Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. May 19, 2022; 12(5): 722-738
Published online May 19, 2022. doi: 10.5498/wjp.v12.i5.722
Relationship of depression and sleep quality, diseases and general characteristics
Yan Jiang, Tao Jiang, Li-Tao Xu, Lan Ding
Yan Jiang, Li-Tao Xu, Lan Ding, Yuetan Community Health Service Center Fuxing Hospital, Capital Medical University, Beijing 100045, China
Tao Jiang, Department of Medicine Innovation Research, Chinese PLA General Hospital, Beijing 100853, China
Author contributions: Jiang Y and Ding L designed the study; Jiang Y and Jiang T performed the research; Jiang Y, Jiang T and Xu LT analyzed the date; Jiang Y wrote the paper; Ding L revised the manuscript for final submission; Jiang Y and Jiang T contributed equally to this study; Ding L the co-corresponding author; and all authors approved the final version of the article.
Supported by Beijing Traditional Chinese Medicine Science and Technology Development Fund Project, No. JJ2018-62. National Key Research and Development Program of China, No. 2020YFC2002700.
Institutional review board statement: The study was reviewed and approved by the Fuxing Hospital affiliated to Capital Medical University Institution Review Board.
Informed consent statement: All study participants or their legal guardian provided written informed consent prior to study enrollment.
Conflict-of-interest statement: We declare that we have no financial or personal relationships with other individuals or organizations that can inappropriately influence our work and that there is no professional or other personal interest of any nature in any product, service and/or company that could be construed as influencing the position presented in or the review of the manuscript.
Data sharing statement: No data is needed to share.
STROBE statement: The authors have read the STROBE Statement – checklist of items, and the manuscript was prepared and revised according to the STROBE Statement – checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lan Ding, BMed, Chief Nurse, Yuetan Community Health Service Center Fuxing Hospital, Capital Medical University, Building 7, Liuli, Zhenwu Temple, Outside Fuxingmen, Xicheng District, Beijing 100045, China. dinglan@ccmu.edu.cn
Received: January 24, 2022
Peer-review started: January 24, 2022
First decision: March 13, 2022
Revised: March 14, 2022
Accepted: April 28, 2022
Article in press: April 28, 2022
Published online: May 19, 2022
Processing time: 113 Days and 23.8 Hours
Abstract
BACKGROUND

Depression is the most common type of depressive disorder. The most common sleep disorder associated with depression is insomnia. Insomnia and depression are closely related.

AIM

To investigate the relationship of designed questionnaire items and depression, and analyze the related factors with depression.

METHODS

Questionnaire included Patient Health Questionnaire-9 (PHQ-9) and Pittsburgh sleep quality index (PSQI), 12 kinds of diseases, 8 general characteristics, and 20 insomnia characteristics, totally 56 items were filled out by 411 patients enrolled.

RESULTS

All the 9 items of PHQ-9, 6 components of PSQI (except sleep duration), education, living situation, exercise, years of insomnia, western medicine treatment, Chinese medicine treatment, psychotherapy, kinds of insomnia, treatment expected to treat insomnia, psychological counseling, habit of 1 h before bed, habit of lunch break, diagnosed depression, coronary heart disease, mental illness showed significant difference between without and with depression group. By univariate analysis and multivariate analysis. The odds ratio of education, exercise, kinds of insomnia, habit of 1 h before bed, diagnosed depression, coronary heart disease (P = 0.01) showed significant difference. Their odds ratios were 0.71 (0.55, 0.93), 2.09 (1.32, 3.31), 0.76 (0.63, 0.91), 0.89 (0.81, 0.98), 0.32 (0.17, 0.60), 0.43 (0.23, 0.79).

CONCLUSION

We demonstrated that education, exercise, kinds of insomnia, habit of 1 h before bed, diagnosed depression and coronary heart disease affect the depression.

Keywords: Depression; Patient Health Questionnaire-9; Pittsburgh sleep quality index; Sleep; Insomnia

Core Tip: Depression is the most common type of depressive disorder, manifesting as single or repeated episodes, with a high risk of recurrence. Depression affects the functions of the energy and digestive system and can also lead to varying degrees of sleep difficulties, insomnia, sleep arousal and other sleep disorders. In this study, we aimed to evaluate the related factor with depression, to provide theoretical support for detection and depression therapy.