The day -to -day bidirectional longitudinal association between objective and self-reported sleep and affect: An ambulatory assessment study

JOURNAL OF AFFECTIVE DISORDERS

卷:283

Article

Difrancesco, Sonia¹  Penninx, Brenda W. J. H.¹  Antypa, Niki²  Hemert, Albert M. van³  Riese, Harriette⁴  Lamers, Femke¹ 

[1] Vrije Univ, Amsterdam Publ Hlth Res Inst, Dept Psychiat, Amsterdam UMC, Amsterdam, Netherlands

[2] Leiden Univ, Inst Psychol, Dept Clin Psychol, Leiden, Netherlands

[3] Leiden Univ, Dept Psychiat, Med Ctr, Leiden, Netherlands

[4] Univ Groningen, Univ Med Ctr Groningen, Dept Psychiat, Interdisciplinary Ctr Psychopathol & Emot Regulat, Groningen, Netherlands

关键词: Actigraphy;    Ecological momentary assessment;    Experience sampling method;    Major depressive disorder;    Anxiety disorders;    Sleep;   

DOI  :  10.1016/j.jad.2021.01.052

来源: Elsevier

【 摘 要 】

Background: Ambulatory assessments offer opportunities to evaluate daily dynamics of sleep and momentary affect using mobile technologies. This study examines day-to-day bidirectional associations between sleep and affect using mobile monitoring, and evaluates whether these associations differ between people without and with current or remitted depression/anxiety. Methods: Two-week ecological momentary assessment (EMA) and actigraphy data of 359 participants with current (n = 93), remitted (n = 176) or no (n = 90) CIDI depression/anxiety diagnoses were obtained from the Netherlands Study of Depression and Anxiety. Objective sleep duration (SD) and efficiency were obtained from actigraphy data. Self-reported SD, sleep quality (SQ), positive affect (PA) and negative affect (NA) were assessed by electronic diaries through EMA. Results: A bidirectional longitudinal association was found between self-reported SQ and affect, while no asso-ciation was found for self-reported SD and objective SD and efficiency. Better SQ predicted affect the same day (higher PA: b = 0.035, p < 0.001; lower NA: b =-0.022, p < 0.001), while lower NA on the preceding day predicted better SQ (b =-0.102, p = 0.001). The presence of current depression/anxiety disorders moderated the association between better SQ and subsequent lower NA; it was stronger for patients compared to controls (p = 0.003). Limitations: Observational study design can only point to areas of interest for interventions. Conclusions: This 2-week ambulatory monitoring study shows that, especially among depression/anxiety patients, better self-reported SQ predicts higher PA and lower NA the same day, while lower NA predicts better self-reported SQ. The value of mobile technologies to monitor and potentially intervene in patients to improve their affect should be explored.

【 授权许可】

Free