Combined Effects of Sleep Quality and Depression on Quality of Life in Patients with Type 2 Diabetes

Overview

Journal BMC Fam Pract

Publisher Biomed Central

Specialties Health Services
Public Health

Date 2016 Apr 6

PMID 27044393

Citations 26

Authors

Pan Zhang

Peian Lou

Guiqiu Chang

Peipei Chen

Lei Zhang

Ting Li

Cheng Qiao

Affiliations

Soon will be listed here.

Abstract

Background: Poor sleep quality and depression negatively impact the health-related quality of life of patients with type 2 diabetes, but the combined effect of the two factors is unknown. This study aimed to assess the interactive effects of poor sleep quality and depression on the quality of life in patients with type 2 diabetes.

Methods: Patients with type 2 diabetes (n = 944) completed the Diabetes Specificity Quality of Life scale (DSQL) and questionnaires on sleep quality and depression. The products of poor sleep quality and depression were added to the logistic regression model to evaluate their multiplicative interactions, which were expressed as the relative excess risk of interaction (RERI), the attributable proportion (AP) of interaction, and the synergy index (S).

Results: Poor sleep quality and depressive symptoms both increased DSQL scores. The co-presence of poor sleep quality and depressive symptoms significantly reduced DSQL scores by a factor of 3.96 on biological interaction measures. The relative excess risk of interaction was 1.08. The combined effect of poor sleep quality and depressive symptoms was observed only in women.

Conclusions: Patients with both depressive symptoms and poor sleep quality are at an increased risk of reduction in diabetes-related quality of life, and this risk is particularly high for women due to the interaction effect. Clinicians should screen for and treat sleep difficulties and depressive symptoms in patients with type 2 diabetes.

Citing Articles

The multimorbidity association of metabolic syndrome and depression on type 2 diabetes: a general population cohort study in Southwest China.

Cai Y, Zhou S, Fan S, Yang Y, Tian K, Luo L Front Endocrinol (Lausanne). 2024; 15:1399859.

PMID: 39036053 PMC: 11257852. DOI: 10.3389/fendo.2024.1399859.

Relationship between sleep quality and depression in people with type 2 diabetes.

Sokoty L, Eshaghi M, Farezi M, Mirshafiyi P, Darabian S J Diabetes Metab Disord. 2024; 23(1):765-772.

PMID: 38932818 PMC: 11196463. DOI: 10.1007/s40200-023-01349-4.

Stress and human health in diabetes: A report from the 19 Chicago Biomedical Consortium symposium.

Mirmira R, Kulkarni R, Xu P, Drossos T, Varady K, Knutson K J Clin Transl Sci. 2024; 7(1):e263.

PMID: 38229904 PMC: 10790105. DOI: 10.1017/cts.2023.646.

[Cognition and depression in older people with diabetes].

Kulzer B Nervenarzt. 2024; 95(1):46-52.

PMID: 38189938 DOI: 10.1007/s00115-023-01599-w.

EVALUATION OF DISEASE ACCEPTANCE, DEPRESSION, AND QUALITY OF LIFE IN PEOPLE WITH TYPE 2 DIABETES MELLITUS.

Ozyalcin B, Sanlier N Acta Endocrinol (Buchar). 2023; 18(4):474-479.

PMID: 37152883 PMC: 10162829. DOI: 10.4183/aeb.2022.474.

References

Gonzalez J, Safren S, Delahanty L, Cagliero E, Wexler D, Meigs J . Symptoms of depression prospectively predict poorer self-care in patients with Type 2 diabetes. Diabet Med. 2009; 25(9):1102-7. PMC: 2635490. DOI: 10.1111/j.1464-5491.2008.02535.x. View

Zhou B . [Predictive values of body mass index and waist circumference to risk factors of related diseases in Chinese adult population]. Zhonghua Liu Xing Bing Xue Za Zhi. 2002; 23(1):5-10. View

Tsai Y, Kann N, Tung T, Chao Y, Lin C, Chang K . Impact of subjective sleep quality on glycemic control in type 2 diabetes mellitus. Fam Pract. 2011; 29(1):30-5. DOI: 10.1093/fampra/cmr041. View

Ozturk Z, Yesil Y, Emin Kuyumcu M, Savas E, Uygun O, Sayiner Z . Association of depression and sleep quality with complications of type 2 diabetes in geriatric patients. Aging Clin Exp Res. 2014; 27(4):533-8. DOI: 10.1007/s40520-014-0293-0. View

