TY - JOUR
T1 - Insomnia Severity is Associated with Morning Cortisol and Psychological Health
AU - Passos, Giselle Soares
AU - Youngstedt, Shawn D.
AU - Cordeiro Rozales, Ariella Ariella Rodrigues
AU - Ferreira, Walkyria Silva
AU - De-Assis, Daniela Elias
AU - De-Assis, Bernardo Pessoa
AU - Santana, Marcos Gonçalves
N1 - Funding Information:
The authors would like to thank all participants who volunteered their time to take part in this study and the institutions that made this study possible, CNPq, NEUROCOR/Jataí, GO, Plena/Jataí, GO, Hospital Padre Tiago/Jataí, GO.
Publisher Copyright:
© 2023. Brazilian Sleep Association. All rights reserved.
PY - 2023/3
Y1 - 2023/3
N2 - Studies suggest associations between cortisol and sleep, and cortisol shows a profound diurnal rhythm. The evidence about the relationship between chronic insomnia and cortisol is mixed. Chronic insomnia is associated with the risk of mental health disorders. The aim of this study was to evaluate the association of insomnia severity and objective sleep pattern with morning cortisol level and psychological health. The instruments used were the Insomnia Severity Index (ISI), polysomnography, Beck Depression Inventory (BDI), and Profile of Mood States (POMS). Serum cortisol was analyzed by chemiluminescence. The data revealed significant positive correlations of ISI with morning cortisol level (r ¼ 0.37, p ¼ 0.03), BDI score (r ¼ 0.44, p < 0.01), and POMS-tension anxiety (r ¼ 0.39, p ¼ 0.02). Sleep stages N2 and N3 were correlated with POMS-fatigue (r ¼ 0.46, p < 0.01; r ¼ -0.37, p ¼ 0.04). Sleep stage N3 was also negatively correlated with POMS-tension-anxiety (r ¼ -0.36, p ¼ 0.04). Higher insomnia severity was associated with higher morning cortisol, depression, and tension-anxiety. Sleep stage N2 was associated with higher fatigue and N3 was associated with lower tension-anxiety and fatigue.
AB - Studies suggest associations between cortisol and sleep, and cortisol shows a profound diurnal rhythm. The evidence about the relationship between chronic insomnia and cortisol is mixed. Chronic insomnia is associated with the risk of mental health disorders. The aim of this study was to evaluate the association of insomnia severity and objective sleep pattern with morning cortisol level and psychological health. The instruments used were the Insomnia Severity Index (ISI), polysomnography, Beck Depression Inventory (BDI), and Profile of Mood States (POMS). Serum cortisol was analyzed by chemiluminescence. The data revealed significant positive correlations of ISI with morning cortisol level (r ¼ 0.37, p ¼ 0.03), BDI score (r ¼ 0.44, p < 0.01), and POMS-tension anxiety (r ¼ 0.39, p ¼ 0.02). Sleep stages N2 and N3 were correlated with POMS-fatigue (r ¼ 0.46, p < 0.01; r ¼ -0.37, p ¼ 0.04). Sleep stage N3 was also negatively correlated with POMS-tension-anxiety (r ¼ -0.36, p ¼ 0.04). Higher insomnia severity was associated with higher morning cortisol, depression, and tension-anxiety. Sleep stage N2 was associated with higher fatigue and N3 was associated with lower tension-anxiety and fatigue.
KW - anxiety
KW - depression
KW - sleep disorders
KW - sleep initiation
KW - sleep maintenance
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U2 - 10.1055/s-0043-1767754
DO - 10.1055/s-0043-1767754
M3 - Article
AN - SCOPUS:85165242391
SN - 1984-0659
VL - 16
SP - 92
EP - 96
JO - Sleep Science
JF - Sleep Science
IS - 1
ER -