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Updated: Jun 24, 2026

Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder
Published on: April 26, 2024
Depressive symptomatology is influenced by chronotypes
Enrique Gaspar-Barba1, Raffaella Calati, Carlos S Cruz-Fuentes
1National Institute of Psychiatry, Mexico.
Evening chronotypes in depression are linked to increased symptom severity, including suicidal thoughts and anxiety. Morning types showed fewer melancholic symptoms. Sleep patterns were not associated with specific chronotypes.
Area of Science:
- Chronobiology
- Psychiatry
- Sleep Medicine
Background:
- Rhythm disturbances are common in depression.
- Chronotypes, particularly eveningness, may indicate vulnerability to depression.
- Understanding chronotype-depressive episode links is crucial for clinical insight.
Purpose of the Study:
- To describe sleep characteristics of depressed patients across different chronotypes.
- To explore associations between chronotypes and clinical features of depressive episodes.
- To investigate the impact of chronotype on depression severity.
Main Methods:
- 100 patients with Major Depressive Disorder were assessed.
- Mini International Neuropsychiatric Interview (MINI) for diagnosis.
- Morningness-Eveningness Questionnaire (MEQ), HRSD, and sleep scales were used.
Main Results:
- Patients were categorized into eveningness (n=18), neither (n=61), and morningness (n=21) types.
- Evening-type patients exhibited higher suicidal ideation, anxiety, and paranoid symptoms.
- Morning-type patients had fewer melancholic symptoms; no sleep parameter associations were found.
Conclusions:
- Chronotypes significantly influence the features of depressive episodes.
- Eveningness is associated with greater depression severity.
- Further research with larger samples is needed to confirm findings.
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