Sleep duration and depressive symptoms: a gene-environment interaction
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Updated: May 3, 2026

Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
Published on: April 26, 2024
Nathaniel F Watson1, Kathryn Paige Harden2, Dedra Buchwald3
1Department of Neurology, University of Washington, Seattle, WA ; UW Medicine Sleep Center, University of Washington, Seattle, WA ; Center for Research on the Management of Sleep Disturbances, University of Washington, Seattle, WA.
Objective:
We used quantitative genetic models to assess whether sleep duration modifies genetic and environmental influences on depressive symptoms.
Method:
Participants were 1,788 adult twins from 894 same-sex twin pairs (192 male and 412 female monozygotic [MZ] pairs, and 81 male and 209 female dizygotic [DZ] pairs] from the University of Washington Twin Registry. Participants self-reported habitual sleep duration and depressive symptoms. Data were analyzed using quantitative genetic interaction models, which allowed the magnitude of additive genetic, shared environmental, and non-shared environmental influences on depressive symptoms to vary with sleep duration.
Results:
Within MZ twin pairs, the twin who reported longer sleep duration reported fewer depressive symptoms (ec = -0.17, SE = 0.06, P < 0.05). There was a significant gene × sleep duration interaction effect on depressive symptoms (a'c = 0.23, SE = 0.08, P < 0.05), with the interaction occurring on genetic influences that are common to both sleep duration and depressive symptoms. Among individuals with sleep duration within the normal range (7-8.9 h/night), the total heritability (h2) of depressive symptoms was approximately 27%. However, among individuals with sleep duration within the low (< 7 h/night) or high (≥ 9 h/night) range, increased genetic influence on depressive symptoms was observed, particularly at sleep duration extremes (5 h/night: h2 = 53%; 10 h/night: h2 = 49%).
Conclusion:
Genetic contributions to depressive symptoms increase at both short and long sleep durations.
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