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- Publisher Website: 10.1016/j.jad.2024.05.155
- Scopus: eid_2-s2.0-85195783666
- PMID: 38851435
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Article: Actigraphic monitoring of sleep and circadian rest-activity rhythm in individuals with major depressive disorder or depressive symptoms: A meta-analysis
Title | Actigraphic monitoring of sleep and circadian rest-activity rhythm in individuals with major depressive disorder or depressive symptoms: A meta-analysis |
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Authors | |
Keywords | Actigraphy Depression Meta-analysis Rest-activity Sleep Systematic review |
Issue Date | 15-Sep-2024 |
Publisher | Elsevier |
Citation | Journal of Affective Disorders, 2024, v. 361, p. 224-244 How to Cite? |
Abstract | Background: Disrupted sleep and rest-activity pattern are common clinical features in depressed individuals. This meta-analysis compared sleep and circadian rest-activity rhythms in people with major depressive disorder (MDD) or depressive symptoms and healthy controls. Methods: Eligible studies were identified in five databases up to December 2023. The search yielded 53 studies with a total of 11,115 participants, including 4000 depressed participants and 7115 healthy controls. Results: Pooled meta-analyses demonstrated that depressed individuals have significantly longer sleep latency (SMD = 0.23, 95 % CI: 0.12 to 0.33) and wake time after sleep onset (SMD = 0.37, 95 % CI: 0.22 to 0.52), lower sleep efficiency (SMD = −0.41, 95 % CI: −0.56 to −0.25), more nocturnal awakenings (SMD = 0.58, 95 % CI: 0.29 to 0.88), lower MESOR (SMD = −0.54, 95 % CI: −0.81 to −0.28), amplitude (SMD = −0.33, 95 % CI: −0.57 to −0.09), and interdaily stability (SMD = −0.17, 95 % CI: −0.28 to −0.05), less daytime (SMD = −0.79, 95 % CI: −1.08 to −0.49) and total activities (SMD = −0.89, 95 % CI: −1.28 to −0.50) when compared with healthy controls. Limitations: Most of the included studies reported separate sleep and activity parameters instead of 24-hour rest-activity rhythms. The variabilities among actigraphy devices and the types of participants recruited also impede precise comparisons. Conclusions: The findings emerging from this study offered a better understanding of sleep and rest-activity rhythm in individuals with MDD or depressive symptoms. Future studies could advocate for deriving objective, distinctive 24-hour rest-activity profiles contributing to the risk of depression. |
Persistent Identifier | http://hdl.handle.net/10722/345676 |
ISSN | 2023 Impact Factor: 4.9 2023 SCImago Journal Rankings: 2.082 |
DC Field | Value | Language |
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dc.contributor.author | Ho, Fiona Yan Yee | - |
dc.contributor.author | Poon, Chun Yin | - |
dc.contributor.author | Wong, Vincent Wing Hei | - |
dc.contributor.author | Chan, Ka Wai | - |
dc.contributor.author | Law, Ka Wai | - |
dc.contributor.author | Yeung, Wing Fai | - |
dc.contributor.author | Chung, Ka Fai | - |
dc.date.accessioned | 2024-08-27T09:10:25Z | - |
dc.date.available | 2024-08-27T09:10:25Z | - |
dc.date.issued | 2024-09-15 | - |
dc.identifier.citation | Journal of Affective Disorders, 2024, v. 361, p. 224-244 | - |
dc.identifier.issn | 0165-0327 | - |
dc.identifier.uri | http://hdl.handle.net/10722/345676 | - |
dc.description.abstract | <p>Background: Disrupted sleep and rest-activity pattern are common clinical features in depressed individuals. This meta-analysis compared sleep and circadian rest-activity rhythms in people with major depressive disorder (MDD) or depressive symptoms and healthy controls. Methods: Eligible studies were identified in five databases up to December 2023. The search yielded 53 studies with a total of 11,115 participants, including 4000 depressed participants and 7115 healthy controls. Results: Pooled meta-analyses demonstrated that depressed individuals have significantly longer sleep latency (SMD = 0.23, 95 % CI: 0.12 to 0.33) and wake time after sleep onset (SMD = 0.37, 95 % CI: 0.22 to 0.52), lower sleep efficiency (SMD = −0.41, 95 % CI: −0.56 to −0.25), more nocturnal awakenings (SMD = 0.58, 95 % CI: 0.29 to 0.88), lower MESOR (SMD = −0.54, 95 % CI: −0.81 to −0.28), amplitude (SMD = −0.33, 95 % CI: −0.57 to −0.09), and interdaily stability (SMD = −0.17, 95 % CI: −0.28 to −0.05), less daytime (SMD = −0.79, 95 % CI: −1.08 to −0.49) and total activities (SMD = −0.89, 95 % CI: −1.28 to −0.50) when compared with healthy controls. Limitations: Most of the included studies reported separate sleep and activity parameters instead of 24-hour rest-activity rhythms. The variabilities among actigraphy devices and the types of participants recruited also impede precise comparisons. Conclusions: The findings emerging from this study offered a better understanding of sleep and rest-activity rhythm in individuals with MDD or depressive symptoms. Future studies could advocate for deriving objective, distinctive 24-hour rest-activity profiles contributing to the risk of depression.</p> | - |
dc.language | eng | - |
dc.publisher | Elsevier | - |
dc.relation.ispartof | Journal of Affective Disorders | - |
dc.subject | Actigraphy | - |
dc.subject | Depression | - |
dc.subject | Meta-analysis | - |
dc.subject | Rest-activity | - |
dc.subject | Sleep | - |
dc.subject | Systematic review | - |
dc.title | Actigraphic monitoring of sleep and circadian rest-activity rhythm in individuals with major depressive disorder or depressive symptoms: A meta-analysis | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.jad.2024.05.155 | - |
dc.identifier.pmid | 38851435 | - |
dc.identifier.scopus | eid_2-s2.0-85195783666 | - |
dc.identifier.volume | 361 | - |
dc.identifier.spage | 224 | - |
dc.identifier.epage | 244 | - |
dc.identifier.issnl | 0165-0327 | - |