Understanding the connection and relation between sleep and depression in a tertiary health-care center: Insights from a cross-sectional study

Background: There is a bidirectional relationship between sleep disturbance and depression, with which a new hypothesis could be generated, that is, sleep disturbance can be a prodromal event rather than a symptom of depression. Many long-term studies have identified insomnia as a risk factor for th...

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Main Authors: M. Aravindh, Kailash Sureshkumar, Shabeeba Z. Kailash, P. R. Sobia, V. Madhumitha
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-11-01
Series:Archives of Mental Health
Subjects:
Online Access:https://journals.lww.com/10.4103/amh.amh_58_24
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author M. Aravindh
Kailash Sureshkumar
Shabeeba Z. Kailash
P. R. Sobia
V. Madhumitha
author_facet M. Aravindh
Kailash Sureshkumar
Shabeeba Z. Kailash
P. R. Sobia
V. Madhumitha
author_sort M. Aravindh
collection DOAJ
description Background: There is a bidirectional relationship between sleep disturbance and depression, with which a new hypothesis could be generated, that is, sleep disturbance can be a prodromal event rather than a symptom of depression. Many long-term studies have identified insomnia as a risk factor for the onset or recurrence of depression in young, middle-aged, and older people and it can also increase the risk of self-harm and suicide, which can also exacerbate the medical comorbidity conditions and also increase the substance intake. Materials and Methods: Those patients attending the psychiatry outpatient department of tertiary Health-care center for 6 months were considered. Those patients who were diagnosed with depression as per the International Classification of Diseases-11 depression criteria were taken after getting proper informed consent from them. Then, those patients who satisfied the inclusion criteria were taken into the study and evaluated with self-structured pro forma including details regarding the sociodemographic profile, Hamilton Depression Rating Scale, and Insomnia Severity Index Scale to assess the severity of depression and sleep disturbance. Results: The prevalence of sleep disturbance in depressive individuals was found to be 78% (140). The significance was established between the severity of depression and the severity of insomnia (P<0.001), along with sleep duration (P<0.001), insomnia type (P=0.002), benzodiazepine usage (P<0.001) and self-harm ideas/attempts (P<0.001). Conclusion: Sleep is considered a major aspect of holistic care, as it may have an impact on the severity, frequency and duration of depression and its remission along with quality of life and mortality rate.
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spelling doaj-art-674a8bb7c3bd4a9d921fc3d8055e89a72024-12-06T05:38:51ZengWolters Kluwer Medknow PublicationsArchives of Mental Health2589-91712589-918X2024-11-0125215115410.4103/amh.amh_58_24Understanding the connection and relation between sleep and depression in a tertiary health-care center: Insights from a cross-sectional studyM. AravindhKailash SureshkumarShabeeba Z. KailashP. R. SobiaV. MadhumithaBackground: There is a bidirectional relationship between sleep disturbance and depression, with which a new hypothesis could be generated, that is, sleep disturbance can be a prodromal event rather than a symptom of depression. Many long-term studies have identified insomnia as a risk factor for the onset or recurrence of depression in young, middle-aged, and older people and it can also increase the risk of self-harm and suicide, which can also exacerbate the medical comorbidity conditions and also increase the substance intake. Materials and Methods: Those patients attending the psychiatry outpatient department of tertiary Health-care center for 6 months were considered. Those patients who were diagnosed with depression as per the International Classification of Diseases-11 depression criteria were taken after getting proper informed consent from them. Then, those patients who satisfied the inclusion criteria were taken into the study and evaluated with self-structured pro forma including details regarding the sociodemographic profile, Hamilton Depression Rating Scale, and Insomnia Severity Index Scale to assess the severity of depression and sleep disturbance. Results: The prevalence of sleep disturbance in depressive individuals was found to be 78% (140). The significance was established between the severity of depression and the severity of insomnia (P<0.001), along with sleep duration (P<0.001), insomnia type (P=0.002), benzodiazepine usage (P<0.001) and self-harm ideas/attempts (P<0.001). Conclusion: Sleep is considered a major aspect of holistic care, as it may have an impact on the severity, frequency and duration of depression and its remission along with quality of life and mortality rate.https://journals.lww.com/10.4103/amh.amh_58_24depressioninsomniaquality of lifeself-harm
spellingShingle M. Aravindh
Kailash Sureshkumar
Shabeeba Z. Kailash
P. R. Sobia
V. Madhumitha
Understanding the connection and relation between sleep and depression in a tertiary health-care center: Insights from a cross-sectional study
Archives of Mental Health
depression
insomnia
quality of life
self-harm
title Understanding the connection and relation between sleep and depression in a tertiary health-care center: Insights from a cross-sectional study
title_full Understanding the connection and relation between sleep and depression in a tertiary health-care center: Insights from a cross-sectional study
title_fullStr Understanding the connection and relation between sleep and depression in a tertiary health-care center: Insights from a cross-sectional study
title_full_unstemmed Understanding the connection and relation between sleep and depression in a tertiary health-care center: Insights from a cross-sectional study
title_short Understanding the connection and relation between sleep and depression in a tertiary health-care center: Insights from a cross-sectional study
title_sort understanding the connection and relation between sleep and depression in a tertiary health care center insights from a cross sectional study
topic depression
insomnia
quality of life
self-harm
url https://journals.lww.com/10.4103/amh.amh_58_24
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AT shabeebazkailash understandingtheconnectionandrelationbetweensleepanddepressioninatertiaryhealthcarecenterinsightsfromacrosssectionalstudy
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