TY - JOUR PY - 2024// TI - Sleep disturbances and incident risk of major depressive disorder in a population-based cohort JO - Psychiatry research A1 - Solelhac, Geoffroy A1 - Imler, Théo A1 - Strippoli, Marie-Pierre F. A1 - Marchi, Nicola Andrea A1 - Berger, Mathieu A1 - Haba-Rubio, José A1 - Raffray, Tifenn A1 - Bayon, Virginie A1 - Lombardi, Anne Sophie A1 - Ranjbar, Setareh A1 - Siclari, Francesca A1 - Vollenweider, Peter A1 - Marques-Vidal, Pedro A1 - Geoffroy, Pierre-Alexis A1 - Leger, Damien A1 - Stephan, Aurélie A1 - Preisig, Martin A1 - Heinzer, Raphael SP - e115934 EP - e115934 VL - 338 IS - N2 - Sleep disturbances are well-known symptoms of major depressive disorder (MDD). However, the prospective risk of MDD in the presence of sleep disturbances in a general population-based cohort is not well known. This study investigated associations between both polysomnography (PSG)-based or subjective sleep features and incident MDD. Participants representative of the general population who had never had MDD completed sleep questionnaires (n = 2000) and/or underwent PSG (n = 717). Over 8 years' follow-up, participants completed psychiatric interviews enabling the diagnosis of MDD. Survival Cox models were used to analyze associations between sleep features and MDD incidence. A higher Epworth Sleepiness Scale and presence of insomnia symptoms were significantly associated with a higher incidence of MDD (hazard ratio [HR] [95 % confidence interval (CI)]: 1.062 [1.022-1.103], p = 0.002 and 1.437 [1.064-1.940], p = 0.018, respectively). Higher density of rapid eye movements in rapid eye movement (REM) sleep was associated with a higher incidence of MDD in men (HR 1.270 [95 % CI 1.064-1.516], p = 0.008). In women, higher delta power spectral density was associated with a lower MDD incidence (HR 0.674 [95 % CI 0.463-0.981], p = 0.039). This study confirmed the associations between subjective and objective sleep features and the incidence of MDD in a large community dwelling cohort.

Language: en

LA - en SN - 0165-1781 UR - http://dx.doi.org/10.1016/j.psychres.2024.115934 ID - ref1 ER -