TY - JOUR PY - 2023// TI - Transdiagnostic association between subjective insomnia and depressive symptoms in major psychiatric disorders JO - Frontiers in psychiatry A1 - Nakajima, Suguru A1 - Kaneko, Yoshiyuki A1 - Fujii, Nobukuni A1 - Kizuki, Jun A1 - Saitoh, Kaori A1 - Nagao, Kentaro A1 - Kawamura, Aoi A1 - Yoshiike, Takuya A1 - Kadotani, Hiroshi A1 - Yamada, Naoto A1 - Uchiyama, Makoto A1 - Kuriyama, Kenichi A1 - Suzuki, Masahiro SP - e1114945 EP - e1114945 VL - 14 IS - N2 - In psychiatric disorders, comorbid depressive symptoms are associated with clinically important issues such as reduced quality of life, a poor prognosis, and increased suicide risk. Previous studies have found a close relationship between insomnia and depressive symptoms in major depressive disorder (MDD), and that actively improving insomnia heightens the improvement of depressive symptoms. This study aimed to investigate whether the association between insomnia and depressive symptoms is also found in other psychiatric disorders besides MDD. The subjects were 144 patients with MDD (n = 71), schizophrenia (n = 25), bipolar disorder (n = 22), or anxiety disorders (n = 26). Sleep status was assessed subjectively and objectively using the Athens Insomnia Scale (AIS) and sleep electroencephalography (EEG), respectively. Sleep EEG was performed using a portable EEG device. Depressive symptoms were assessed using the Beck Depression Inventory. Subjective insomnia, as defined by the AIS, was associated with depressive symptoms in all disorders. Moreover, in schizophrenia, a relation between depressive symptoms and insomnia was also found by objective sleep assessment methods using sleep EEG. Our findings suggest that the association between subjective insomnia and depressive symptoms is a transdiagnostic feature in major psychiatric disorders. Further studies are needed to clarify whether therapeutic interventions for comorbid insomnia can improve depressive symptoms in major psychiatric disorders, similar to MDD.

Language: en

LA - en SN - 1664-0640 UR - http://dx.doi.org/10.3389/fpsyt.2023.1114945 ID - ref1 ER -