Can sleep disturbance influence changes in mental health status? Longitudinal research evidence from ageing studies in England and Japan

Article


Cable, N., Chandola, T., Aida, J., Sekine, M. and Netuveli, G. 2016. Can sleep disturbance influence changes in mental health status? Longitudinal research evidence from ageing studies in England and Japan. Sleep Medicine. 30, pp. 216-221.
AuthorsCable, N., Chandola, T., Aida, J., Sekine, M. and Netuveli, G.
Abstract

Background: Little is known about the role of sleep disturbance in relation to changes in
depressive states. We used data obtained from the participants aged 65 and over in the
English Longitudinal Study of Ageing (ELSA, waves 4 and 5, N=3108) and the Japan
Gerontological Evaluation Study (JAGES, 2010 and 2013 sweeps, N=7527) to examine
whether sleep disturbance is longitudinally associated with older adults’ patterns of
depressive states.
Methods: We created four patterns of depressive states (non-case, recovered, onset,
repeatedly depressive) by combining responses to the measures (scoring four or more on
seven items from the Center for Epidemiological Studies Depression Scale for the ELSA
participants and scoring 5 or more for the Geriatric Depression Scale-15 for the JAGES
participants) obtained at the baseline and follow-up. Sleep disturbance was assessed through
responses to three questions on sleep problems. Age, sex, partnership status, household
equivalised income, alcohol and cigarette use, and physical function were treated as
confounders in this study. Additionally, information on sleep medication was available in
JAGES and was included in the statistical models.
Results: More ELSA participants were non-depressive cases and reported no sleep
disturbances compared with the JAGES participants. Findings from multinomial logistic
regression analysis showed that more sleep disturbance was associated with the onset group
in ELSA (RRR=2.37, 95%CI=1.44-3.90) and JAGES (RRR=2.41, 95%CI=1.79-3.25) as well
as the recovery (RRR=3.42, 95%CI=1.98-5.90, RRR=2.71, 95%CI=1.95-3.75) and
repeatedly depressed group (RRR=7.24, 95%CI=3.91-13.40, RRR=5.16, 95%CI=3.82-6.98).
Conclusions: Findings suggest that the association between sleep disturbance and depression
in older adults is complex

KeywordsSleep; depressive states; cross-national comparisons; ELSA; JAGES
JournalSleep Medicine
Journal citation30, pp. 216-221
ISSN1389-9457
1878-5506
Year2016
PublisherElsevier
Accepted author manuscript
License
CC BY-NC-ND
Supplemental file
License
CC BY-NC-ND
Digital Object Identifier (DOI)doi:10.1016/j.sleep.2016.11.017
Web address (URL)https://doi.org/10.1016/j.sleep.2016.11.017
Publication dates
Print18 Dec 2016
Publication process dates
Deposited19 Dec 2016
Accepted17 Nov 2016
Accepted17 Nov 2016
FunderEconomic and Social Research Council
Ministry of Education, Culture, Sports, Science and Technology Japan
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Japan Society for the Promotion of Science
Health Labour Sciences Research Grants
Health Labour Sciences Research Grants
Health Labour Sciences Research Grants
Health Labour Sciences Research Grants
Health Labour Sciences Research Grants
Health Labour Sciences Research Grants
Health Labour Sciences Research Grants
Health Labour Sciences Research Grants
Health Labour Sciences Research Grants
Japan Agency for Medical Research and development
National Center for Geriatrics and Gerontology
National Center for Geriatrics and Gerontology
Japan Foundation For Aging And Health
Copyright information© 2016 Elsevier
LicenseCC BY-NC-ND 3.0
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