2760-2766 |
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| creator | Difrancesco, Sonia Penninx, Brenda W. J.H. Riese, Harriëtte Giltay, Erik J. Lamers, Femke |
| description | Considering the heterogeneity of depression, distinct depressive symptom dimensions may be differentially associated with more objective actigraphy-based estimates of physical activity (PA), sleep and circadian rhythm (CR). We examined the association between PA, sleep, and CR assessed with actigraphy and symptom dimensions (i.e. mood/cognition, somatic/vegetative, sleep).
Fourteen-day actigraphy data of 359 participants were obtained from the Netherlands Study of Depression and Anxiety. PA, sleep, and CR estimates included gross motor activity (GMA), sleep duration (SD), sleep efficiency (SE), relative amplitude between daytime and night-time activity (RA) and sleep midpoint. The 30-item Inventory of Depressive Symptomatology was used to assess depressive symptoms, which were categorised in three depression dimensions: mood/cognition, somatic/vegetative, and sleep.
GMA and RA were negatively associated with higher score on all three symptom dimensions: mood/cognition (GMA:
= -0.155,
< 0.001; RA:
= -0.116,
= 0.002), somatic/vegetative (GMA:
= -0.165,
< 0.001; RA:
= -0.133,
< 0.001), sleep (GMA:
= -0.169,
< 0.001; RA:
= -0.190,
< 0.001). The association with sleep was more pronounced for two depression dimensions: longer SD was linked to somatic/vegetative (
= 0.115,
= 0.015) dimension and lower SE was linked to sleep (
= -0.101,
= 0.011) dimension.
As three symptom dimensions were associated with actigraphy-based low PA and dampened CR, these seem to be general indicators of depression. Sleep disturbances appeared more linked to the somatic/vegetative and sleep dimensions; the effectiveness of sleep interventions in patients reporting somatic/vegetative symptoms may be explored, as well as the potential of actigraphy to monitor treatment response to such interventions. |
| doi_str_mv | 10.1017/S0033291720004870 |
| format | Article |
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Fourteen-day actigraphy data of 359 participants were obtained from the Netherlands Study of Depression and Anxiety. PA, sleep, and CR estimates included gross motor activity (GMA), sleep duration (SD), sleep efficiency (SE), relative amplitude between daytime and night-time activity (RA) and sleep midpoint. The 30-item Inventory of Depressive Symptomatology was used to assess depressive symptoms, which were categorised in three depression dimensions: mood/cognition, somatic/vegetative, and sleep.
GMA and RA were negatively associated with higher score on all three symptom dimensions: mood/cognition (GMA:
= -0.155,
< 0.001; RA:
= -0.116,
= 0.002), somatic/vegetative (GMA:
= -0.165,
< 0.001; RA:
= -0.133,
< 0.001), sleep (GMA:
= -0.169,
< 0.001; RA:
= -0.190,
< 0.001). The association with sleep was more pronounced for two depression dimensions: longer SD was linked to somatic/vegetative (
= 0.115,
= 0.015) dimension and lower SE was linked to sleep (
= -0.101,
= 0.011) dimension.
As three symptom dimensions were associated with actigraphy-based low PA and dampened CR, these seem to be general indicators of depression. Sleep disturbances appeared more linked to the somatic/vegetative and sleep dimensions; the effectiveness of sleep interventions in patients reporting somatic/vegetative symptoms may be explored, as well as the potential of actigraphy to monitor treatment response to such interventions.</description><identifier>ISSN: 0033-2917</identifier><identifier>EISSN: 1469-8978</identifier><identifier>DOI: 10.1017/S0033291720004870</identifier><identifier>PMID: 33431104</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Actigraphy ; Anxiety disorders ; Circadian rhythm ; Circadian Rhythm - physiology ; Circadian rhythms ; Cognition ; Cognition & reasoning ; Depression - complications ; Exercise ; Exercise - physiology ; Humans ; Insomnia ; Intervention ; Medical diagnosis ; Mental depression ; Mood ; Motor activity ; Original ; Original Article ; Persistent vegetative state ; Physical activity ; Questionnaires ; Rhythm ; Sleep ; Sleep - physiology ; Sleep disorders ; Smartphones ; Somatic symptoms ; Time use</subject><ispartof>Psychological medicine, 2022-10, Vol.52 (13), p.2760-2766</ispartof><rights>Copyright © The Author(s) 2021. Published by Cambridge University Press</rights><rights>Copyright © The Author(s) 2021. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License http://creativecommons.org/licenses/by-nc-nd/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021 2021 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-56560dc088592d483f154c9ad1d8f4a5126e5acf645b6bd233e9df43e2c32e643</citedby><cites>FETCH-LOGICAL-c471t-56560dc088592d483f154c9ad1d8f4a5126e5acf645b6bd233e9df43e2c32e643</cites><orcidid>0000-0001-7254-3686</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0033291720004870/type/journal_article$$EHTML$$P50$$Gcambridge$$Hfree_for_read</linktohtml><link.rule.ids>164,230,314,780,784,885,12846,27924,27925,30999,55628</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33431104$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Difrancesco, Sonia</creatorcontrib><creatorcontrib>Penninx, Brenda W. J.H.</creatorcontrib><creatorcontrib>Riese, Harriëtte</creatorcontrib><creatorcontrib>Giltay, Erik J.</creatorcontrib><creatorcontrib>Lamers, Femke</creatorcontrib><title>The role of depressive symptoms and symptom dimensions in actigraphy-assessed sleep, circadian rhythm, and physical activity</title><title>Psychological medicine</title><addtitle>Psychol. Med</addtitle><description>Considering the heterogeneity of depression, distinct depressive symptom dimensions may be differentially associated with more objective actigraphy-based estimates of physical activity (PA), sleep and circadian rhythm (CR). We examined the association between PA, sleep, and CR assessed with actigraphy and symptom dimensions (i.e. mood/cognition, somatic/vegetative, sleep).
