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: | , , , , | 
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| 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. | 
| format | Article | 
| id | doaj-art-674a8bb7c3bd4a9d921fc3d8055e89a7 | 
| institution | Kabale University | 
| issn | 2589-9171 2589-918X | 
| language | English | 
| publishDate | 2024-11-01 | 
| publisher | Wolters Kluwer Medknow Publications | 
| record_format | Article | 
| series | Archives of Mental Health | 
| 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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