ArticleDepression and anxiety2018
Insomnia mediates the longitudinal relationship between anxiety and depressive symptoms in a nationally representative sample of adolescents.
Article in Depression and anxiety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
19 citing papers in PubMed, 38 citations in OpenAlex.
- Examining the Directional Effects of Insomnia, Anxiety, and Depression Symptoms: Results From a Longitudinal Study Conducted During the COVID-19 Pandemic.Journal of clinical psychology · 2026Article
- Linking Social Anxiety to Depressive Symptoms in Adolescents: The Dual Mediating Roles of Perceived Social Support and Sleep Quality.Actas espanolas de psiquiatria · 2026Observational
- Age-specific alterations in gut microbiota-plasma metabolome networks in first-episode, drug-naïve major depressive disorder: adolescent versus adult patients.Frontiers in microbiology · 2026Article
- Acupuncture versus cognitive behavioral therapy for anxiety among cancer survivors with insomnia: An exploratory analysis of a randomized clinical trial.Integrative medicine research · 2025Article
- Network Analysis and Mediation Effect Analysis of Anxiety Symptoms and Sleep Patterns for Adolescents.Actas espanolas de psiquiatria · 2025Article
- Exploring the role of repetitive negative thinking in the transdiagnostic context of depression and anxiety in children.BMC psychology · 2025Article
- Self-esteem and Depression Symptoms among late Adolescents: A Parallel Mediation Model.Journal of child & adolescent trauma · 2025Article
- Article
- The Role of Sleep Effort as a Mediator Between Anxiety and Depression.Psychological reports · 2024Article
- Examining Anxiety and Insomnia in Internship Students and Their Association with Internet Gaming Disorder.Journal of clinical medicine · 2024Article
- COVID-19 Fear, Sleep Quality, Anxiety and Depression: A Moderated Mediation Model.Journal of child & adolescent trauma · 2023Article
- The mediating effect of stress reactivity in the 18-year bidirectional relationship between generalized anxiety and depression severity.Journal of affective disorders · 2023Article
- Hope Buffers the Effect of Fear of COVID-19 on Depression among College Students: Insomnia as a Mediator.International journal of environmental research and public health · 2023Article
- Changes in telomere length and serum neurofilament light chain levels in female patients with chronic insomnia disorder.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- Cigarette use, anxiety, and insomnia from adolescence to early adulthood: A longitudinal indirect effects test.Addictive behaviors · 2021Article
- The effect of acupuncture on emotional disorders in patients with insomnia: A protocol for systemic review and meta-analysis.Medicine · 2020Article
- Article
- Sleep problems among Chinese adolescents and young adults during the coronavirus-2019 pandemic.Sleep medicine · 2020Article
- Comorbidity between depression and anxiety: assessing the role of bridge mental states in dynamic psychological networks.BMC medicine · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAnxiety and depression are commonly comorbid with each other, with anxiety often temporally preceding the development of depression. Although increasingly research has begun to investigate the role of sleep problems in depression, no study has examined insomnia as a mediator in the longitudinal relationship between anxiety and subsequent depression.
methodsThe current study utilizes data from Waves I, II, and IV of the National Longitudinal Study of Adolescent to Adult Health, a nationally representative prospective study conducted over a 14-year period (n = 20,745, 50.5% female, M age at Wave I = 16.20). Participants completed portions of the Center for Epidemiologic Studies Depression Scale at Waves I and IV to assess depressive symptoms, a six-item anxiety measure at Wave I, and three items assessing insomnia, sleep quality, and sleep duration at Wave II.
resultsStructural equation modeling indicated that insomnia and unrestful sleep significantly mediated the relationship between anxiety and subsequent depression. The relationship between anxiety and depression was not significantly mediated by sleep duration.
conclusionsFindings suggest that anxiety may increase risk for the development of later depression through insomnia.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.