Fourteen-day actigraphy data of 359 participants were obtained from the Netherlands Study of Depression and Anxiety. PA, sleep, and CR estimates included gross motor activity (GMA), sleep duration (SD), sleep efficiency (SE), relative amplitude between daytime and night-time activity (RA) and sleep midpoint. The 30-item Inventory of Depressive Symptomatology was used to assess depressive symptoms, which were categorised in three depression dimensions: mood/cognition, somatic/vegetative, and sleep.
GMA and RA were negatively associated with higher score on all three symptom dimensions: mood/cognition (GMA:
= -0.155,
< 0.001; RA:
= -0.116,
= 0.002), somatic/vegetative (GMA:
= -0.165,
< 0.001; RA:
= -0.133,
< 0.001), sleep (GMA:
= -0.169,
< 0.001; RA:
= -0.190,
< 0.001). The association with sleep was more pronounced for two depression dimensions: longer SD was linked to somatic/vegetative (
= 0.115,
= 0.015) dimension and lower SE was linked to sleep (
= -0.101,
= 0.011) dimension.
As three symptom dimensions were associated with actigraphy-based low PA and dampened CR, these seem to be general indicators of depression. Sleep disturbances appeared more linked to the somatic/vegetative and sleep dimensions; the effectiveness of sleep interventions in patients reporting somatic/vegetative symptoms may be explored, as well as the potential of actigraphy to monitor treatment response to such interventions.</description><subject>Actigraphy</subject><subject>Anxiety disorders</subject><subject>Circadian rhythm</subject><subject>Circadian Rhythm - physiology</subject><subject>Circadian rhythms</subject><subject>Cognition</subject><subject>Cognition & reasoning</subject><subject>Depression - complications</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Intervention</subject><subject>Medical diagnosis</subject><subject>Mental depression</subject><subject>Mood</subject><subject>Motor activity</subject><subject>Original</subject><subject>Original Article</subject><subject>Persistent vegetative state</subject><subject>Physical activity</subject><subject>Questionnaires</subject><subject>Rhythm</subject><subject>Sleep</subject><subject>Sleep - physiology</subject><subject>Sleep disorders</subject><subject>Smartphones</subject><subject>Somatic symptoms</subject><subject>Time use</subject><issn>0033-2917</issn><issn>1469-8978</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>IKXGN</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</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>eNp1kc1q3DAUhUVpaKZpH6CbIugmizjVnyVrUyghaQuBLpquhUa6HivYkit5Bgx9-HiSSfpHV0Lc73zS5SD0hpJzSqh6_40QzpmmihFCRKPIM7SiQuqq0ap5jlb7cbWfH6OXpdwSQjkV7AU65lxwSolYoZ83HeCcesCpxR7GDKWEHeAyD-OUhoJt9I8X7MMAsYQUCw4RWzeFTbZjN1e2lCUHC9kDjGfYheysDzbi3M1TN5zdaxayBGf7--QuTPMrdNTavsDrw3mCvl9d3lx8rq6_fvpy8fG6ckLRqaplLYl3pGlqzbxoeEtr4bT11DetsDVlEmrrWinqtVx7xjlo3woOzHEGUvAT9OHBO27XA3gHccq2N2MOg82zSTaYPycxdGaTdkZLoWoqF8HpQZDTjy2UyQyhOOh7GyFti2FCKVY3StAFffcXepu2OS7rGaa4IJoKzRaKPlAup1IytE-focTsuzX_dLtk3v6-xVPiscwF4AepHdY5-A38evv_2jvalrCz</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Difrancesco, Sonia</creator><creator>Penninx, Brenda W. 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J.H. ; Riese, Harriëtte ; Giltay, Erik J. ; Lamers, Femke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-56560dc088592d483f154c9ad1d8f4a5126e5acf645b6bd233e9df43e2c32e643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Actigraphy</topic><topic>Anxiety disorders</topic><topic>Circadian rhythm</topic><topic>Circadian Rhythm - physiology</topic><topic>Circadian rhythms</topic><topic>Cognition</topic><topic>Cognition & reasoning</topic><topic>Depression - complications</topic><topic>Exercise</topic><topic>Exercise - physiology</topic><topic>Humans</topic><topic>Insomnia</topic><topic>Intervention</topic><topic>Medical diagnosis</topic><topic>Mental depression</topic><topic>Mood</topic><topic>Motor activity</topic><topic>Original</topic><topic>Original Article</topic><topic>Persistent vegetative state</topic><topic>Physical activity</topic><topic>Questionnaires</topic><topic>Rhythm</topic><topic>Sleep</topic><topic>Sleep - physiology</topic><topic>Sleep disorders</topic><topic>Smartphones</topic><topic>Somatic symptoms</topic><topic>Time use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Difrancesco, Sonia</creatorcontrib><creatorcontrib>Penninx, Brenda W. J.H.