Why might poor sleep quality lead to depression? A role for emotion regulation.

Why might poor sleep quality lead to depression? A role for emotion regulation.
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DOI:
10.1080/02699931.2016.1247035
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发表时间:
2017-12
影响因子:
2.6
通讯作者:
Rottenberg J
Rottenberg J
中科院分区:
心理学3区
文献类型:
--
作者:
O'Leary K;Bylsma LM;Rottenberg J

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睡眠障碍与未来的抑郁症密切相关,但这种联系的原因尚不清楚。这项研究测试了一种可能性-睡眠不足会损害情绪调节(ER),随着时间的推移,这会导致抑郁症状增加。我们的样本包含具有广泛抑郁症状的个体(当前抑郁症,N = 54,缓解抑郁症,N = 36,和健康对照,N = 53),他们在临床上被随访超过6个月,并重新评估抑郁症状水平的变化。正如预测的那样,适应不良的ER介导了睡眠质量差和抑郁症状之间的横截面和前瞻性关系。相反,另一个中介,体力活动水平,没有调解睡眠质量和抑郁症状之间的联系。适应不良的ER可能有助于解释为什么睡眠困难有助于抑郁症状;干预措施的影响进行了讨论。
Disordered sleep is strongly linked to future depression, but the reasons for this link are not well understood. This study tested one possibility-- that poorer sleep impairs emotion regulation (ER), which over time leads to increased depressive symptoms. Our sample contained individuals with a wide range of depression symptoms (current depression, N = 54, remitted depression, N = 36, and healthy control, N = 53), who were followed clinically over six months and reassessed for changes in depressive symptom levels. As predicted, maladaptive ER mediated both cross-sectional and prospective relationships between poor sleep quality and depression symptoms. In contrast, an alternative mediator, physical activity levels, did not mediate the link between sleep quality and depression symptoms. Maladaptive ER may help explain why sleep difficulties contribute to depression symptoms; implications for interventions are discussed.
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