@article{ref1,
title="Preexisting depression and daytime sleepiness in women and men",
journal="Behavioral sleep medicine",
year="2022",
author="Gonsalvez, Irene and Li, Jason J. and Stevens, Courtney and Chen, Justin A. and Liu, Cindy H.",
volume="20",
number="4",
pages="380-392",
abstract="Background Sleep problems can persist following the treatment of depression and remission of symptoms. The extent to which having a previous history of depression may be associated with current daytime sleepiness is largely unknown.<br><br>METHODS Data were obtained from the spring 2017 American College Health Association-National College Health Assessment (ACHA-NCHA) survey (92 institutions) which assessed self-reported health in U.S. college students (n = 41,670). Among the sample, 93.5% were 18-24 year of age, and 69.6% women. Logistic regression estimated the association between reported prior lifetime diagnosis of depression and daytime sleepiness from the past 7 days, while adjusting for depressive symptoms and antidepressant use from the past year. Unadjusted and adjusted logistic regression models stratified by gender were performed.<br><br>RESULTS Among those who reported problems with sleepiness, 31.6% women and 19.4% men had a preexisting depression diagnosis. Individuals with preexisting depression were more likely than those without this diagnosis to report sleepiness problems (women: OR = 1.4, CI = 1.3-1.6, p <.001; men: OR = 1.2, CI = 1.0-1.4, p <.01). However, this association differed significantly by gender, with women with a preexisting depression diagnosis having a 13.0% greater likelihood of sleepiness compared to men.<br><br>CONCLUSIONS Those with a preexisting depression diagnosis, and specifically women, may be at risk for daytime sleepiness even in the absence of current depressive mood-related symptoms. Given that many individuals are at risk for daytime sleepiness, mental health initiatives, including those on college campuses, should incorporate sleep hygiene within their programming.<p /> <p>Language: en</p>",
language="en",
issn="1540-2002",
doi="10.1080/15402002.2021.1924720",
url="http://dx.doi.org/10.1080/15402002.2021.1924720"
}