Cardiac vagal control, regulatory processes and depressive symptoms: Re-investigating the moderating role of sleep quality

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DOI:	https://doi.org/10.3390/ijerph16214067
URL:	https://www.mdpi.com/1660-4601/16/21/4067
Weitere URL:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC68625...
URN:	urn:nbn:de:bsz:180-madoc-652904
Dokumenttyp:	Zeitschriftenartikel
Erscheinungsjahr:	2019
Titel einer Zeitschrift oder einer Reihe:	International Journal of Environmental Research and Public Health : IJERPH
Band/Volume:	16
Heft/Issue:	21, Article 4067
Seitenbereich:	1-14
Ort der Veröffentlichung:	Basel
Verlag:	MDPI AG
ISSN:	1661-7827 , 1660-4601
Sprache der Veröffentlichung:	Englisch
Einrichtung:	Fakultät für Sozialwissenschaften > Klinische u. Biologische Psychologie u. Psychotherapie (Alpers 2010-)
Bereits vorhandene Lizenz:	Creative Commons Namensnennung 4.0 International (CC BY 4.0)
Fachgebiet:	150 Psychologie 610 Medizin, Gesundheit
Freie Schlagwörter (Englisch):	cardiac vagal control , regulatory processes , sleep quality , depressive symptoms
Abstract:	Lower cardiac vagal control (CVC), which is often understood as an indicator for impaired regulatory processes, is assumed to predict the development of depressive symptoms. As this link has not been consistently demonstrated, sleep quality has been proposed as a moderating factor. However, previous studies were limited by non-representative samples, cross-sectional data, and focused on CVC as a physiological indicator for impaired regulatory processes, but neglected corresponding subjective measures. Therefore, we investigated whether sleep quality moderates the effects of CVC (quantified by high-frequency heart rate variability) and self-reported regulatory processes (self- and emotion-regulation) on concurrent depressive symptoms and on depressive symptoms after three months in a representative sample (N = 125). Significant interactions between CVC and sleep quality (in women only), as well as self-/emotion-regulation and sleep quality emerged, whereby higher sleep quality attenuated the relation between all risk factors and current depressive symptoms (cross-sectional data). However, there were no significant interactions between those variables in predicting depressive symptoms three months later (longitudinal data). Our cross-sectional findings extend previous findings on sleep quality as a protective factor against depressive symptoms in the presence of lower CVC and subjective indices of impaired regulatory processes. In contrast, our conflicting longitudinal results stress the need for further investigations.

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