Abnormal night sleep duration and poor sleep quality are independently and combinedly associated with elevated depressive symptoms in Chinese rural adults: Henan Rural Cohort

To assess the independent and combined effects of night sleep duration and sleep quality on depressive symptoms. A total of 28,202 participants (11,236 males and 16,966 females) aged 18–79 years from the Henan Rural Cohort were included in this study. Night sleep duration and sleep quality were defi...

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Published in:Sleep medicine 2020-06, Vol.70, p.71-78
Main Authors: Jiang, Jingjing, Li, Yuqian, Mao, Zhenxing, Wang, Fang, Huo, Wenqian, Liu, Ruihua, Zhang, Haiqing, Tian, Zhongyan, Liu, Xiaotian, Zhang, Xia, Tu, Ruiqi, Qian, Xinling, Liu, Xue, Luo, Zhicheng, Bie, Ronghai, Wang, Chongjian
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Language:English
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Depressive symptoms
Night sleep duration
Rural adults
Sleep quality
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container_title Sleep medicine
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creator Jiang, Jingjing
Li, Yuqian
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Zhang, Xia
Tu, Ruiqi
Qian, Xinling
Liu, Xue
Luo, Zhicheng
Bie, Ronghai
Wang, Chongjian
description To assess the independent and combined effects of night sleep duration and sleep quality on depressive symptoms. A total of 28,202 participants (11,236 males and 16,966 females) aged 18–79 years from the Henan Rural Cohort were included in this study. Night sleep duration and sleep quality were defined by the Pittsburgh Sleep Quality Index (PSQI). Logistic regression and restricted cubic splines were applied to evaluate the association of night sleep duration and sleep quality with depressive symptoms. A U-shaped dose-response relationship between night sleep duration and depressive symptoms along with a J-shaped relationship between sleep quality and depressive symptoms were observed. Compared with reference group (7-
doi_str_mv 10.1016/j.sleep.2019.10.022
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A total of 28,202 participants (11,236 males and 16,966 females) aged 18–79 years from the Henan Rural Cohort were included in this study. Night sleep duration and sleep quality were defined by the Pittsburgh Sleep Quality Index (PSQI). Logistic regression and restricted cubic splines were applied to evaluate the association of night sleep duration and sleep quality with depressive symptoms. A U-shaped dose-response relationship between night sleep duration and depressive symptoms along with a J-shaped relationship between sleep quality and depressive symptoms were observed. Compared with reference group (7-&lt;8 h), shorter sleep duration (&lt;6 h) and longer sleep duration (≥10 h) were associated with increased risk of depressive symptoms in males (short sleep: Odds Ratio (OR) = 1.84, 95% confidence interval (CI), 1.34–2.52; long sleep: OR = 1.56, 95% CI, 1.01–2.42) and females (short sleep: OR = 2.19, 95% CI, 1.77–2.70; long sleep: OR = 1.51, 95% CI, 1.10–2.10). Compared with good sleepers, poor sleepers had 4.23-fold (95% CI:3.54–5.06) and 3.87-fold (95% CI: 3.41–4.40) increased odds of depressive symptoms in males and females. Furthermore, participants with longer night sleep duration (≥10 h) and poorer sleep quality had the strongest effect on depressive symptoms (males: OR = 6.64, 95% CI, 3.21–13.74; females: OR = 7.76, 95% CI, 5.00–12.02). Extreme night sleep duration and poor sleep quality were independently and combinedly related to elevated depressive symptoms, suggesting that keeping optimal night sleep duration and good sleep quality maybe benefit for maintaining mental health. Chinese Clinical Trial Register. Registration number: ChiCTR-OOC-15006699. •The research was focused on Chinese rural adults.•Night sleep duration was associated with depressive symptoms in a U-shaped manner.•A J-shaped relationship between sleep quality and depressive symptoms was found.•The effects of sleep quantity and quality on anhedonia and depressed mood were assessed.•Night sleep duration and sleep quality were jointly related to depressive symptoms.</description><identifier>ISSN: 1389-9457</identifier><identifier>EISSN: 1878-5506</identifier><identifier>DOI: 10.1016/j.sleep.2019.10.022</identifier><identifier>PMID: 32229420</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Depressive symptoms ; Night sleep duration ; Rural adults ; Sleep quality</subject><ispartof>Sleep medicine, 2020-06, Vol.70, p.71-78</ispartof><rights>2019 Elsevier B.V.</rights><rights>Copyright © 2019 Elsevier B.V. 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Compared with good sleepers, poor sleepers had 4.23-fold (95% CI:3.54–5.06) and 3.87-fold (95% CI: 3.41–4.40) increased odds of depressive symptoms in males and females. Furthermore, participants with longer night sleep duration (≥10 h) and poorer sleep quality had the strongest effect on depressive symptoms (males: OR = 6.64, 95% CI, 3.21–13.74; females: OR = 7.76, 95% CI, 5.00–12.02). Extreme night sleep duration and poor sleep quality were independently and combinedly related to elevated depressive symptoms, suggesting that keeping optimal night sleep duration and good sleep quality maybe benefit for maintaining mental health. Chinese Clinical Trial Register. 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Compared with good sleepers, poor sleepers had 4.23-fold (95% CI:3.54–5.06) and 3.87-fold (95% CI: 3.41–4.40) increased odds of depressive symptoms in males and females. Furthermore, participants with longer night sleep duration (≥10 h) and poorer sleep quality had the strongest effect on depressive symptoms (males: OR = 6.64, 95% CI, 3.21–13.74; females: OR = 7.76, 95% CI, 5.00–12.02). Extreme night sleep duration and poor sleep quality were independently and combinedly related to elevated depressive symptoms, suggesting that keeping optimal night sleep duration and good sleep quality maybe benefit for maintaining mental health. Chinese Clinical Trial Register. 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subjects Depressive symptoms
Night sleep duration
Rural adults
Sleep quality
title Abnormal night sleep duration and poor sleep quality are independently and combinedly associated with elevated depressive symptoms in Chinese rural adults: Henan Rural Cohort
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