Sleep and Depression in Older Adults: A Narrative Review.

IF 5.5 2区医学 Q1 PSYCHIATRY

Current Psychiatry Reports Pub Date : 2023-11-01 Epub Date: 2023-09-23 DOI:10.1007/s11920-023-01455-3

Spencer A Nielson, Daniel B Kay, Joseph M Dzierzewski

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引用次数: 0

Abstract

Purpose of review: The sleep-depression association has been recognized for decades. Efforts to clarify this association continue at an increasing pace. This review summarizes recent research on the sleep-depression association in older adults.

Recent findings: Research over the past 4 years has utilized cross-sectional, longitudinal, cohort, and intervention designs to examine these associations. Short (< 7 h) and long (> 8-9 h) sleep durations and insomnia symptoms are risk factors for depression in older adults. Similarly, short sleep, long sleep, insomnia symptoms, and depression are all risk factors for poorer health in late life, including increased risk of cognitive decline, falls, and poorer quality-of-life. Intervention studies have produced mixed findings, with some studies suggesting that sleep interventions may be potentially effective in improving both insomnia and mood symptoms. Intervention studies incorporating both behavioral and physiological measures of sleep, and larger and diverse samples may enhance the field's understanding of the complex interplay between sleep and mood in older adults.

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老年人的睡眠与抑郁：叙事评论。

综述目的：几十年来，睡眠抑郁的关联性一直得到认可。澄清这一关联的努力仍在以越来越快的速度进行。这篇综述总结了最近关于老年人睡眠抑郁关系的研究。最近的发现：过去4年的研究利用横断面、纵向、队列和干预设计来检验这些相关性。Short( 8-9小时）睡眠时间和失眠症状是老年人抑郁的危险因素。同样，睡眠时间短、睡眠时间长、失眠症状和抑郁都是晚年健康状况较差的风险因素，包括认知能力下降、跌倒和生活质量较差的风险增加。干预研究得出了喜忧参半的结果，一些研究表明，睡眠干预可能对改善失眠和情绪症状有潜在的有效性。干预研究结合了睡眠的行为和生理测量，以及更大、更多样的样本，可以增强该领域对老年人睡眠和情绪之间复杂相互作用的理解。

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

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.