ArticlePsychiatry investigation2025
Association Between Weekend Catch-Up Sleep and Depression: Evidence From the 2017-2018 National Health and Nutrition Examination Survey.
Article in Psychiatry investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveWeekend catch-up sleep (CUS) has been associated with certain health benefits; however, there is a paucity of research regarding the correlation between CUS and depression in adults. This study aimed to investigate the association between weekend CUS and depressive symptoms in a nationally representative adult population.
methodsWe analyzed data from the 2017-2018 National Health and Nutrition Examination Survey. Depression was assessed using the Patient Health Questionnaire-9, with a score ≥10 indicating clinically significant depressive symptoms. CUS duration was categorized into four groups: CUS≤0 h, 0 h<CUS≤1 h, 1 h<CUS≤2 h, and CUS>2 h. Multivariable logistic regression models adjusted for sociodemographic factors, health behaviors, and comorbidities were employed to examine associations.
resultsOut of 4,450 eligible participants, 2,169 (48.7%), 943 (21.2%), 641 (14.4%), and 697 (15.7%) had weekend CUS durations of ≤0, 0 to 1, 1 to 2, and >2 h, respectively. The prevalence of depression was found to be 9.59%, 7.74%, 7.18%, and 8.75%, respectively, in these groups. Adjusted for multiple variables, the odds ratios (ORs) for depression were 0.89 (95% confidence interval [CI] 0.54-1.48), 0.71 (95% CI 0.37-1.37), and 0.97 (95% CI 0.57-1.65) for individuals with 0 h<CUS≤1 h, 1 h<CUS≤2 h, and CUS>2 h, respectively, in comparison to those with CUS≤0 h. However, subgroup analyses suggested a potential protective effect of CUS (>2 h) against depression in individuals with weekday sleep duration <6 h (OR=0.47, 95% CI 0.27-0.83).
conclusionWeekend CUS was not associated with depression risk in the general adult population. The observed protective effect in sleep-restricted individuals warrants further investigation through prospective studies to evaluate potential causal relationships.
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