
Journal of Shanghai Jiao Tong University (Medical Science) ›› 2026, Vol. 46 ›› Issue (6): 795-800.doi: 10.3969/j.issn.1674-8115.2026.06.012
• Review • Previous Articles
Received:2025-05-09
Accepted:2026-04-28
Online:2026-06-28
Published:2026-06-29
Contact:
Chen Jun
E-mail:doctorcj2010@gmail.com
Supported by:CLC Number:
Zhu Mo, Chen Jun. Research progress in sleep manifestations related to major depressive disorder and its potential mechanisms[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2026, 46(6): 795-800.
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URL: https://xuebao.shsmu.edu.cn/EN/10.3969/j.issn.1674-8115.2026.06.012
| [1] | Liu Q Q, He H R, Yang J, et al. Changes in the global burden of depression from 1990 to 2017: findings from the Global Burden of Disease Study[J]. J Psychiatr Res, 2020, 126: 134-140. |
| [2] | GBD 2021 Diseases and Injuries Collaborators. Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021[J]. Lancet, 2024, 403(10440): 2133-2161. |
| [3] | Zhang M M, Ma Y, Du L T, et al. Sleep disorders and non-sleep circadian disorders predict depression: a systematic review and meta-analysis of longitudinal studies[J]. Neurosci Biobehav Rev, 2022, 134: 104532. |
| [4] | Plante D T. The evolving nexus of sleep and depression[J]. Am J Psychiatry, 2021, 178(10): 896-902. |
| [5] | Yasugaki S, Okamura H, Kaneko A, et al. Bidirectional relationship between sleep and depression[J]. Neurosci Res, 2025, 211: 57-64. |
| [6] | Leseur J, Boiret C, Romier A, et al. Comparative study of sleep and circadian rhythms in patients presenting unipolar or bipolar major depressive episodes[J]. Psychiatry Res, 2024, 334: 115811. |
| [7] | Nakajima S, Kaneko Y, Fujii N, et al. Transdiagnostic association between subjective insomnia and depressive symptoms in major psychiatric disorders[J]. Front Psychiatry, 2023, 14: 1114945. |
| [8] | Cui L L, Li S, Wang S M, et al. Major depressive disorder: hypothesis, mechanism, prevention and treatment[J]. Signal Transduct Target Ther, 2024, 9(1): 30. |
| [9] | Sutton E L. Insomnia[J]. Ann Intern Med, 2021, 174(3): ITC33-ITC48. |
| [10] | Pérez-Carbonell L, Mignot E, Leschziner G, et al. Understanding and approaching excessive daytime sleepiness[J]. Lancet, 2022, 400(10357): 1033-1046. |
| [11] | Moderie C, Boivin D B. Diagnosing and treating hypersomnolence in depression[J]. Sleep Med, 2024, 124: 462-470. |
| [12] | Chen Y, Zhang L F, Hu S F, et al. Status and correlates of hypersomnia in hospitalized patients with unipolar depression - Beijing, Henan, and Shandong, China, August 2019-March 2021[J]. China CDC Wkly, 2021, 3(42): 879-882. |
| [13] | Nepožitek J, Dostálová S, Věchetová G, et al. Sleepiness and comorbid sleep disorders in functional motor disorders: a comparative study with central hypersomnia[J]. J Sleep Res, 2024, 33(3): e14098. |
| [14] | Arıkan M K, Uysal Ö, Gıca Ş, et al. REM parameters in drug-free major depressive disorder: a systematic review and meta-analysis[J]. Sleep Med Rev, 2024, 73: 101876. |
| [15] | Riemann D, Dressle R J, Benz F, et al. Chronic insomnia, REM sleep instability and emotional dysregulation: a pathway to anxiety and depression [J]. J Sleep Res, 2025, 34(2): e14252. |
| [16] | Rosenblum Y, Nakagawa J, van Hattem T, et al. Sleep neurophysiology in depression[J]. Biol Psychiatry, 2025, 98(11): 842-853. |
| [17] | Henckaerts P, Fehér K D, Hertenstein E, et al. Slow wave activity during non-rapid eye movement (NREM) sleep in patients with major depressive disorder: a meta-analysis[J]. Sleep Med Rev, 2025, 83: 102141. |
| [18] | Bremshey S, Groß J, Renken K, et al. The role of serotonin in depression: a historical roundup and future directions[J]. J Neurochem, 2024, 168(9): 1751-1779. |
| [19] | Kato T, Mitsukura Y, Yoshida K, et al. Oscillatory population-level activity of dorsal raphe serotonergic neurons is inscribed in sleep structure[J]. J Neurosci, 2022, 42(38): 7244-7255. |
| [20] | Daut R A, Fonken L K. Circadian regulation of depression: a role for serotonin[J]. Front Neuroendocrinol, 2019, 54: 100746. |
| [21] | Liang Y, Shi W, Xiang A F, et al. The NAergic locus coeruleus-ventrolateral preoptic area neural circuit mediates rapid arousal from sleep[J]. Curr Biol, 2021, 31(17): 3729-3742. e5. |
| [22] | Sulaman B A, Wang S, Tyan J, et al. Neuro-orchestration of sleep and wakefulness[J]. Nat Neurosci, 2023, 26(2): 196-212. |
| [23] | Wang Y Q, Li R, Zhang M Q, et al. The neurobiological mechanisms and treatments of REM sleep disturbances in depression[J]. Curr Neuropharmacol, 2015, 13(4): 543-553. |
| [24] | Belujon P, Grace A A. Dopamine system dysregulation in major depressive disorders[J]. Int J Neuropsychopharmacol, 2017, 20(12): 1036-1046. |
