Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: Results from a multi-ethnic population-based study.
Sleep duration and sleep quality are often linked to increased risk of mortality and morbidity. However, national representative data on both sleep duration and sleep quality and their relationship with chronic health problems are rarely available from the same source. This current study aimed to ex...
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Public Library of Science (PLoS)
2020-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0235816&type=printable |
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| author | Lee Seng Esmond Seow Xiao Wei Tan Siow Ann Chong Janhavi Ajit Vaingankar Edimansyah Abdin Saleha Shafie Boon Yiang Chua Derrick Heng Mythily Subramaniam |
| author_facet | Lee Seng Esmond Seow Xiao Wei Tan Siow Ann Chong Janhavi Ajit Vaingankar Edimansyah Abdin Saleha Shafie Boon Yiang Chua Derrick Heng Mythily Subramaniam |
| author_sort | Lee Seng Esmond Seow |
| collection | DOAJ |
| description | Sleep duration and sleep quality are often linked to increased risk of mortality and morbidity. However, national representative data on both sleep duration and sleep quality and their relationship with chronic health problems are rarely available from the same source. This current study aimed to examine the independent and combined associations of sleep duration and sleep quality with physical and mental disorders, using data from the Singapore Mental Health Study 2016. 6,126 residents aged ≥18years participated in this epidemiological, cross-sectional survey. Sleep measures were assessed using the Pittsburg Sleep Quality Index while lifetime or 12-month medical and psychiatric diagnoses were established using the Composite International Diagnostic Interview 3.0. Both short sleep (<6hrs compared to 7-8hrs) and poor sleep were found to be independently associated with chronic pain, obsessive compulsive disorder and any mental disorder while poor sleep was additionally associated with major depressive disorder, bipolar disorder, generalized anxiety disorder and any physical disorder, when adjusted for confounders. Poor sleep combined with short sleep (≤6hrs/day vs 7-8hrs/day) was associated with the highest number of comorbidities among other sleep combinations. Sleep duration and sleep quality, when adjusted for each other, remained independently associated with both physical and mental disorders. Affective disorders may be more closely related to poor sleep quality compared to abnormal sleep duration. Our findings suggest sleep quality to be a more important indicator for psychological and overall health compared to sleep duration. |
| format | Article |
| id | doaj-art-60a010b9fbdb4e30854b90be1c70d9ff |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-60a010b9fbdb4e30854b90be1c70d9ff2025-08-20T02:55:14ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01157e023581610.1371/journal.pone.0235816Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: Results from a multi-ethnic population-based study.Lee Seng Esmond SeowXiao Wei TanSiow Ann ChongJanhavi Ajit VaingankarEdimansyah AbdinSaleha ShafieBoon Yiang ChuaDerrick HengMythily SubramaniamSleep duration and sleep quality are often linked to increased risk of mortality and morbidity. However, national representative data on both sleep duration and sleep quality and their relationship with chronic health problems are rarely available from the same source. This current study aimed to examine the independent and combined associations of sleep duration and sleep quality with physical and mental disorders, using data from the Singapore Mental Health Study 2016. 6,126 residents aged ≥18years participated in this epidemiological, cross-sectional survey. Sleep measures were assessed using the Pittsburg Sleep Quality Index while lifetime or 12-month medical and psychiatric diagnoses were established using the Composite International Diagnostic Interview 3.0. Both short sleep (<6hrs compared to 7-8hrs) and poor sleep were found to be independently associated with chronic pain, obsessive compulsive disorder and any mental disorder while poor sleep was additionally associated with major depressive disorder, bipolar disorder, generalized anxiety disorder and any physical disorder, when adjusted for confounders. Poor sleep combined with short sleep (≤6hrs/day vs 7-8hrs/day) was associated with the highest number of comorbidities among other sleep combinations. Sleep duration and sleep quality, when adjusted for each other, remained independently associated with both physical and mental disorders. Affective disorders may be more closely related to poor sleep quality compared to abnormal sleep duration. Our findings suggest sleep quality to be a more important indicator for psychological and overall health compared to sleep duration.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0235816&type=printable |
| spellingShingle | Lee Seng Esmond Seow Xiao Wei Tan Siow Ann Chong Janhavi Ajit Vaingankar Edimansyah Abdin Saleha Shafie Boon Yiang Chua Derrick Heng Mythily Subramaniam Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: Results from a multi-ethnic population-based study. PLoS ONE |
| title | Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: Results from a multi-ethnic population-based study. |
| title_full | Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: Results from a multi-ethnic population-based study. |
| title_fullStr | Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: Results from a multi-ethnic population-based study. |
| title_full_unstemmed | Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: Results from a multi-ethnic population-based study. |
| title_short | Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: Results from a multi-ethnic population-based study. |
| title_sort | independent and combined associations of sleep duration and sleep quality with common physical and mental disorders results from a multi ethnic population based study |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0235816&type=printable |
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