The role of depressive symptoms and symptom dimensions in actigraphy-assessed sleep, circadian rhythm, and physical activity

Considering the heterogeneity of depression, distinct depressive symptom dimensions may be differentially associated with more objective actigraphy-based estimates of physical activity (PA), sleep and circadian rhythm (CR). We examined the association between PA, sleep, and CR assessed with actigrap...

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Bibliographic Details
Published in:Psychological medicine Vol. 52; no. 13; pp. 2760 - 2766
Main Authors: Difrancesco, Sonia, Penninx, Brenda W. J.H., Riese, Harriëtte, Giltay, Erik J., Lamers, Femke
Format: Journal Article
Language:English
Published: Cambridge, UK Cambridge University Press 01.10.2022
Subjects:
Actigraphy
Anxiety
Anxiety disorders
Circadian rhythm
Circadian Rhythm - physiology
Circadian rhythms
Cognition
Cognition & reasoning
Depression - complications
Emotions
Exercise
Exercise - physiology
Humans
Insomnia
Intervention
Medical diagnosis
Mental depression
Mood
Motor activity
Original
Original Article
Patients
Persistent vegetative state
Physical activity
Physical fitness
Questionnaires
Rhythm
Sleep
Sleep - physiology
Sleep disorders
Smartphones
Somatic symptoms
Time use
major depressive disorder
Actigraphy
symptom dimensions
ISSN:0033-2917, 1469-8978, 1469-8978
Online Access:Get full text
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Summary:Considering the heterogeneity of depression, distinct depressive symptom dimensions may be differentially associated with more objective actigraphy-based estimates of physical activity (PA), sleep and circadian rhythm (CR). We examined the association between PA, sleep, and CR assessed with actigraphy and symptom dimensions (i.e. mood/cognition, somatic/vegetative, sleep). Fourteen-day actigraphy data of 359 participants were obtained from the Netherlands Study of Depression and Anxiety. PA, sleep, and CR estimates included gross motor activity (GMA), sleep duration (SD), sleep efficiency (SE), relative amplitude between daytime and night-time activity (RA) and sleep midpoint. The 30-item Inventory of Depressive Symptomatology was used to assess depressive symptoms, which were categorised in three depression dimensions: mood/cognition, somatic/vegetative, and sleep. GMA and RA were negatively associated with higher score on all three symptom dimensions: mood/cognition (GMA: = -0.155, < 0.001; RA: = -0.116, = 0.002), somatic/vegetative (GMA: = -0.165, < 0.001; RA: = -0.133, < 0.001), sleep (GMA: = -0.169, < 0.001; RA: = -0.190, < 0.001). The association with sleep was more pronounced for two depression dimensions: longer SD was linked to somatic/vegetative ( = 0.115, = 0.015) dimension and lower SE was linked to sleep ( = -0.101, = 0.011) dimension. As three symptom dimensions were associated with actigraphy-based low PA and dampened CR, these seem to be general indicators of depression. Sleep disturbances appeared more linked to the somatic/vegetative and sleep dimensions; the effectiveness of sleep interventions in patients reporting somatic/vegetative symptoms may be explored, as well as the potential of actigraphy to monitor treatment response to such interventions.
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ISSN:0033-2917
1469-8978
1469-8978
DOI:10.1017/S0033291720004870