Insomnia as a predictor of mental disorders: A systematic review and meta-analysis
Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (includ...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Hertenstein, Elisabeth [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2019transfer abstract |
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| Schlagwörter: |
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| Umfang: |
10 |
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| Übergeordnetes Werk: |
Enthalten in: Le cinéma pourrait-il tuer ? - Veyrat, Jean-Gérald ELSEVIER, 2015transfer abstract, Kidlington, Oxford [u.a.] |
|---|---|
| Übergeordnetes Werk: |
volume:43 ; year:2019 ; pages:96-105 ; extent:10 |
| Links: |
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| DOI / URN: |
10.1016/j.smrv.2018.10.006 |
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| 245 | 1 | 0 | |a Insomnia as a predictor of mental disorders: A systematic review and meta-analysis |
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| 520 | |a Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. | ||
| 520 | |a Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. | ||
| 650 | 7 | |a Prevention |2 Elsevier | |
| 650 | 7 | |a Sleep |2 Elsevier | |
| 650 | 7 | |a Insomnia |2 Elsevier | |
| 650 | 7 | |a Risk factor |2 Elsevier | |
| 650 | 7 | |a Depression |2 Elsevier | |
| 650 | 7 | |a Anxiety |2 Elsevier | |
| 650 | 7 | |a Psychopathology |2 Elsevier | |
| 700 | 1 | |a Feige, Bernd |4 oth | |
| 700 | 1 | |a Gmeiner, Tabea |4 oth | |
| 700 | 1 | |a Kienzler, Christian |4 oth | |
| 700 | 1 | |a Spiegelhalder, Kai |4 oth | |
| 700 | 1 | |a Johann, Anna |4 oth | |
| 700 | 1 | |a Jansson-Fröjmark, Markus |4 oth | |
| 700 | 1 | |a Palagini, Laura |4 oth | |
| 700 | 1 | |a Rücker, Gerta |4 oth | |
| 700 | 1 | |a Riemann, Dieter |4 oth | |
| 700 | 1 | |a Baglioni, Chiara |4 oth | |
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10.1016/j.smrv.2018.10.006 doi GBV00000000000510.pica (DE-627)ELV045579490 (ELSEVIER)S1087-0792(18)30113-8 DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ 44.69 bkl Hertenstein, Elisabeth verfasserin aut Insomnia as a predictor of mental disorders: A systematic review and meta-analysis 2019transfer abstract 10 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. Prevention Elsevier Sleep Elsevier Insomnia Elsevier Risk factor Elsevier Depression Elsevier Anxiety Elsevier Psychopathology Elsevier Feige, Bernd oth Gmeiner, Tabea oth Kienzler, Christian oth Spiegelhalder, Kai oth Johann, Anna oth Jansson-Fröjmark, Markus oth Palagini, Laura oth Rücker, Gerta oth Riemann, Dieter oth Baglioni, Chiara oth Enthalten in Elsevier Veyrat, Jean-Gérald ELSEVIER Le cinéma pourrait-il tuer ? 2015transfer abstract Kidlington, Oxford [u.a.] (DE-627)ELV018870236 volume:43 year:2019 pages:96-105 extent:10 https://doi.org/10.1016/j.smrv.2018.10.006 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA 44.69 Intensivmedizin VZ AR 43 2019 96-105 10 |
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10.1016/j.smrv.2018.10.006 doi GBV00000000000510.pica (DE-627)ELV045579490 (ELSEVIER)S1087-0792(18)30113-8 DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ 44.69 bkl Hertenstein, Elisabeth verfasserin aut Insomnia as a predictor of mental disorders: A systematic review and meta-analysis 2019transfer abstract 10 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. Prevention Elsevier Sleep Elsevier Insomnia Elsevier Risk factor Elsevier Depression Elsevier Anxiety Elsevier Psychopathology Elsevier Feige, Bernd oth Gmeiner, Tabea oth Kienzler, Christian oth Spiegelhalder, Kai oth Johann, Anna oth Jansson-Fröjmark, Markus oth Palagini, Laura oth Rücker, Gerta oth Riemann, Dieter oth Baglioni, Chiara oth Enthalten in Elsevier Veyrat, Jean-Gérald ELSEVIER Le cinéma pourrait-il tuer ? 2015transfer abstract Kidlington, Oxford [u.a.] (DE-627)ELV018870236 volume:43 year:2019 pages:96-105 extent:10 https://doi.org/10.1016/j.smrv.2018.10.006 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA 44.69 Intensivmedizin VZ AR 43 2019 96-105 10 |
