The relationship between insomnia and depressive symptoms: genuine or artifact?

Fadia Isaac, Kenneth Mark GreenwoodSchool of Health Sciences, RMIT University, Bundoora, Victoria, AustraliaBackground: Somatic symptom overlap between depression and insomnia has emerged as a major concern. Self-report measures such as the Beck Depression Inventory Second Edition (BDI-II) include s...

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Autores principales: Fadia Isaac, Kenneth Mark Greenwood
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Publicado: Dove Medical Press 2011
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spelling oai:doaj.org-article:7e9961d98e1c43c18ed68d6bf000c1c62021-12-02T03:00:59ZThe relationship between insomnia and depressive symptoms: genuine or artifact?1176-63281178-2021https://doaj.org/article/7e9961d98e1c43c18ed68d6bf000c1c62011-02-01T00:00:00Zhttp://www.dovepress.com/the-relationship-between-insomnia-and-depressive-symptoms-genuine-or-a-a6323https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Fadia Isaac, Kenneth Mark GreenwoodSchool of Health Sciences, RMIT University, Bundoora, Victoria, AustraliaBackground: Somatic symptom overlap between depression and insomnia has emerged as a major concern. Self-report measures such as the Beck Depression Inventory Second Edition (BDI-II) include somatic symptoms related to depression that are also present in the research diagnostic criteria for insomnia. This study aimed firstly to examine the relationship between the cognitive and somatic factors of the BDI-II and global scores on the Pittsburgh Sleep Quality Index (PSQI) in individuals presenting for insomnia treatment and secondly to examine whether treating insomnia in depressed individuals with insomnia will lead to a reduction in their depressive symptoms and whether this reduction is related to a decrease in the somatic or cognitive factors of depressive symptoms.Methods: A total of 379 individuals (133 males and 246 females), with a mean (M) age of 49.95 (standard deviation [SD] = 14.15) years, were used to address the first aim. To address the second aim, a total of 64 participants (27 males and 37 females) with both insomnia and depressive symptoms were treated for their insomnia. Their ages ranged between 22 and 87 (M = 50.97, SD = 15.13) years.Results: A significant relationship was found between both the cognitive and somatic factors of the BDI-II and global scores on the PSQI. Furthermore, although results in this study are only suggestive, they lend support to the idea that the relationship between insomnia and depression is not due to somatic symptom overlap. Results may also support the hypothesis that insomnia is primary to the presentation of depressive symptoms.Conclusion: Clinicians and health care providers could initially treat insomnia in individuals suffering from insomnia who also experience depressive symptoms, as this will not only remit insomnia but also abate the accompanying depressive symptoms.Keywords: cognitive depressive symptoms, somatic depressive symptoms, symptom overlap Fadia IsaacKenneth Mark GreenwoodDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2011, Iss default, Pp 57-63 (2011)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Fadia Isaac
Kenneth Mark Greenwood
The relationship between insomnia and depressive symptoms: genuine or artifact?
description Fadia Isaac, Kenneth Mark GreenwoodSchool of Health Sciences, RMIT University, Bundoora, Victoria, AustraliaBackground: Somatic symptom overlap between depression and insomnia has emerged as a major concern. Self-report measures such as the Beck Depression Inventory Second Edition (BDI-II) include somatic symptoms related to depression that are also present in the research diagnostic criteria for insomnia. This study aimed firstly to examine the relationship between the cognitive and somatic factors of the BDI-II and global scores on the Pittsburgh Sleep Quality Index (PSQI) in individuals presenting for insomnia treatment and secondly to examine whether treating insomnia in depressed individuals with insomnia will lead to a reduction in their depressive symptoms and whether this reduction is related to a decrease in the somatic or cognitive factors of depressive symptoms.Methods: A total of 379 individuals (133 males and 246 females), with a mean (M) age of 49.95 (standard deviation [SD] = 14.15) years, were used to address the first aim. To address the second aim, a total of 64 participants (27 males and 37 females) with both insomnia and depressive symptoms were treated for their insomnia. Their ages ranged between 22 and 87 (M = 50.97, SD = 15.13) years.Results: A significant relationship was found between both the cognitive and somatic factors of the BDI-II and global scores on the PSQI. Furthermore, although results in this study are only suggestive, they lend support to the idea that the relationship between insomnia and depression is not due to somatic symptom overlap. Results may also support the hypothesis that insomnia is primary to the presentation of depressive symptoms.Conclusion: Clinicians and health care providers could initially treat insomnia in individuals suffering from insomnia who also experience depressive symptoms, as this will not only remit insomnia but also abate the accompanying depressive symptoms.Keywords: cognitive depressive symptoms, somatic depressive symptoms, symptom overlap
format article
author Fadia Isaac
Kenneth Mark Greenwood
author_facet Fadia Isaac
Kenneth Mark Greenwood
author_sort Fadia Isaac
title The relationship between insomnia and depressive symptoms: genuine or artifact?
title_short The relationship between insomnia and depressive symptoms: genuine or artifact?
title_full The relationship between insomnia and depressive symptoms: genuine or artifact?
title_fullStr The relationship between insomnia and depressive symptoms: genuine or artifact?
title_full_unstemmed The relationship between insomnia and depressive symptoms: genuine or artifact?
title_sort relationship between insomnia and depressive symptoms: genuine or artifact?
publisher Dove Medical Press
publishDate 2011
url https://doaj.org/article/7e9961d98e1c43c18ed68d6bf000c1c6
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