Department of Psychology, Virginia Commonwealth University, Richmond, USA.
Department of Psychology, Brigham Young University, Provo, UT, USA.
Curr Psychiatry Rep. 2023 Nov;25(11):643-658. doi: 10.1007/s11920-023-01455-3. Epub 2023 Sep 23.
The sleep-depression association has been recognized for decades. Efforts to clarify this association continue at an increasing pace. This review summarizes recent research on the sleep-depression association in older adults.
Research over the past 4 years has utilized cross-sectional, longitudinal, cohort, and intervention designs to examine these associations. Short (< 7 h) and long (> 8-9 h) sleep durations and insomnia symptoms are risk factors for depression in older adults. Similarly, short sleep, long sleep, insomnia symptoms, and depression are all risk factors for poorer health in late life, including increased risk of cognitive decline, falls, and poorer quality-of-life. Intervention studies have produced mixed findings, with some studies suggesting that sleep interventions may be potentially effective in improving both insomnia and mood symptoms. Intervention studies incorporating both behavioral and physiological measures of sleep, and larger and diverse samples may enhance the field's understanding of the complex interplay between sleep and mood in older adults.
几十年来,人们已经认识到睡眠与抑郁之间存在关联。目前,人们正投入更多精力来厘清这种关联。本综述总结了过去 4 年来有关老年人睡眠与抑郁关联的最新研究。
在过去 4 年的研究中,人们利用横断面研究、纵向研究、队列研究和干预研究设计来检验这些关联。短时间(<7 小时)和长时间(>8-9 小时)的睡眠时间以及失眠症状是老年人抑郁的危险因素。同样,短时间睡眠、长时间睡眠、失眠症状和抑郁都是晚年健康状况较差的危险因素,包括认知能力下降、跌倒和生活质量下降的风险增加。干预研究的结果喜忧参半,一些研究表明,睡眠干预可能对改善失眠和情绪症状有效。纳入睡眠的行为和生理指标的干预研究以及更大和更多样化的样本可能会增强人们对老年人睡眠和情绪之间复杂相互作用的理解。