Objective and Subjective Sleep Measures Are Related to Suicidal Ideation and Are Transdiagnostic Features of Major Depressive Disorder and Social Anxiety Disorder

Suicide is a major public health problem and previous studies in major depression and anxiety show problematic sleep is a risk factor for suicidal ideation (SI). However, less is known about sleep and SI in social anxiety disorder (SAD), despite the pervasiveness of SAD. Therefore, the current study...

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Main Authors: Heide Klumpp, Fini Chang, Brian W. Bauer, Helen J. Burgess
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/13/2/288
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author Heide Klumpp
Fini Chang
Brian W. Bauer
Helen J. Burgess
author_facet Heide Klumpp
Fini Chang
Brian W. Bauer
Helen J. Burgess
author_sort Heide Klumpp
collection DOAJ
description Suicide is a major public health problem and previous studies in major depression and anxiety show problematic sleep is a risk factor for suicidal ideation (SI). However, less is known about sleep and SI in social anxiety disorder (SAD), despite the pervasiveness of SAD. Therefore, the current study comprised participants with major depressive disorder (MDD) (without comorbid SAD) (<i>n</i> = 26) and participants with SAD (without comorbid MDD) (<i>n</i> = 41). Wrist actigraphy was used to estimate sleep duration, wake after sleep onset, and sleep efficiency; sleep quality was evaluated with self-report. Self-report was also used to examine SI. These measures were submitted to independent <i>t</i>-tests and multiple regression analysis. <i>t</i>-test results revealed sleep and SI did not differ between MDD and SAD groups. Multiple regression results showed shorter sleep duration and worse sleep quality related to greater SI when taking symptom severity and age into account. Post-hoc partial correlational analysis showed these sleep–SI relationships remained significant after controlling for symptom severity and age. Preliminary findings indicate sleep and SI may be transdiagnostic features of MDD and SAD. Evidence of distinct sleep–SI relationships are consistent with previous reports showing that sleep difficulties contribute to SI. Altogether, improving sleep duration and sleep quality may reduce the risk of SI.
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spelling doaj.art-d2cb1da736bf440eb75b60e923d26ddb2023-11-16T19:28:54ZengMDPI AGBrain Sciences2076-34252023-02-0113228810.3390/brainsci13020288Objective and Subjective Sleep Measures Are Related to Suicidal Ideation and Are Transdiagnostic Features of Major Depressive Disorder and Social Anxiety DisorderHeide Klumpp0Fini Chang1Brian W. Bauer2Helen J. Burgess3Department of Psychiatry, University of Illinois at Chicago, Chicago, IL 60612, USADepartment of Psychiatry, University of Illinois at Chicago, Chicago, IL 60612, USADepartment of Psychology, University of Georgia, Athens, GA 30602, USADepartment of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USASuicide is a major public health problem and previous studies in major depression and anxiety show problematic sleep is a risk factor for suicidal ideation (SI). However, less is known about sleep and SI in social anxiety disorder (SAD), despite the pervasiveness of SAD. Therefore, the current study comprised participants with major depressive disorder (MDD) (without comorbid SAD) (<i>n</i> = 26) and participants with SAD (without comorbid MDD) (<i>n</i> = 41). Wrist actigraphy was used to estimate sleep duration, wake after sleep onset, and sleep efficiency; sleep quality was evaluated with self-report. Self-report was also used to examine SI. These measures were submitted to independent <i>t</i>-tests and multiple regression analysis. <i>t</i>-test results revealed sleep and SI did not differ between MDD and SAD groups. Multiple regression results showed shorter sleep duration and worse sleep quality related to greater SI when taking symptom severity and age into account. Post-hoc partial correlational analysis showed these sleep–SI relationships remained significant after controlling for symptom severity and age. Preliminary findings indicate sleep and SI may be transdiagnostic features of MDD and SAD. Evidence of distinct sleep–SI relationships are consistent with previous reports showing that sleep difficulties contribute to SI. Altogether, improving sleep duration and sleep quality may reduce the risk of SI.https://www.mdpi.com/2076-3425/13/2/288sleepactigraphsocial anxietydepressionsuicidal ideationsuicide
spellingShingle Heide Klumpp
Fini Chang
Brian W. Bauer
Helen J. Burgess
Objective and Subjective Sleep Measures Are Related to Suicidal Ideation and Are Transdiagnostic Features of Major Depressive Disorder and Social Anxiety Disorder
Brain Sciences
sleep
actigraph
social anxiety
depression
suicidal ideation
suicide
title Objective and Subjective Sleep Measures Are Related to Suicidal Ideation and Are Transdiagnostic Features of Major Depressive Disorder and Social Anxiety Disorder
title_full Objective and Subjective Sleep Measures Are Related to Suicidal Ideation and Are Transdiagnostic Features of Major Depressive Disorder and Social Anxiety Disorder
title_fullStr Objective and Subjective Sleep Measures Are Related to Suicidal Ideation and Are Transdiagnostic Features of Major Depressive Disorder and Social Anxiety Disorder
title_full_unstemmed Objective and Subjective Sleep Measures Are Related to Suicidal Ideation and Are Transdiagnostic Features of Major Depressive Disorder and Social Anxiety Disorder
title_short Objective and Subjective Sleep Measures Are Related to Suicidal Ideation and Are Transdiagnostic Features of Major Depressive Disorder and Social Anxiety Disorder
title_sort objective and subjective sleep measures are related to suicidal ideation and are transdiagnostic features of major depressive disorder and social anxiety disorder
topic sleep
actigraph
social anxiety
depression
suicidal ideation
suicide
url https://www.mdpi.com/2076-3425/13/2/288
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