ArticleJournal of the American Geriatrics Society2012
Depressive symptoms and subjective and objective sleep in community-dwelling older women.
Article in Journal of the American Geriatrics Society, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 3 of them syntheses that pooled it.
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Who cites it
55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 130 citations in OpenAlex.
- The Role of Digital Biomarkers in Physiological Signal-Based Depression Assessment: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- The prevalence and risk factors of sleep disturbances in community-dwelling older adults: a systematic review and meta-analysis.Sleep & breathing = Schlaf & Atmung · 2025Pooled it
- Depressive symptom screening in elderly by passive sensing data of smartphones or smartwatches: A systematic review.PloS one · 2024Pooled it
- Objective sleep disturbance is associated with poor response to cognitive and behavioral treatments for insomnia in postmenopausal women.Sleep medicine · 2020Trial
- Trial
- Measuring Sleep in Vulnerable Older Adults: A Comparison of Subjective and Objective Sleep Measures.Clinical gerontologistTrial
- Subjective-Device-Estimated Sleep Discrepancies in Late-Life Depression: Agreement and Associated Factors.Alpha psychiatry · 2026Article
- The association of objectively and subjectively measured modifiable lifestyle factors with internalizing problems: the role of genetic confounding and shared method variance bias.Social psychiatry and psychiatric epidemiology · 2026Article
- Interindividual differences in digital phenotypes of major depressive disorder: A passive sensing study using smartphone and wearable sensor data.Behaviour research and therapy · 2026Article
- Objective sleep monitoring at home in older adults: A scoping review.Journal of sleep research · 2025Article
- Relationship between sleep disorders and depressive symptoms among young women in Japan: a web-based cross-sectional study.BMJ open · 2025Article
- Association between sleep and physical activity data, and depressive symptoms in Thai elderly.PloS one · 2025Article
- The mediating and moderating effects of resilience on the relationship between sleep quality and psychological distress in Chinese women with infertility.BMC women's health · 2024Article
- Poor sleep health predicts the onset of a fear of falling among community-dwelling older adults.Sleep health · 2024Article
- Associations Between Repetitive Negative Thinking and Objective and Subjective Sleep Health in Cognitively Healthy Older Adults.Nature and science of sleep · 2024Article
- The prevalence of excessive daytime sleepiness and associated factors in older diabetic patients.Aging clinical and experimental research · 2023Article
- Candidate biomarkers in psychiatric disorders: state of the field.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2023Article
- Mobile Phone Addiction and Sleep Quality among Older People: The Mediating Roles of Depression and Loneliness.Behavioral sciences (Basel, Switzerland) · 2023Article
- Association of Depressive Symptoms with Sleep Disturbance: A Co-twin Control Study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022Article
- The longitudinal connection between depressive symptoms and inflammation: Mediation by sleep quality.PloS one · 2022Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesTo examine the relationship between depressive symptoms and subjective and objective sleep in older women.
designCross-sectional.
settingFour U.S. clinical centers.
participantsThree thousand forty-five community-dwelling women aged 70 and older. MEASUREMENTS: Depressive symptoms were assessed using the Geriatric Depression Scale, categorizing participants as normal (0-2, reference), some depressive symptoms (3-5), or depressed (≥ 6). Subjective sleep quality and daytime sleepiness were assessed using the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS). Objective sleep measures were assessed using wrist actigraphy.
resultsIn multivariable-adjusted models, there were graded associations between greater level of depressive symptoms and worse subjective sleep quality and more subjective daytime sleepiness (P-trends < .001). Women with some depressive symptoms (odds ratio (OR) = 1.82, 95% confidence interval (CI) = 1.48-2.24) and depressed (OR = 2.84, 95% CI = 2.08-3.86) women had greater odds of reporting poor sleep (PSQI>5). Women with some depressive symptoms (OR = 1.97, 95% CI = 1.47-2.64) and depressed women (OR = 1.70, 95% CI = 1.12-2.58) had greater odds of reporting excessive daytime sleepiness (ESS>10). There were also graded associations between greater level of depressive symptoms and objectively measured wake after sleep onset (WASO) (P-trend = .03) and wake episodes longer than 5 minutes (P-trend = .006). Depressed women had modestly higher odds of WASO of 1 hour or longer (OR = 1.37, 95% CI = 1.03-1.83). Women with some depressive symptoms (OR = 1.49, 95% CI = 1.19-1.86) and depressed women (OR = 2.04, 95% CI = 1.52-2.74) had greater odds of being in the highest quartile for number of nap episodes longer than 5 minutes. No associations between depressive symptom level and prolonged sleep latency, poor sleep efficiency, or short or long total sleep time were found.
conclusionGreater depressive symptom levels were associated with more subjective sleep disturbance and objective evidence of sleep fragmentation and napping.
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Registered trials
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