Inquiring about insomnia may facilitate diagnosis of depression in the primary care setting

Autor:	Teruaki Matsumoto, Hisako Sakamoto, Masashi Kimura, Naohisa Uchimura, Akihiro Kimura, Megumi Fujieda, Katsuhisa Uchida, Toshiaki Watanabe, Shinichiro Ikebe
Rok vydání:	2017
Předmět:	medicine.medical_specialty Difficulty Falling Asleep General Neuroscience General Medicine Profile of mood states Likelihood ratios in diagnostic testing Pittsburgh Sleep Quality Index 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Mood Neurology medicine Insomnia 030212 general & internal medicine Neurology (clinical) medicine.symptom Psychiatry Psychology 030217 neurology & neurosurgery Depression (differential diagnoses) Clinical psychology Morning
Zdroj:	Psychiatry and Clinical Neurosciences. 71:383-394
ISSN:	1323-1316
Popis:	AIM Depression is often undiagnosed in primary care. Asking about sleep status is much easier than asking about mood. This study was conducted to examine the relation between insomnia and depression. METHODS New patients aged 35-64 years were recruited from internal medicine clinics in Japan. Self-administered questionnaires were employed. Depression was evaluated by the Zung Self-Rating Depression Scale and the Profile of Mood States. Sleep status was investigated using the Pittsburgh Sleep Quality Index. Likelihood ratios of insomnia for depression were calculated. To assess the relation between insomnia and depression independent of confounding factors, adjusted odds ratios (OR) and 95% confidence intervals (CI) were calculated using multiple logistic regression analyses. RESULTS Among 598 subjects, 153 (25.6%) were assessed as having depression. 'Very bad sleep quality, with difficulty falling asleep within 30 min ≥3 times/week' showed a positive likelihood ratio of 20.36 (95%CI, 2.53-164) while 'not very good sleep quality' had a negative likelihood ratio of 0.32 (95%CI, 0.14-0.72). Adjusted for sex, age, underlying diseases, major life events, lifestyle habits, and relationship problems, significant OR for depression were observed for 'difficulty falling asleep within 30 min ≥3 times/week' (OR, 2.53; 95%CI, 1.07-5.98), 'waking up in the middle of the night or early morning ≥3 times/week' (OR, 3.09; 95%CI, 1.58-6.05), and 'fairly bad sleep quality' (OR, 3.65; 95%CI, 1.34-9.96). CONCLUSION Inquiring about the weekly frequency of difficulty 'falling asleep within 30 min,' 'waking up in the middle of the night or early morning,' and 'sleep quality' may help to diagnose depression.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::3f69a7539a9663be45bf2987e946c836 https://doi.org/10.1111/pcn.12507 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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