Association of depression, anxiety and stress scores with sleep and life quality in men and women

Sharifan, Payam; Rafiee, Mahdi; Shabani, Niloofar; Saffar Soflaei, Sara; Darroudi, Susan; Amini, Mahnaz; Mohamadi Bajgiran, Maryam; Ghazizadeh, Zahra; Dehghani, Shima; Aghaee, Zahra; Farsi, Mahshid; Malek, Melika; Safari, Niloofar; Ghazizadeh, Hamideh; Assaran Darban, Reza; Rastegar Moghaddam Poorbagher, Mahsa; Ferns, Gordon A.; Esmaily, Habibollah; Ghayour, Majid

doi:10.22038/rcm.2023.72617.1456

Association of depression, anxiety and stress scores with sleep and life quality in men and women

Document Type : Original article

Authors

Payam Sharifan ¹

Mahdi Rafiee ²

Niloofar Shabani ³

Sara Saffar Soflaei ⁴

Susan Darroudi ⁵

Mahnaz Amini ⁶

Maryam Mohamadi Bajgiran ⁷

Zahra Ghazizadeh ⁸

shima Dehghani ⁸

zahra Aghaee ⁸

Mahshid Farsi ⁸

Melika Malek ⁸

Niloofar Safari ⁸

Hamideh Ghazizadeh ⁵

Reza Assaran Darban ⁸

Mahsa Rastegar Moghaddam Poorbagher ⁸

Gordon A. Ferns ⁹

Habibollah Esmaily ¹⁰

Majid Ghayour ⁵

¹ Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

² Student Research Committee, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

³ Department of Biostatistics, School of Health, Tehran University of Medical Sciences, Tehran, Iran

⁴ International UNESCO center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.

⁵ International UNESCO center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran

⁶ Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

⁷ Iranian UNESCO center of excellence for human nutrition, Mashhad University of Medical

⁸ Department of Biology, Mashhad Branch, Islamic Azad university, Mashhad, Iran

⁹ Department of Medical Education, Brighton and Sussex Medical School, Falmer, Brighton, UK.

¹⁰ Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

10.22038/rcm.2023.72617.1456

Abstract

Introduction: Depression, anxiety, and stress have been shown to be associated with quality of life and sleep quality. This association did not examine separately in men and women. In the present study, we aim to examine the association between depression, anxiety and stress with RLS, Epworth, insomnia, apnea, PSIQ and QoL by gender in Mashhad-study data.
Methods: A total of 289 individuals (143 male and 146 female) aged 30-50 years old who completed the SUVINA study. They completed the Epworth sleepiness scale (ESS), Pittsburg sleep quality index (PSQI) and quality of life (QoL). For statistical analysis, SPSS software was used for data analysis and p value 0<0.05 was considered significant.
Results: Depression scores were correlated with higher scores for RLS, ESS, insomnia, and PSQI in men but inversely related to QoL (P < 0.05). RLS and PSQI was positively correlated with anxiety in women, and subjects without anxiety had lower mean of RLS and PSQI scores than the other anxiety groups (P < 0.05 for both). QoL was conversely associated with anxiety in women. Stress was related with higher scores of RLS, ESS, insomnia and PSQI in men (all P <0.05).
Conclusion: OlderAlthough scores for depression, anxiety and stress were higher in women compared to men, the association of depression, anxiety and stress with RLS, quality of life and sleep quality varies between genders and unlike our expectation these disorders were more highly correlated with RLS, QoL and sleep quality in men.

Keywords

Depression

Anxiety

Stress

Quality of life

sleep disorders

restless legs syndrome