Temporal associations between insomnia and depression symptoms in adults during the COVID-19 pandemic: A cross-lagged path modelling analysis

Raman, Sudha R.; Coogan, Andrew N.

doi:10.1016/j.psychres.2022.114533

Cited by 16 publications

(17 citation statements)

References 41 publications

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“…Since the publication of our initial report, which was the first to document the longitudinal time course of worries about COVID-19 alongside insomnia severity, over 40 articles have been written about sleep disorder symptoms during the pandemic. Our findings are consistent with one report that demonstrated a bidirectional, longitudinal relationship between insomnia and depression (worries were not included) over the course of one year in the pandemic [17]. Thus, it is not totally surprising that our findings were inconsistent with our third hypothesis (which was based on our prior report that observed effects in the acute phase of the pandemic).…”

Section: Discussionsupporting

confidence: 84%

COVID-19 Worries and Insomnia: A Follow-Up Study

Brown

Zhu

Hamlett

et al. 2023

IJERPH

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The COVID-19 pandemic was associated with significant increases in sleep disorder symptoms and chronic worry. We previously demonstrated that worry about the pandemic was more strongly associated with subsequent insomnia than the converse during the acute (first 6 months) phase of the pandemic. In this report, we evaluated whether that association held over one year of the pandemic. Participants (n = 3560) completed self-reported surveys of worries about the pandemic, exposure to virus risk factors, and the Insomnia Severity Index on five occasions throughout the course of one year. In cross-sectional analyses, insomnia was more consistently associated with worries about the pandemic than exposure to COVID-19 risk factors. In mixed-effects models, changes in worries predicted changes in insomnia and vice versa. This bidirectional relationship was further confirmed in cross-lagged panel models. Clinically, these findings suggest that during a global disaster, patients who report elevations in either worry or insomnia should be considered for evidence-based treatments for these symptoms to prevent secondary symptoms in the future. Future research should evaluate the extent to which dissemination of evidence-based practices for chronic worry (a core feature of generalized anxiety disorder or illness anxiety disorder) or insomnia reduces the development of co-occurring symptoms during a global disaster.

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Section: Discussionsupporting

confidence: 84%

COVID-19 Worries and Insomnia: A Follow-Up Study

Brown

Zhu

Hamlett

et al. 2023

IJERPH

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“…This finding contradicted previous findings. 3,4 However, this is not entirely unexpected because these previous studies were conducted in the general population, while ours were in individuals with moderate to severe insomnia at baseline. It appeared that higher levels of insomnia symptoms did not predict higher levels of depressive symptoms at three months in individuals who already had insomnia.…”

Section: Discussionmentioning

confidence: 58%

“…2 Insomnia symptoms and depressive symptoms were also shown to be bidirectionally related in two longitudinal studies of six months and one year apart, respectively. 3,4 Problematic emotional processes are often identified as a characteristic and underlying mechanism of various psychiatric disorders, including insomnia and depression. Emotional reactivity and emotion regulation are often proposed as mechanisms underlying the insomnia-depression relationship because of their close association with both disorders.…”

Section: Insomnia and Depression Have Been Shown To Predict Each Othe...mentioning

confidence: 99%

Negative Emotional Reactivity and Maladaptive Emotional Regulation Strategies Mediate the Prospective Relationship Between Depression and Insomnia

Tsui,

Chan

2023

Preprint

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Study Objectives: Emotional reactivity and regulation have been frequently proposed to explain the relationship between insomnia and depression. However, no longitudinal study has examined insomnia, depression, and emotional reactivity and regulation simultaneously and evaluated the mediating role of emotional reactivity and regulation. The current study investigated emotional reactivity and regulation as potential mediators of the insomnia-depression relationship in a three-wave longitudinal study over three months. Methods: Nine hundred and twenty-four participants with moderate to severe levels of insomnia were recruited (ages ranging from 16-69 years, 72.9% female). They filled out questionnaires that measured insomnia symptoms, depressive symptoms, emotional reactivity, and the use of emotion regulation strategies once per month for three months. Results: The results showed that depressive symptoms predicted insomnia symptoms (but not vice versa) via negative emotional reactivity, rumination, and catastrophizing. Conclusions: These novel findings highlighted the importance of targeting these aspects in emotional processes in assessing and treating individuals with insomnia and depression.

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“…In our study, the figures for PTSD and depression were similar to those reported by Cyr et al ( 28 ), but were higher for anxiety. A similar study in Ireland found higher prevalence values for depression with a prevalence between 22 and 28% in the general population during the pandemic ( 31 ). It should also be noted that in countries such as Brazil, India, and the United States, variation was observed in the figures for depression in relation to the moment the data were collected during the pandemic, where an increase was presented during the peaks of COVID-19 contagion ( 32 ).…”

Section: Discussionmentioning

confidence: 83%

Burnout, psychopathology and purpose in life in healthcare workers during COVID-19 pandemic

O’Higgins

Rojas

Echeverria

et al. 2022

Front. Public Health

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ObjectivesThe COVID-19 pandemic has led to a significant increase in the workload of healthcare workers that, together with the risks associated with exposure to this new virus, has affected their mental health. The objective of the current study was to determine the prevalence of psychopathology and burnout syndrome in healthcare workers and the predictive role of purpose in life and moral courage in this relationship.MethodsA cross-sectional study was carried out in 115 Spanish healthcare workers.ResultsParticipants with burnout had higher anxiety (p = 0.001), depression (p < 0.001), post-traumatic stress (p = 0.01) and alcohol consumption (p = 0.03) levels. The different components of burnout (emotional fatigue and despersonalization) were associated with the occurrence of anxiety (OR = 0.31) and depression (OR = 0.26), respectively. A strong purpose in life decreased emotional fatigue (OR = −0.39) depersonalization (OR = −0.23) scores, increased personal accomplishment (OR = 0.52), subsequently reducing burnout levels (OR = −0.45).ConclusionsPurpose in life was most strongly related to decreased levels of burnout. Furthermore, an association between anxiety, depression and the components of burnout was found.

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Temporal associations between insomnia and depression symptoms in adults during the COVID-19 pandemic: A cross-lagged path modelling analysis

Cited by 16 publications

References 41 publications

COVID-19 Worries and Insomnia: A Follow-Up Study

COVID-19 Worries and Insomnia: A Follow-Up Study

Negative Emotional Reactivity and Maladaptive Emotional Regulation Strategies Mediate the Prospective Relationship Between Depression and Insomnia

Burnout, psychopathology and purpose in life in healthcare workers during COVID-19 pandemic

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