Comorbidity of narcolepsy and depressive disorders: a nationwide population-based study in Taiwan

• Published in: Sleep medicine 2017-11, Vol.39, p.95-100
• Main Authors: Lee, Min-Jing, Lee, Sheng-Yu, Yuan, Shin-Sheng, Yang, Chun-Ju, Yang, Kang-Chung, Lee, Tung-Liang, Sun, Chi-Chin, Shyu, Yu-Chiau, Wang, Liang-Jen
• Format: Article
• Language: English
• Subjects: Adult; Comorbidity; Depressive Disorder - epidemiology; Diagnosis; Epidemiology; Female; Humans; Male; Mood disorders; Narcolepsy; Narcolepsy - epidemiology; Propensity Score; Risk; Taiwan - epidemiology
• ISSN: 1389-9457; 1878-5506
• DOI: 10.1016/j.sleep.2017.07.022

Narcolepsy is a chronic sleep disorder that is likely to have neuropsychiatric comorbidities. Depression is a serious mood disorder that affects individuals' daily activities and functions. The current study aimed to investigate the relationship between narcolepsy and depressive disorders. The study consisted of patients diagnosed with narcolepsy between January 2002, and December 2011 (n = 258), and age-matched and gender-matched controls (n = 2580) from Taiwan's National Health Insurance database. Both the patients and the controls were monitored through December 31, 2011, to identify the occurrence of a depressive disorder. A multivariate logistic regression model was used to assess the narcolepsy's potential influence on the comorbidity of a depressive disorder. During the study period, 32.7%, 24.8%, and 10.9% of the narcoleptic patients were comorbid with any depressive disorder, dysthymic disorder, and major depressive disorder, respectively. When compared to the control subjects, the patients with narcolepsy were at greater risks of having any depressive disorder (aOR 6.77; 95% CI 4.90–9.37), dysthymic disorder (aOR 6.62; 95% CI 4.61–9.57), and major depressive disorder (aOR 6.83; 95% CI 4.06–11.48). Of the narcoleptic patients that were comorbid with depression, >50% had been diagnosed with depression prior to being diagnosed with narcolepsy. This nationwide data study revealed that narcolepsy and depression commonly co-occurred. Since some symptoms of narcolepsy overlapped with those of depressive disorders, the findings serve as a reminder that clinicians must pay attention to the comorbidity of narcolepsy and depression. •The relationship between narcolepsy and depressive disorders was investigated.•Patients with narcolepsy had more than a six-fold greater risk of comorbidity with depression than controls.•More than 50% had been diagnosed with depression prior to narcolepsy.•Clinicians must pay attention to the comorbidity of narcolepsy and depression.