SLEEP DISTURBANCE AND PSYCHIATRIC-DISORDERS - A LONGITUDINAL EPIDEMIOLOGIC-STUDY OF YOUNG-ADULTS

Citation
N. Breslau et al., SLEEP DISTURBANCE AND PSYCHIATRIC-DISORDERS - A LONGITUDINAL EPIDEMIOLOGIC-STUDY OF YOUNG-ADULTS, Biological psychiatry, 39(6), 1996, pp. 411-418
Citations number
22
Categorie Soggetti
Psychiatry
Journal title
ISSN journal
00063223
Volume
39
Issue
6
Year of publication
1996
Pages
411 - 418
Database
ISI
SICI code
0006-3223(1996)39:6<411:SDAP-A>2.0.ZU;2-I
Abstract
In a longitudinal epidemiological study of young adults, we estimated the association between sleep disturbance and psychiatric disorders, c ross-sectionally and prospectively. A random sample of 1200 was drawn from all 21-30-year-old members of a large health maintenance organiza tion (HMO) in Michigan; 1007 were interviewed in 1989 and 979 were rei ntewiewed in 1992. Lifetime prevalence of insomnia alone was 16.6%, of hypersomnia alone, 8.2%, and of insomnia plus hypersomnia, 8%. The ge nder-adjusted relative risk for new onset of major depression during t he follow-up period in persons with history of insomnia at baseline wa s 4.0 (95% confidence interval [CI] 2.2-7.0) and in persons with basel ine history of hypersomnia, 2.9 (95% CI 1.5-5.6). When history of othe r prior depressive symptoms (e.g., psychomotor retardation or agitatio n, suicidal ideation) was controlled for, prior insomnia remained a si gnificant predictor of subsequent major depression. complaints of 2 we eks or more of insomnia nearly every night might be a useful marker of subsequent onset of major depression.