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Sleep, Health and SocietyFrom Aetiology to Public Health$
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Francesco P. Cappuccio, Michelle A. Miller, and Steven W. Lockley

Print publication date: 2010

Print ISBN-13: 9780199566594

Published to Oxford Scholarship Online: January 2011

DOI: 10.1093/acprof:oso/9780199566594.001.0001

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The epidemiology of sleep and depression

The epidemiology of sleep and depression

(p.178) Chapter 8 The epidemiology of sleep and depression
Sleep, Health and Society

S. Weich

Oxford University Press

Sleep disturbances, and insomnia in particular, are extremely common in depression and vice versa. These conditions co-occur more often than each occurs on its own. Insomnia, hypersomnia, and fatigue are also diagnostic criteria for depressive disorders. Longitudinal studies have demonstrated that sleep disturbances often begin before the onset of other depressive symptoms. Insomnia may (adversely) affect the response to treatment of depression and, if residual, predict depressive relapse. Early evidence suggests that persistent insomnia may increase the risk of suicide among people who are depressed. Even if not causally related to depression, better methods for recognizing sleep disturbance in populations might assist in the early detection of depression or in identifying those at high risk of suicide.

Keywords:   depression, insomnia, suicide, sleep disturbance, fatigue, hypersomnia

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