RefDoc
Haut

Faire une nouvelle recherche
Make a new search
Lancer la recherche


Titre du document / Document title

Insomnia and Sleep Duration in a Large Cohort of Patients With Major Depressive Disorder and Anxiety Disorders

Auteur(s) / Author(s)

VAN MILL Josine G. (1) ; HOOGENDIJK Witte J. G. (1) ; VOGELZANGS Nicole (1 2) ; VAN DYCK Richard (1 2) ; PENNINX Brenda W. J. H. (2 3) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) NeuroCampus Amsterdam, VU University Medical Center, Amsterdam, PAYS-BAS
(2) Department of Psychiatry and the EMGO Institute for Health and Care Research, PAYS-BAS
(3) Department of Psychiatry, Leiden University Medical Center, and Department of Psychiatry, University Medical Center Groningen, PAYS-BAS

Résumé / Abstract

Objective: Disturbed sleep has a high impact on daily functioning and has been correlated with psychopathology. We investigated the extent to which insomnia and sleep duration were associated with both current and remitted depressive and anxiety disorders in a large-scale epidemiologic study, taking sociodemographics, health factors, and medication use into account. Method: Data of 2,619 individuals from the Netherlands Study of Depression and Anxiety (NESDA) were analyzed. Psychopathology was classified as no, current, or remitted DSM-IV― based diagnosis of major depressive or anxiety disorder. Outcome measures were insomnia (Women's Health Initiative Insomnia Rating Scale score ≥ 9) and sleep duration (≤ 6 hours, 7-9 hours, ≥ 10 hours). Baseline measurement was conducted between September 2004 and February 2007. Results: Both current and remitted depressive disorder and current anxiety disorder were associated with insomnia and short sleep duration with odds ratios (ORs) for insomnia ranging from 1.42 to 3.23 and for short sleep duration ranging from 1.41 to 2.53. Associations were stronger for current than for remitted diagnoses and stronger for depressive than for anxiety disorders. Also long sleep duration was associated with current depressive disorder and anxiety disorders (OR range, 1.53― 2.66). Sociodemographic factors, health indicators, and psychotropic medication use did contribute to sleep outcomes but could not explain much of the psychopathology and sleep associations. Conclusion: Depressive disorder—but also anxiety disorder—is strongly associated with sleep disturbances. Insomnia and short sleep duration persist after remittance of these disorders, suggesting that these are residual symptoms or possibly trait markers. Also, long sleep duration is associated with current depressive or anxiety disorders.

Revue / Journal Title

The Journal of clinical psychiatry    ISSN  0160-6689 

Source / Source

2010, vol. 71, no3, pp. 239-246 [8 page(s) (article)] (36 ref.)

Langue / Language

Anglais

Editeur / Publisher

Physicians Postgraduate Press, Memphis, TN, ETATS-UNIS  (1978) (Revue)

Mots-clés anglais / English Keywords

Neurological disorder

;

Nervous system diseases

;

Mood disorder

;

Sleep wake cycle

;

Sleep disorder

;

Human

;

Anxiety disorder

;

Depression

;

Duration

;

Sleep

;

Insomnia

;

Mots-clés français / French Keywords

Trouble neurologique

;

Pathologie du système nerveux

;

Trouble de l'humeur

;

Cycle veille sommeil

;

Trouble du sommeil

;

Homme

;

Trouble anxieux

;

Etat dépressif

;

Durée

;

Sommeil

;

Insomnie

;

Mots-clés espagnols / Spanish Keywords

Trastorno neurológico

;

Sistema nervioso patología

;

Trastorno humor

;

Ciclo sueño vigilia

;

Trastorno sueño

;

Hombre

;

Trastorno ansiedad

;

Estado depresivo

;

Duración

;

Sueño

;

Insomnio

;

Localisation / Location

INIST-CNRS, Cote INIST : 9069, 35400018151242.0040

Nº notice refdoc (ud4) : 22551089



Faire une nouvelle recherche
Make a new search
Lancer la recherche
Bas