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Mental Health Antecedents of Early Midlife Insomnia: Evidence from a Four-Decade Longitudinal Study.

Publication ,  Journal Article
Goldman-Mellor, S; Gregory, AM; Caspi, A; Harrington, H; Parsons, M; Poulton, R; Moffitt, TE
Published in: Sleep
October 2014

Study Objectives: Insomnia is a highly prevalent condition that constitutes a major public health and economic burden. However, little is known about the developmental etiology of adulthood insomnia. Design: We examined whether indicators of psychological vulnerability across multiple developmental periods (psychiatric diagnoses in young adulthood and adolescence, childhood behavioral problems, and familial psychiatric history) predicted subsequent insomnia in adulthood. Setting and Participants: We used data from the ongoing Dunedin Multidisciplinary Health and Development Study, a population-representative birth cohort study of 1,037 children in New Zealand who were followed prospectively from birth (1972-1973) through their fourth decade of life with a 95% retention rate. Measurements: Insomnia was diagnosed at age 38 according to DSM-IV criteria. Psychiatric diagnoses, behavioral problems, and family psychiatric histories were assessed between ages 5 and 38. Results: In cross-sectional analyses, insomnia was highly comorbid with multiple psychiatric disorders. After controlling for this concurrent comorbidity, our results showed that individuals who have family histories of depression or anxiety, and who manifest lifelong depression and anxiety beginning in childhood, are at uniquely high risk for age-38 insomnia. Other disorders did not predict adulthood insomnia. Conclusions: The link between lifelong depression and anxiety symptoms and adulthood insomnia calls for further studies to clarify the neurophysiological systems or behavioral conditioning processes that may underlie this association.

Duke Scholars

Published In

Sleep

EISSN

1550-9109

ISSN

0161-8105

Publication Date

October 2014

Related Subject Headings

  • Neurology & Neurosurgery
  • 52 Psychology
  • 32 Biomedical and clinical sciences
  • 31 Biological sciences
  • 17 Psychology and Cognitive Sciences
  • 11 Medical and Health Sciences
  • 06 Biological Sciences
 

Citation

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Goldman-Mellor, S., Gregory, A. M., Caspi, A., Harrington, H., Parsons, M., Poulton, R., & Moffitt, T. E. (2014). Mental Health Antecedents of Early Midlife Insomnia: Evidence from a Four-Decade Longitudinal Study. Sleep.
Goldman-Mellor, S., A. M. Gregory, A. Caspi, H. Harrington, M. Parsons, R. Poulton, and T. E. Moffitt. “Mental Health Antecedents of Early Midlife Insomnia: Evidence from a Four-Decade Longitudinal Study.Sleep, October 2014.
Goldman-Mellor S, Gregory AM, Caspi A, Harrington H, Parsons M, Poulton R, et al. Mental Health Antecedents of Early Midlife Insomnia: Evidence from a Four-Decade Longitudinal Study. Sleep. 2014 Oct;
Goldman-Mellor S, Gregory AM, Caspi A, Harrington H, Parsons M, Poulton R, Moffitt TE. Mental Health Antecedents of Early Midlife Insomnia: Evidence from a Four-Decade Longitudinal Study. Sleep. 2014 Oct;
Journal cover image

Published In

Sleep

EISSN

1550-9109

ISSN

0161-8105

Publication Date

October 2014

Related Subject Headings

  • Neurology & Neurosurgery
  • 52 Psychology
  • 32 Biomedical and clinical sciences
  • 31 Biological sciences
  • 17 Psychology and Cognitive Sciences
  • 11 Medical and Health Sciences
  • 06 Biological Sciences