Day-to-day associations between subjective sleep and affect in regard to future depression in a female population-based sample

Br J Psychiatry. 2013 Jun:202:407-12. doi: 10.1192/bjp.bp.112.123794. Epub 2013 May 9.

Abstract

Background: Poor sleep is a risk factor for depression, but little is known about the underlying mechanisms.

Aims: Disentangling potential mechanisms by which sleep may be related to depression by zooming down to the 'micro-level' of within-person daily life patterns of subjective sleep and affect using the experience sampling method (ESM).

Method: A population-based twin sample consisting of 553 women underwent a 5-day baseline ESM protocol assessing subjective sleep and affect together with four follow-up assessments of depression.

Results: Sleep was associated with affect during the next day, especially positive affect. Daytime negative affect was not associated with subsequent night-time sleep. Baseline sleep predicted depressive symptoms across the follow-up period.

Conclusions: The subtle, repetitive impact of sleep on affect on a daily basis, rather than the subtle repetitive impact of affect on sleep, may be one of the factors on the pathway to depression in women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Affect / physiology*
  • Depressive Disorder / epidemiology*
  • Female
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Netherlands / epidemiology
  • Siblings
  • Sleep / physiology*
  • Surveys and Questionnaires
  • Twins / statistics & numerical data
  • Young Adult