Department of Behavioural Science and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Department of Biostatistics & Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 16 De Crespigny Park, London, SE5 8AF, UK.
Transl Psychiatry. 2023 Oct 20;13(1):323. doi: 10.1038/s41398-023-02622-z.
Suboptimal sleep durations and depression frequently cooccur. Short-sleep and long-sleep are commonly thought of as symptoms of depression, but a growing literature suggests that they may be prodromal. While each represents a process of mutual influence, the directionality between them remains unclear. Using polygenic scores (PGS), we investigate the prospective direction involved in suboptimal sleep durations and depression. Male and female participants, aged ≥50, were recruited from the English Longitudinal Study of Ageing (ELSA). PGS for sleep duration, short-sleep, and long-sleep were calculated using summary statistics data from the UK Biobank cohort. Sleep duration, categorised into short-sleep ("≤5 h"), optimal-sleep (">5 to <9 h"), and long-sleep ("≥9 h"), was measured at baseline and across an average 8-year follow-up. Subclinical depression (Centre for Epidemiological Studies Depression Scale [≥4 of 7]) was also ascertained at baseline and across an average 8-year follow-up. One standard deviation increase in PGS for short-sleep was associated with 14% higher odds of depression onset (95% CI = 1.03-1.25, p = 0.008). However, PGS for sleep duration (OR = 0.92, 95% CI = 0.84-1.00, p = 0.053) and long-sleep (OR = 0.97, 95% CI = 0.89-1.06, p = 0.544) were not associated with depression onset during follow-up. During the same period, PGS for depression was not associated with overall sleep duration, short-sleep, or long-sleep. Polygenic predisposition to short-sleep was associated with depression onset over an average 8-year period. However, polygenic predisposition to depression was not associated with overall sleep duration, short-sleep or long-sleep, suggesting different mechanisms underlie the relationship between depression and the subsequent onset of suboptimal sleep durations in older adults.
睡眠不足和抑郁经常同时出现。短睡眠和长睡眠通常被认为是抑郁的症状,但越来越多的文献表明,它们可能是前驱期。虽然它们各自代表了一个相互影响的过程,但它们之间的方向尚不清楚。本研究使用多基因评分(PGS)来探讨与睡眠不足和抑郁相关的前瞻性方向。研究对象为年龄在 50 岁及以上的男性和女性,他们来自英国老龄化纵向研究(ELSA)。使用来自英国生物银行队列的汇总统计数据计算了睡眠时长、短睡和长睡的 PGS。在基线和平均 8 年的随访期间测量了睡眠时长,分为短睡(“≤5 小时”)、优睡(“>5 至 <9 小时”)和长睡(“≥9 小时”)。在基线和平均 8 年的随访期间,也确定了亚临床抑郁(流行病学研究中心抑郁量表[≥4 分])。PGS 每增加一个标准差,抑郁发病的几率就会增加 14%(95%CI=1.03-1.25,p=0.008)。然而,PGS 对睡眠时长(OR=0.92,95%CI=0.84-1.00,p=0.053)和长睡(OR=0.97,95%CI=0.89-1.06,p=0.544)与随访期间的抑郁发病无关。在此期间,PGS 与抑郁与总体睡眠时长、短睡或长睡无关。PGS 对短睡的遗传易感性与平均 8 年期间的抑郁发病有关。然而,PGS 与抑郁与老年人随后出现的睡眠不足之间的关系的基础可能不同,因为它与总体睡眠时长、短睡或长睡无关。