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10.1016/j.smrv.2018.10.006 doi GBV00000000000510.pica (DE-627)ELV045579490 (ELSEVIER)S1087-0792(18)30113-8 DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ 44.69 bkl Hertenstein, Elisabeth verfasserin aut Insomnia as a predictor of mental disorders: A systematic review and meta-analysis 2019transfer abstract 10 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. Prevention Elsevier Sleep Elsevier Insomnia Elsevier Risk factor Elsevier Depression Elsevier Anxiety Elsevier Psychopathology Elsevier Feige, Bernd oth Gmeiner, Tabea oth Kienzler, Christian oth Spiegelhalder, Kai oth Johann, Anna oth Jansson-Fröjmark, Markus oth Palagini, Laura oth Rücker, Gerta oth Riemann, Dieter oth Baglioni, Chiara oth Enthalten in Elsevier Veyrat, Jean-Gérald ELSEVIER Le cinéma pourrait-il tuer ? 2015transfer abstract Kidlington, Oxford [u.a.] (DE-627)ELV018870236 volume:43 year:2019 pages:96-105 extent:10 https://doi.org/10.1016/j.smrv.2018.10.006 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA 44.69 Intensivmedizin VZ AR 43 2019 96-105 10 |
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10.1016/j.smrv.2018.10.006 doi GBV00000000000510.pica (DE-627)ELV045579490 (ELSEVIER)S1087-0792(18)30113-8 DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ 44.69 bkl Hertenstein, Elisabeth verfasserin aut Insomnia as a predictor of mental disorders: A systematic review and meta-analysis 2019transfer abstract 10 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. Prevention Elsevier Sleep Elsevier Insomnia Elsevier Risk factor Elsevier Depression Elsevier Anxiety Elsevier Psychopathology Elsevier Feige, Bernd oth Gmeiner, Tabea oth Kienzler, Christian oth Spiegelhalder, Kai oth Johann, Anna oth Jansson-Fröjmark, Markus oth Palagini, Laura oth Rücker, Gerta oth Riemann, Dieter oth Baglioni, Chiara oth Enthalten in Elsevier Veyrat, Jean-Gérald ELSEVIER Le cinéma pourrait-il tuer ? 2015transfer abstract Kidlington, Oxford [u.a.] (DE-627)ELV018870236 volume:43 year:2019 pages:96-105 extent:10 https://doi.org/10.1016/j.smrv.2018.10.006 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA 44.69 Intensivmedizin VZ AR 43 2019 96-105 10 |
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10.1016/j.smrv.2018.10.006 doi GBV00000000000510.pica (DE-627)ELV045579490 (ELSEVIER)S1087-0792(18)30113-8 DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ 44.69 bkl Hertenstein, Elisabeth verfasserin aut Insomnia as a predictor of mental disorders: A systematic review and meta-analysis 2019transfer abstract 10 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. Prevention Elsevier Sleep Elsevier Insomnia Elsevier Risk factor Elsevier Depression Elsevier Anxiety Elsevier Psychopathology Elsevier Feige, Bernd oth Gmeiner, Tabea oth Kienzler, Christian oth Spiegelhalder, Kai oth Johann, Anna oth Jansson-Fröjmark, Markus oth Palagini, Laura oth Rücker, Gerta oth Riemann, Dieter oth Baglioni, Chiara oth Enthalten in Elsevier Veyrat, Jean-Gérald ELSEVIER Le cinéma pourrait-il tuer ? 2015transfer abstract Kidlington, Oxford [u.a.] (DE-627)ELV018870236 volume:43 year:2019 pages:96-105 extent:10 https://doi.org/10.1016/j.smrv.2018.10.006 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA 44.69 Intensivmedizin VZ AR 43 2019 96-105 10 |
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Hertenstein, Elisabeth @@aut@@ Feige, Bernd @@oth@@ Gmeiner, Tabea @@oth@@ Kienzler, Christian @@oth@@ Spiegelhalder, Kai @@oth@@ Johann, Anna @@oth@@ Jansson-Fröjmark, Markus @@oth@@ Palagini, Laura @@oth@@ Rücker, Gerta @@oth@@ Riemann, Dieter @@oth@@ Baglioni, Chiara @@oth@@ |
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Insomnia as a predictor of mental disorders: A systematic review and meta-analysis |
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Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. |
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Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. |
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Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and daytime-symptoms) as a predictor of the later onset of psychopathology within a follow-up time-frame of at least 12 mo. Thirteen primary studies were included. The results suggest that insomnia is a significant predictor for the onset of depression (10 studies, OR 2.83, CI 1.55–5.17), anxiety (six studies, OR 3.23, CI 1.52–6.85), alcohol abuse (two studies, OR 1.35, CI 1.08–1.67, and psychosis (one study, OR 1.28, CI 1.03–1.59). The overall risk of bias in the primary studies was moderate. This meta-analysis provides evidence that insomnia increases the risk for psychopathology. A future research agenda should include more prospective studies using established diagnostic criteria, assessing insomnia at baseline and including long-term follow-up intervals evaluating a wider range of mental disorders. In addition, prospective long-term interventional studies investigating the efficacy of insomnia treatment for the prevention of mental disorders are called for. |
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