Association Between Weekend Catch-Up Sleep and Depression: Evidence From the 2017-2018 National Health and Nutrition Examination Survey.

IF 1.8 4区医学 Q3 PSYCHIATRY

Psychiatry Investigation Pub Date : 2025-09-01 DOI:10.30773/pi.2024.0252

Wenting Cai, Zhonghong Lai, Shan Huang, Feng Xiao, Xueqin Liu, Yuxu Zhao, Ye Luo

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引用次数: 0

Abstract

Objective: Weekend 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.

Methods: We 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 h2 h. Multivariable logistic regression models adjusted for sociodemographic factors, health behaviors, and comorbidities were employed to examine associations.

Results: Out 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 h2 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).

Conclusion: Weekend 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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周末补觉与抑郁症之间的关系：来自2017-2018年全国健康与营养调查的证据。

目的：周末补觉（CUS）具有一定的健康益处；然而，关于成人CUS与抑郁症之间关系的研究却很少。本研究旨在调查具有全国代表性的成人人群中周末CUS与抑郁症状之间的关系。方法：分析2017-2018年全国健康与营养检查调查数据。使用患者健康问卷-9对抑郁症进行评估，得分≥10表示有临床显著的抑郁症状。CUS持续时间分为4组：≤0 h、0 h ~ 2 h。采用多变量logistic回归模型校正社会人口因素、健康行为和合并症来检验相关性。结果：在4450名符合条件的参与者中，2169人（48.7%）、943人（21.2%）、641人（14.4%）和697人（15.7%）的周末CUS持续时间分别≤0,0至1,1至2和bb0.2小时。抑郁患病率分别为9.59%、7.74%、7.18%和8.75%。经多变量调整后，与睡眠时间≤0小时的个体相比，睡眠时间为0小时的个体抑郁的比值比（ORs）分别为0.89（95%可信区间[CI] 0.54-1.48）、0.71 （95% CI 0.37-1.37）和0.97 （95% CI 0.57-1.65）。然而，亚组分析表明，睡眠时间为0小时的个体对抑郁有潜在的保护作用。结论：周末睡眠时间与一般成年人的抑郁风险无关。观察到的睡眠限制个体的保护作用值得通过前瞻性研究进一步调查，以评估潜在的因果关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatry Investigation PSYCHIATRY-

CiteScore

4.10

自引率

3.70%

发文量

105

审稿时长

6-12 weeks

期刊介绍： The Psychiatry Investigation is published on the 25th day of every month in English by the Korean Neuropsychiatric Association (KNPA). The Journal covers the whole range of psychiatry and neuroscience. Both basic and clinical contributions are encouraged from all disciplines and research areas relevant to the pathophysiology and management of neuropsychiatric disorders and symptoms, as well as researches related to cross cultural psychiatry and ethnic issues in psychiatry. The Journal publishes editorials, review articles, original articles, brief reports, viewpoints and correspondences. All research articles are peer reviewed. Contributions are accepted for publication on the condition that their substance has not been published or submitted for publication elsewhere. Authors submitting papers to the Journal (serially or otherwise) with a common theme or using data derived from the same sample (or a subset thereof) must send details of all relevant previous publications and simultaneous submissions. The Journal is not responsible for statements made by contributors. Material in the Journal does not necessarily reflect the views of the Editor or of the KNPA. Manuscripts accepted for publication are copy-edited to improve readability and to ensure conformity with house style.