测试抑郁症状与失眠之间的相互关系。

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Robert J. Zhou, Brooklynn Bailey, Daniel R. Strunk
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引用次数: 0

摘要

背景:尽管人们早已认识到睡眠障碍对情绪失调的重要性,但对睡眠与抑郁症状之间潜在的相互关系的性质还不甚了解。冠状病毒疾病 19 大流行为研究这些症状之间的相互关系提供了一个独特的机会:通过在线数据收集,我们对 1200 名成年人(59% 为男性)进行了为期一年的跟踪调查。在八个时间点对睡眠障碍和抑郁症状进行了评估。对这两项测量的项目进行因子分析后发现,失眠和抑郁症状因子是独立的。随机截距交叉滞后面板模型用于评估因子分析得出的失眠和抑郁症状分量表之间的人际关系:结果:抑郁症状可以预测失眠症状的后续变化;然而,失眠并不能预测抑郁症状的变化:我们的研究结果表明,抑郁症状对失眠的影响是显而易见的,但反之则不然。结论:我们的研究结果表明,抑郁症状对失眠的影响是显而易见的,但反过来却并非如此。我们讨论了这一发现的意义,以及将抑郁症状和失眠作为治疗目标进行研究的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Testing the reciprocal relationship between depressive symptoms and insomnia

Testing the reciprocal relationship between depressive symptoms and insomnia

Background

Although the importance of sleep difficulties in emotional disorders has long been acknowledged, the nature of the potential reciprocal relationship between sleep and depressive symptoms is not yet well understood. The coronavirus disease 19 pandemic provided a unique opportunity to study the interrelation of these symptoms over a period marked by increases in sleep and psychological difficulties.

Methods

Using online data collection, we followed 1200 adults (59% male) through 1 year of the pandemic. Measures of sleep disturbance and depressive symptoms were assessed at eight time points. Factor analysis of the items from these two measures suggested separate insomnia and depressive symptom factors. A random intercept cross-lagged panel model was used to assess within-person relationships between factor analysis-informed subscales of insomnia and depressive symptoms.

Results

Depressive symptoms predicted subsequent changes in insomnia symptoms; however, insomnia did not predict changes in depressive symptoms.

Conclusions

Our findings suggest the impact of depressive symptoms on insomnia is evident, but the reverse is not. Implications of this finding along with the need for research addressing depressive symptoms and insomnia as treatment targets are discussed.

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来源期刊
Journal of Clinical Psychology
Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-
CiteScore
5.40
自引率
3.30%
发文量
177
期刊介绍: Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.
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