title: Persistent sleep disturbance: a risk factor for recurrent depression in community-dwelling older adults.
abstract: OBJECTIVE
  The objective of this study was to examine the associations between the temporal and severity characteristics of sleep disturbance and subsequent depression in community-dwelling older adults.
  
  
  METHODS
  A prospective cohort study with assessment of sleep disturbance and depression at baseline and across 2 years of follow-up.
  
  
  METHODS
  Three urban communities in the United States.
  
  
  METHODS
  Community-dwelling older adults in whom prior depression (n = 145), current depression (n = 68), or never mentally ill (n = 206) were diagnosed at the baseline assessment.
  
  
  RESULTS
  Major depression at year 2, defined by the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders. Among patients with either a depression history or current depression at baseline, persistent sleep disturbance throughout year 1 was associated with persistent or recurrent depression at year 2, after adjustment for group status, antidepressant and hypnotic sedative use, severity of depressive symptoms, chronic medical burden, and sociodemographic variables (adjusted odds ratio = 5.20, 95% confidence interval [CI] = 1.16 to 23.29). Among those who were not depressed at year 1, persistent sleep disturbance throughout year 1 predicted depression recurrence during year 2 (adjusted hazards ratio = 16.05, CI = 1.21 to 213.06), independent of the severity of sleep disturbance. None of the older adults who were never mentally ill developed a depression.
  
  
  CONCLUSIONS
  Persistent sleep disturbance during a year-long period is associated with depression the following year. Among older adults with prior depression, identification of those with persistent sleep disturbance may optimize the efficacy of sleep related interventions to improve depression remission and/or prevent late-life depression.
authors.affiliation: Department of Psychiatry, and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Eun
authors.initials: E
authors.lastname: Lee
authors.forename: Hyong Jin
authors.initials: HJ
authors.lastname: Cho
authors.forename: Richard
authors.initials: R
authors.lastname: Olmstead
authors.forename: Myron J
authors.initials: MJ
authors.lastname: Levin
authors.forename: Michael N
authors.initials: MN
authors.lastname: Oxman
authors.forename: Michael R
authors.initials: MR
authors.lastname: Irwin
mesh_terms: D000368:Aged; D002908:Chronic Disease; D003863:Depression / Q000209:etiology*; D003865:Major Depressive Disorder / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D012307:Risk Factors; D012893:Sleep Wake Disorders / Q000150:complications*; D013997:Time Factors
keywords: Sleep disturbance; aging; depression