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睡眠质量、睡眠结构和PER3基因分型介导了昼夜节律类型对年轻成年人抑郁症状的影响。

Sleep Quality, Sleep Structure, and PER3 Genotype Mediate Chronotype Effects on Depressive Symptoms in Young Adults.

作者信息

Weiss Chloe, Woods Kerri, Filipowicz Allan, Ingram Krista K

机构信息

Department of Biology, Colgate University, Hamilton, NY, United States.

Samuel Curtis Johnson Graduate School of Management, Cornell University, Ithaca, NY, United States.

出版信息

Front Psychol. 2020 Aug 26;11:2028. doi: 10.3389/fpsyg.2020.02028. eCollection 2020.


DOI:10.3389/fpsyg.2020.02028
PMID:32982844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7479229/
Abstract

Depression and its related mood disorders are a major global health issue that disproportionately affects young adults. A number of factors that influence depressive symptoms are particularly relevant to the young adult developmental stage, including sleep loss, poor sleep quality, and the tendency toward eveningness in circadian preferences. However, relatively few studies have examined the relationship between sleep and circadian phenotypes, and their respective influences on mood, or considered potential molecular mechanisms driving these associations. Here, we use a multi-year, cross-sectional study of 806 primarily undergraduates to examine the relationships between sleep-wake chronotype, sleep disturbance, depression and genotypes associated with the PER3 variable number of tandom repeats (VNTR) polymorphism-circadian gene variants associated with both chronotype and sleep homeostatic drive. In addition, we use objective, Fitbit-generated sleep structure data on a subset of these participants ( = 67) to examine the relationships between chronotype, depression scores, actual measures of sleep duration, social jetlag, and the percent of deep and rapid eye movement (REM) sleep per night. In this population, chronotype is weakly associated with depressive symptoms and moderately correlated with self-reported sleep disturbance. Sleep disturbance is significantly associated with depression scores, but objective sleep parameters are not directly correlated with Beck Depression Inventory (BDI-II) scores, with the exceptions of a moderate correlation between social jetlag and depression scores in females and a marginal correlation between sleep duration and depression scores. Multiple regression and path analyses reveal that chronotype effects on depressive symptoms in this population are mediated largely by sleep disturbance. The PER3 VNTR genotype significantly predicts depressive symptoms in a model with objective sleep parameters, but it does not significantly predict depressive symptoms in a model with chronotype or subjective sleep disturbance. Interestingly, PER3 genotypes, in males only, are independently related to chronotype and depression scores. Our results support hypotheses linking subjective sleep quality and chronotype and provide a first step in understanding how objective sleep structure may be linked to chronotype and depressive symptoms. Our results also suggest that circadian gene variants may show sex-specific effects linking sleep duration and sleep structure to depression.

摘要

抑郁症及其相关情绪障碍是一个重大的全球健康问题,对年轻人的影响尤为严重。一些影响抑郁症状的因素与青年发育阶段特别相关,包括睡眠不足、睡眠质量差以及昼夜节律偏好倾向于晚睡。然而,相对较少的研究考察了睡眠与昼夜节律表型之间的关系,以及它们各自对情绪的影响,或者考虑驱动这些关联的潜在分子机制。在这里,我们对806名主要为本科生的学生进行了一项多年的横断面研究,以考察睡眠-觉醒昼夜节律类型、睡眠障碍、抑郁症与与PER3可变串联重复序列(VNTR)多态性相关的基因型之间的关系——昼夜节律基因变体与昼夜节律类型和睡眠稳态驱动力均有关。此外,我们使用来自这些参与者子集(n = 67)的由Fitbit生成的客观睡眠结构数据,来考察昼夜节律类型、抑郁评分、实际睡眠时间测量值、社会时差以及每晚深度睡眠和快速眼动(REM)睡眠百分比之间的关系。在这个群体中,昼夜节律类型与抑郁症状弱相关,与自我报告的睡眠障碍中度相关。睡眠障碍与抑郁评分显著相关,但客观睡眠参数与贝克抑郁量表(BDI-II)评分没有直接关联,不过女性的社会时差与抑郁评分之间存在中度关联,睡眠时间与抑郁评分之间存在边缘关联除外。多元回归和路径分析表明,昼夜节律类型对该群体抑郁症状的影响主要由睡眠障碍介导。在包含客观睡眠参数的模型中,PER3 VNTR基因型显著预测抑郁症状,但在包含昼夜节律类型或主观睡眠障碍的模型中,它并不能显著预测抑郁症状。有趣的是,仅在男性中,PER3基因型与昼夜节律类型和抑郁评分独立相关。我们的结果支持将主观睡眠质量与昼夜节律类型联系起来的假设,并为理解客观睡眠结构如何与昼夜节律类型和抑郁症状相联系提供了第一步。我们的结果还表明,昼夜节律基因变体可能显示出将睡眠时间和睡眠结构与抑郁症联系起来的性别特异性效应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/763e/7479229/fd838a3ea660/fpsyg-11-02028-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/763e/7479229/edeb5935d848/fpsyg-11-02028-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/763e/7479229/b0cbf0603027/fpsyg-11-02028-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/763e/7479229/29aee0a8f029/fpsyg-11-02028-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/763e/7479229/fd838a3ea660/fpsyg-11-02028-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/763e/7479229/edeb5935d848/fpsyg-11-02028-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/763e/7479229/b0cbf0603027/fpsyg-11-02028-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/763e/7479229/29aee0a8f029/fpsyg-11-02028-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/763e/7479229/fd838a3ea660/fpsyg-11-02028-g004.jpg

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[5]
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[6]
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[7]
Chronotype-Dependent Sleep Loss Is Associated with a Lower Amplitude in Circadian Rhythm and a Higher Fragmentation of REM Sleep in Young Healthy Adults.

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[8]
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本文引用的文献

[1]
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In vivo molecular chronotyping, circadian misalignment, and high rates of depression in young adults.

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