ArticleScientific reports2019
Sleep problems and depression among 237 023 community-dwelling adults in 46 low- and middle-income countries.
Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 95 citations in OpenAlex.
- Prevalence of poor sleep quality and associated factors among women in Ethiopia: systematic review and meta -analysis.BMC public health · 2025Pooled it
- Psychiatric symptoms in Long-COVID patients: a systematic review.Frontiers in psychiatry · 2023Pooled it
- Severe sleep disturbance is associated with executive function impairment in patients with first-episode, treatment-naïve major depressive disorders.BMC psychiatry · 2021Trial
- A pilot investigation of accelerated deep transcranial magnetic stimulation protocols in treatment-resistant depression.European archives of psychiatry and clinical neuroscience · 2021Trial
- Comparison of Bioavailability and Bioequivalence of Generic and Brand Name Formulations of Escitalopram Oxalate Tablets in Healthy Chinese Population Under Fasting and Fed Conditions.Drug design, development and therapy · 2020Trial
- Identification of distinct clinical phenotypes and their neurobiological signatures in stress-exposed individuals: A multimodal machine learning approach.European psychiatry : the journal of the Association of European Psychiatrists · 2026Article
- Prevalence of sleep disturbances and their association with quality of life among the general population in Qassim, Saudi Arabia.PloS one · 2026Article
- Transdiagnostic Effects of a Chinese Herbal Formula DEP-2306 on Improving Sleep and Mood in Adults With Depressive Episode With Insufficient Symptoms: A Real-World Study.Stress and health : journal of the International Society for the Investigation of Stress · 2025Article
- The Cerebral Lymphatic System: Function, Controversies, and Therapeutic Approaches for Central Nervous System Diseases.Cellular and molecular neurobiology · 2025Review
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- Sleep Habits and Disturbances Among Tunisian Adults: A Cross-Sectional Online Survey.Nature and science of sleep · 2024Article
- Sleep Disturbances and Depression Levels among General Indonesian Population: A National Survey.Clinical practice and epidemiology in mental health : CP & EMH · 2024Article
- Diet in relation to Metabolic, sleep and psychological health Status (DiMetS): protocol for a cross-sectional study.BMJ open · 2023Article
- Associations between Birth Weight and Adult Sleep Characteristics: A Cross-Sectional Analysis from the UAEHFS.Journal of clinical medicine · 2023Article
- Exploring the relationship between insomnia and depression: a cross-sectional prospective study.Annals of medicine and surgery (2012) · 2023Article
- Postpartum Depression and Health: Role of Perceived Social Support among Pakistani Women.Diseases (Basel, Switzerland) · 2023Article
- Article
- Sleep and happiness: socio-economic, population and cultural correlates of sleep duration and subjective well-being in 52 countries.Frontiers in sleep · 2023Article
- Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Sleep problems are considered a core symptom of depression. However, there is little information about the comorbidity of sleep problems and depression in low- and middle-income countries (LMICs), and whether sleep problems with depression confer additional risk for decrements in health compared to sleep problems alone. This study thus examined the association between sleep problems and depression and whether sleep problems with depression are associated with an increased risk for poorer health in 46 LMICs. Cross-sectional, community-based data from 237 023 adults aged ≥18 years from the World Health Survey (WHS) 2002-2004 were analyzed. Information on sleep problems (severe/extreme) and International Classification of Diseases 10th Revision depression/depression subtypes was collected. Multivariable logistic (binary and multinomial) and linear regression analyses were performed. Sleep problems were associated with subsyndromal depression (odds ratio [OR]: 2.23, 95% confidence interval [CI]: 1.84-2.70), brief depressive episode (OR = 2.48, 95% CI = 2.09-2.95) and depressive episode (OR = 3.61, 95% CI = 3.24-4.03). Sleep problems with depression (vs. sleep problems alone) conferred additional risk for anxiety, perceived stress and decrements in health in the domains of mobility, self-care, pain, cognition, and interpersonal activities. Clinicians should be aware that the co-occurrence of sleep problems and depression is associated with a variety of adverse health outcomes in LMICs. Detecting this co-occurrence may be important for treatment planning.
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