ABSTRACT

Background

Sleep problems can persist following the treatment of depression and remission of symptoms. The extent to which having a previous history of depression may be associated with current daytime sleepiness is largely unknown.

Methods

Data were obtained from the spring 2017 American College Health Association-National College Health Assessment (ACHA-NCHA) survey (92 institutions) which assessed self-reported health in U.S. college students (n = 41,670). Among the sample, 93.5% were 18–24 year of age, and 69.6% women. Logistic regression estimated the association between reported prior lifetime diagnosis of depression and daytime sleepiness from the past 7 days, while adjusting for depressive symptoms and antidepressant use from the past year. Unadjusted and adjusted logistic regression models stratified by gender were performed.

Results

Among those who reported problems with sleepiness, 31.6% women and 19.4% men had a preexisting depression diagnosis. Individuals with preexisting depression were more likely than those without this diagnosis to report sleepiness problems (women: OR = 1.4, CI = 1.3–1.6, p < .001; men: OR = 1.2, CI = 1.0–1.4, p < .01). However, this association differed significantly by gender, with women with a preexisting depression diagnosis having a 13.0% greater likelihood of sleepiness compared to men.

Conclusions

Those with a preexisting depression diagnosis, and specifically women, may be at risk for daytime sleepiness even in the absence of current depressive mood-related symptoms. Given that many individuals are at risk for daytime sleepiness, mental health initiatives, including those on college campuses, should incorporate sleep hygiene within their programming.

中文翻译：

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女性和男性先前存在的抑郁症和白天嗜睡

摘要

背景

在抑郁症治疗和症状缓解后，睡眠问题可能仍然存在。既往抑郁史与当前白天嗜睡之间的关联程度在很大程度上尚不清楚。

方法

数据来自 2017 年春季美国大学健康协会-全国大学健康评估 (ACHA-NCHA) 调查（92 个机构），该调查评估了美国大学生自我报告的健康状况（n = 41,670）。样本中，93.5%为18-24岁，其中69.6%为女性。逻辑回归估计了过去 7 天报告的一生中抑郁症诊断与白天嗜睡之间的关联，同时调整了过去一年的抑郁症状和抗抑郁药物的使用情况。进行了按性别分层的未调整和调整逻辑回归模型。

结果

在那些报告有嗜睡问题的人中，31.6% 的女性和 19.4% 的男性先前患有抑郁症。患有抑郁症的人比没有诊断的人更有可能报告嗜睡问题（女性：OR  = 1.4，CI  = 1.3–1.6，p < .001；男性：OR  = 1.2，CI  = 1.0–1.4，p < .01 ）。然而，这种关联因性别而存在显着差异，与男性相比，先前患有抑郁症的女性出现困倦的可能性高出 13.0%。

结论

那些患有抑郁症的人，特别是女性，即使当前没有抑郁情绪相关症状，也可能面临白天嗜睡的风险。鉴于许多人面临白天嗜睡的风险，心理健康倡议（包括大学校园的倡议）应将睡眠卫生纳入其计划中。