Park M, Katon W, Wolf F . Depression and risk of mortality in individuals with diabetes: a meta-analysis and systematic review. Gen Hosp Psychiatry. 2013; 35(3):217-25. PMC: 3644308. DOI: 10.1016/j.genhosppsych.2013.01.006. View

Lou P, Qin Y, Zhang P, Chen P, Zhang L, Chang G . Association of sleep quality and quality of life in type 2 diabetes mellitus: a cross-sectional study in China. Diabetes Res Clin Pract. 2014; 107(1):69-76. DOI: 10.1016/j.diabres.2014.09.060. View

Kohen D, Burgess A, Catalan J, Lant A . The role of anxiety and depression in quality of life and symptom reporting in people with diabetes mellitus. Qual Life Res. 1998; 7(3):197-204. DOI: 10.1023/a:1024961325084. View

Manber R, Edinger J, Gress J, San Pedro-Salcedo M, Kuo T, Kalista T . Cognitive behavioral therapy for insomnia enhances depression outcome in patients with comorbid major depressive disorder and insomnia. Sleep. 2008; 31(4):489-95. PMC: 2279754. DOI: 10.1093/sleep/31.4.489. View

van der Feltz-Cornelis C, Nuyen J, Stoop C, Chan J, Jacobson A, Katon W . Effect of interventions for major depressive disorder and significant depressive symptoms in patients with diabetes mellitus: a systematic review and meta-analysis. Gen Hosp Psychiatry. 2010; 32(4):380-95. DOI: 10.1016/j.genhosppsych.2010.03.011. View

10.

Verma S, Luo N, Subramaniam M, Sum C, Stahl D, Liow P . Impact of depression on health related quality of life in patients with diabetes. Ann Acad Med Singap. 2011; 39(12):913-7. View

11.

Depner C, Stothard E, Wright Jr K . Metabolic consequences of sleep and circadian disorders. Curr Diab Rep. 2014; 14(7):507. PMC: 4308960. DOI: 10.1007/s11892-014-0507-z. View

12.

Wandell P, Tovi J . The quality of life of elderly diabetic patients. J Diabetes Complications. 2000; 14(1):25-30. DOI: 10.1016/s1056-8727(99)00066-5. View

13.

Chasens E, Sereika S, Burke L, Strollo P, Korytkowski M . Sleep, health-related quality of life, and functional outcomes in adults with diabetes. Appl Nurs Res. 2014; 27(4):237-41. PMC: 4147025. DOI: 10.1016/j.apnr.2014.02.006. View

14.

Ahlbom A, Alfredsson L . Interaction: A word with two meanings creates confusion. Eur J Epidemiol. 2005; 20(7):563-4. DOI: 10.1007/s10654-005-4410-4. View

15.

Zhang J, Xu C, Wu H, Xue X, Xu Z, Li Y . Comparative study of the influence of diabetes distress and depression on treatment adherence in Chinese patients with type 2 diabetes: a cross-sectional survey in the People's Republic of China. Neuropsychiatr Dis Treat. 2013; 9:1289-94. PMC: 3770889. DOI: 10.2147/NDT.S49798. View

16.

Golden S . A review of the evidence for a neuroendocrine link between stress, depression and diabetes mellitus. Curr Diabetes Rev. 2008; 3(4):252-9. DOI: 10.2174/157339907782330021. View

17.

Skomro R, Ludwig S, Salamon E, Kryger M . Sleep complaints and restless legs syndrome in adult type 2 diabetics. Sleep Med. 2003; 2(5):417-22. DOI: 10.1016/s1389-9457(01)00110-1. View

18.

McMartin S, Jacka F, Colman I . The association between fruit and vegetable consumption and mental health disorders: evidence from five waves of a national survey of Canadians. Prev Med. 2013; 56(3-4):225-30. DOI: 10.1016/j.ypmed.2012.12.016. View

19.

Liao C, Feng Z, Zhou D, Dai Q, Xie B, Ji B . Dysfunction of fronto-limbic brain circuitry in depression. Neuroscience. 2011; 201:231-8. DOI: 10.1016/j.neuroscience.2011.10.053. View

20.

. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010; 33 Suppl 1:S62-9. PMC: 2797383. DOI: 10.2337/dc10-S062. View