Association Between Disturbed Sleep and Depression in Children and Youths A Systematic Review and Meta-analysis of Cohort Studies.
IMPORTANCE Disturbed sleep represents a potentially modifiable risk factor for depression in children and youths that can be targeted in prevention programs. OBJECTIVE To evaluate the association between disturbed sleep and depression in children and youths usingmeta-analytic methods. DATA SOURCES E...
| Publicado en: | Journal of Clinical Chiropractic Pediatrics Vol. 20; no. 1; pp. 1 - 17 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
International Chiropractors Association, Council on Chiropractic Pediatrics
2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156854950&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156854950 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23726180 FTGN jtl: Journal of Clinical Chiropractic Pediatrics issn: 23726180 maglogo: N pubinfo: dt: 2021 vid: 20 iid: 1 pid: 35119 pub: International Chiropractors Association, Council on Chiropractic Pediatrics place: Falls Church, Virginia artinfo: ui: 156854950 156854950 156854950 10.1001/jamanetworkopen.2021.2373 156854950 ppf: 1 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Association Between Disturbed Sleep and Depression in Children and Youths A Systematic Review and Meta-analysis of Cohort Studies. aug: au: Marino, Cecilia Andrade, Brendan Campisi, Susan C. Wong, Marcus Haoyu Zhao Xin Jing Aitken, Madison Bonato, Sarah Haltigan, John Wei Wang Szatmari, Peter affil: Centre for Addiction and Mental Health, Toronto, Ontario, Canada sug: subj: Sleep Disorders Complications Depression Risk Factors Sleep Disorders Complications Depression Risk Factors Sleep Disorders Complications Depression Risk Factors Risk Assessment Human Systematic Review Meta Analysis Embase Medline Psycinfo Child, Preschool Child Adult Adolescence Descriptive Statistics Confidence Intervals Inferential Statistics Male Female Child, Preschool: 2-5 years Child: 6-12 years Adult: 19-44 years Adolescent: 13-18 years Male Female ab: IMPORTANCE Disturbed sleep represents a potentially modifiable risk factor for depression in children and youths that can be targeted in prevention programs. OBJECTIVE To evaluate the association between disturbed sleep and depression in children and youths usingmeta-analytic methods. DATA SOURCES Embase, MEDLINE, PsycINFO, Scopus, Web of Science, and ProQuest Dissertations & Theses Global were searched for articles published from 1980 to August 2019. STUDY SELECTION Prospective cohort studies reporting estimates, adjusted for baseline depression, of the association between disturbed sleep and depression in 5- to 24-year-old participants from community and clinical-based samples with any comorbid diagnosis. Case series and reports, systematic reviews, meta-analyses, and treatment, theoretical, and position studies were excluded. A total of 8700 studiesmet the selection criteria. This study adhered to the guidelines of the Preferred Reporting Items for Systematic Reviews (PRISMA) and Meta-analyses and the Meta-analysis of Observational Studies in Epidemiology (MOOSE) statements. DATA EXTRACTION AND SYNTHESIS Study screening and data extraction were conducted by 2 authors at all stages. To pool effect estimates, a fixed-effect model was used if I2 < 50%; otherwise, a random-effects model was used. The I2 statistic was used to assess heterogeneity. The risk of bias was assessed using the Research Triangle Institute Item Bank tool. Metaregression analyses were used to explore the heterogeneity associated with type of ascertainment, type of and assessment tool for disturbed sleep and depression, follow-up duration, disturbed sleep at follow-up, and age at baseline. MAIN OUTCOME AND MEASURES Disturbed sleep included sleep disturbances or insomnia. Depression included depressive disorders or dimensional constructs of depression. Covariates included age, sex, and sociodemographic variables. RESULTS A total of 22 studies (including 28 895 patients) were included in the study, of which 16 (including 27 073 patients) were included in the meta-analysis. The pooled ß coefficient of the association between disturbed sleep and depression was 0.11 (95%CI, 0.06-0.15; P < .001; n = 14067; I2 = 50.8%), and the pooled odds ratio of depression in those with vs without disturbed sleep was 1.50 (95%CI, 1.13-2.00; P = .005; n = 13 006; I2 = 87.7%). Metaregression and sensitivity analyses showed no evidence that pooled estimates differed across any covariate. Substantial publication bias was found. CONCLUSIONS AND RELEVANCE This meta-analysis found a small but statistically significant effect size indicating an association between sleep disruption and depressive symptoms in children and youths. The high prevalence of disturbed sleep implies a large cohort of vulnerable children and youths who could develop depression. Disrupted sleep should be included in multifaceted prevention programs starting in childhood. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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