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KMID : 1151920190010030121
Chronobiology in Medicine
2019 Volume.1 No. 3 p.121 ~ p.125
Depression and Anxiety Associated with Insomnia and Recent Stressful Life Events
Lee Chang-Woo

Jeon Se-Hyun
Kim Ji-Chul
Seok Bum-Joon
Kim Seog-Ju
Abstract
Objective: We compared anxiety and depression levels in subjects with and without insomnia in the presence or absence of negative life stressors.

Methods: We recruited 378 subjects (mean age: 42.82¡¾13.81 years; 232 females, 146 males) from a community population. All subjects were asked to complete a questionnaire concerning insomnia, the Center for Epidemiological Studies-Depression Scale (CES-D), and the State?Trait Anxiety Inventory (STAI). Information concerning negative life events during past 6 months was obtained through face-to-face interviews.

Results: The CES-D, STAI-trait, and STAI-state scores were significantly different according to insomnia and stress status. Of the subjects with insomnia, those who experienced a recent stressful event had higher CES-D and STAI-trait scores than those without stress. Of the subjects who experienced stress, those with insomnia had higher CES-D, STAI-state, and STAI-trait scores than normal sleepers.

Conclusion: Our findings indicate that insomnia and recent stressful life events had an interactive effect on depression and anxiety levels and that insomnia precipitated by stress was more strongly associated with these emotional symptoms than that caused by non-stress-related etiologies. Our findings support the concept of sleep reactivity and its relationship with emotional disturbances.
KEYWORD
Depression, Anxiety, Insomnia, Stress
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