</creatorcontrib><creatorcontrib>Riese, Harriëtte</creatorcontrib><creatorcontrib>Giltay, Erik J.</creatorcontrib><creatorcontrib>Lamers, Femke</creatorcontrib><collection>Cambridge Journals Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</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>Technology Research Database</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>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</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>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psychological medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Difrancesco, Sonia</au><au>Penninx, Brenda W. J.H.</au><au>Riese, Harriëtte</au><au>Giltay, Erik J.</au><au>Lamers, Femke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of depressive symptoms and symptom dimensions in actigraphy-assessed sleep, circadian rhythm, and physical activity</atitle><jtitle>Psychological medicine</jtitle><addtitle>Psychol. Med</addtitle><date>2022-10-01</date><risdate>2022</risdate><volume>52</volume><issue>13</issue><spage>2760</spage><epage>2766</epage><pages>2760-2766</pages><issn>0033-2917</issn><eissn>1469-8978</eissn><abstract>Considering the heterogeneity of depression, distinct depressive symptom dimensions may be differentially associated with more objective actigraphy-based estimates of physical activity (PA), sleep and circadian rhythm (CR). We examined the association between PA, sleep, and CR assessed with actigraphy and symptom dimensions (i.e. mood/cognition, somatic/vegetative, sleep).
Fourteen-day actigraphy data of 359 participants were obtained from the Netherlands Study of Depression and Anxiety. PA, sleep, and CR estimates included gross motor activity (GMA), sleep duration (SD), sleep efficiency (SE), relative amplitude between daytime and night-time activity (RA) and sleep midpoint. The 30-item Inventory of Depressive Symptomatology was used to assess depressive symptoms, which were categorised in three depression dimensions: mood/cognition, somatic/vegetative, and sleep.
GMA and RA were negatively associated with higher score on all three symptom dimensions: mood/cognition (GMA:
= -0.155,
< 0.001; RA:
= -0.116,
= 0.002), somatic/vegetative (GMA:
= -0.165,
< 0.001; RA:
= -0.133,
< 0.001), sleep (GMA:
= -0.169,
< 0.001; RA:
= -0.190,
< 0.001). The association with sleep was more pronounced for two depression dimensions: longer SD was linked to somatic/vegetative (
= 0.115,
= 0.015) dimension and lower SE was linked to sleep (
= -0.101,
= 0.011) dimension.
As three symptom dimensions were associated with actigraphy-based low PA and dampened CR, these seem to be general indicators of depression. Sleep disturbances appeared more linked to the somatic/vegetative and sleep dimensions; the effectiveness of sleep interventions in patients reporting somatic/vegetative symptoms may be explored, as well as the potential of actigraphy to monitor treatment response to such interventions.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>33431104</pmid><doi>10.1017/S0033291720004870</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7254-3686</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Cambridge Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Actigraphy Anxiety disorders Circadian rhythm Circadian Rhythm - physiology Circadian rhythms Cognition Cognition & reasoning Depression - complications Exercise Exercise - physiology Humans Insomnia Intervention Medical diagnosis Mental depression Mood Motor activity Original Original Article Persistent vegetative state Physical activity Questionnaires Rhythm Sleep Sleep - physiology Sleep disorders Smartphones Somatic symptoms Time use |
| title | The role of depressive symptoms and symptom dimensions in actigraphy-assessed sleep, circadian rhythm, and physical activity |
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