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Sleep Disturbances Are Associated With Depressive Symptoms in a Chinese Population

The Rugao Longevity and Aging Cohort

Bibliographic Data

ID15530367
AuthorsChunhong Qiao (Fudan University), Hui Zhang (0000-0002-8814-226X, Fudan University), Qi Song (0000-0002-1379-970X, Fudan University), Xi Wang (0000-0002-2434-2326, Fudan University, corresponding author), Xiaofeng Wang (0000-0001-8212-6931, Fudan University, corresponding author), Yin Yao (0000-0002-5833-5263), Yin Yao Shugart (0000-0001-7487-4294, Fudan University, corresponding author)
Year2021
Volume12
Pages731371-731371
Publication date2021-12-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.731371
PMID34955907
OpenAlexW4200473105
LanguageEN
References cited23

Objective: To investigate the cross-sectional and longitudinal relationships between sleep disturbances and depressive symptoms in older Chinese adults. Methods: This study included baseline and 3.5-year follow-up data of 1,631 Chinese men and women aged 70 years or older from the aging arm of the Rugao Longevity and Aging Study. Depressive symptoms were assessed by the 15-item Geriatric Depression Scale (GDS). Sleep disturbances were assessed by using the Pittsburgh Sleep Quality Index (PSQI). Logistic regression models were used to estimate the odds ratios (ORs) of the associations. Results: In the cross-sectional analysis, individuals with greater total PSQI scores exhibited significantly higher risk of "depressive symptoms" (OR: 1.31, 95% CI: 1.21-1.41) and "some depressive symptoms" (OR: 1.22, 95% CI: 1.17-1.28). Specifically, higher scores on the sleep efficiency PSQI subscale were associated with greater odds for "depressive symptoms" (OR: 1.54, 95% CI: 1.30-1.84) and "some depressive symptoms" (OR: 1.42, 95% CI: 1.29-1.57). Our longitudinal analyses indicated an association between greater PSQI total scores at baseline and greater odds of having "some depressive symptoms" at follow-up (OR: 1.07, 95% CI: 1.00-1.14). Additionally, higher scores on the sleep efficiency PSQI subscale had an association with higher odds for "some depressive symptoms" (OR: 1.21, 95% CI: 1.04-1.41). Conclusions: Poor self-reported global sleep quality and sleep efficiency PSQI subscale scores were associated with levels of depressive symptoms in an older Chinese population, indicating that global sleep quality and sleep efficiency may be risk factors for depression and can possibly predict the levels of depressive symptoms

Anxiety · Cohort · Cohort study · Depression (economics · Depressive symptoms · Longevity · Population · Population ageing · Psychiatry · Sleep (system call · Clinical Psychology · Medicine · Psychology · Sleep and related disorders · Sleep and Wakefulness Research · Sleep and Work-Related Fatigue · Gerontology · Internal Medicine

  • Depression

    Open Access•Gin S Malhi, J John Mann•The Lancet•2018

  • Risk Factors for Depression Among Elderly Community Subjects

    Martín G Cole, Nandini Dendukuri•American Journal of Psychiatry•2003

  • The Pittsburgh sleep quality index

    Open Access•Daniel J Buysse, Charles F Reynolds et al.•Psychiatry Research•1989

  • Psychometric Evaluation of the Chinese Version of the Pittsburgh Sleep Quality Index (CPSQI) in Primary Insomnia and Control Subjects

    Open Access•Pei-Shan Tsai, Shu-Yi Wang et al.•Quality of Life Research•2005

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