| [25] | Cooper J A, Tucker V L, Papakostas G I. Resolution of sleepiness and fatigue: a comparison of bupropion and selective serotonin reuptake inhibitors in subjects with major depressive disorder achieving remission at doses approved in the European Union[J]. J Psychopharmacol, 2014, 28(2): 118-124. |
| [26] | Lu J, Jhou T C, Saper C B. Identification of wake-active dopaminergic neurons in the ventral periaqueductal gray matter[J]. J Neurosci, 2006, 26(1): 193-202. |
| [27] | Jones B E. Arousal and sleep circuits[J]. Neuropsychopharmacology, 2020, 45(1): 6-20. |
| [28] | Benson K L, Bottary R, Schoerning L, et al. 1H MRS measurement of cortical GABA and glutamate in primary insomnia and major depressive disorder: relationship to sleep quality and depression severity[J]. J Affect Disord, 2020, 274: 624-631. |
| [29] | Duman R S, Sanacora G, Krystal J H. Altered connectivity in depression: GABA and glutamate neurotransmitter deficits and reversal by novel treatments[J]. Neuron, 2019, 102(1): 75-90. |
| [30] | Moderie C, Boivin D B. Pathophysiological models of hypersomnolence associated with depression[J]. Biol Psychiatry Glob Open Sci, 2024, 5(2): 100445. |
| [31] | Abdallah C G, Jiang L H, De Feyter H M, et al. Glutamate metabolism in major depressive disorder[J]. Am J Psychiatry, 2014, 171(12): 1320-1327. |
| [32] | Holter K M, Pierce B E, Gould R W. Metabotropic glutamate receptor function and regulation of sleep-wake cycles[J]. Int Rev Neurobiol, 2023, 168: 93-175. |
| [33] | Vasey C, McBride J, Penta K. Circadian rhythm dysregulation and restoration: the role of melatonin[J]. Nutrients, 2021, 13(10): 3480. |
| [34] | Won E, Na K S, Kim Y K. Associations between melatonin, neuroinflammation, and brain alterations in depression[J]. Int J Mol Sci, 2021, 23(1): 305. |
| [35] | Valdés-Tovar M, Estrada-Reyes R, Solís-Chagoyán H, et al. Circadian modulation of neuroplasticity by melatonin: a target in the treatment of depression[J]. Br J Pharmacol, 2018, 175(16): 3200-3208. |
| [36] | Asarnow L D. Depression and sleep: what has the treatment research revealed and could the HPA axis be a potential mechanism [J]. Curr Opin Psychol, 2020, 34: 112-116. |
| [37] | Menke A. The HPA axis as target for depression[J]. Curr Neuropharmacol, 2024, 22(5): 904-915. |
| [38] | Gong L, Liao T Z, Liu D, et al. Amygdala changes in chronic insomnia and their association with sleep and anxiety symptoms: insight from shape analysis[J]. Neural Plast, 2019, 2019: 8549237. |
| [39] | Tossell K, Yu X, Giannos P, et al. Somatostatin neurons in prefrontal cortex initiate sleep-preparatory behavior and sleep via the preoptic and lateral hypothalamus[J]. Nat Neurosci, 2023, 26(10): 1805-1819. |
| [40] | Schiel J E, Holub F, Petri R, et al. Affect and arousal in insomnia: through a lens of neuroimaging studies[J]. Curr Psychiatry Rep, 2020, 22(9): 44. |
| [41] | Huang M Z, Ou Y P, Li H B, et al. Association between abnormal default mode network homogeneity and sleep disturbances in major depressive disorder[J]. Gen Psychiatr, 2024, 37(2): e101371. |
| [42] | Horne C M, Norbury R. Late chronotype is associated with enhanced amygdala reactivity and reduced fronto-limbic functional connectivity to fearful versus happy facial expressions[J]. Neuroimage, 2018, 171: 355-363. |
| [43] | Jiang T F, Chen Z Y, Liu J, et al. Acupuncture modulates emotional network resting-state functional connectivity in patients with insomnia disorder: a randomized controlled trial and fMRI study[J]. BMC Complement Med Ther, 2024, 24(1): 311. |
| [44] | Moeller J S, Bever S R, Finn S L, et al. Circadian regulation of hormonal timing and the pathophysiology of circadian dysregulation[J]. Compr Physiol, 2022, 12(4): 4185-4214. |
| [45] | Liang X T, Ding Y W, Zhu X Y, et al. Suprachiasmatic nucleus dysfunction induces anxiety- and depression-like behaviors via activating the BDNF-TrkB pathway of the striatum[J]. Transl Psychiatry, 2025, 15(1): 92. |
| [46] | Krysta K, Krzystanek M, Bratek A, et al. Sleep and inflammatory markers in different psychiatric disorders[J]. J Neural Transm, 2017, 124(1): 179-186. |
| [47] | Zeng Y X, Sun B, Zhang F, et al. The core inflammatory factors in patients with major depressive disorder: a network analysis[J]. Front Psychiatry, 2023, 14: 1216583. |
| [48] | Zeng Y, Chourpiliadis C, Hammar N, et al. Inflammatory biomarkers and risk of psychiatric disorders[J]. JAMA Psychiatry, 2024, 81(11): 1118. |
| [49] | Zielinski M R, Gibbons A J. Neuroinflammation, sleep, and circadian rhythms[J]. Front Cell Infect Microbiol, 2022, 12: 853096. |
| [50] | Roohi E, Jaafari N, Hashemian F. On inflammatory hypothesis of depression: what is the role of IL-6 in the middle of the chaos [J]. J Neuroinflammation, 2021, 18(1): 45. |
| [51] | Deurveilher S, Golovin T, Hall S, et al. Microglia dynamics in sleep/wake states and in response to sleep loss[J]. Neurochem Int, 2021, 143: 104944. |
| [52] | Manosso L M, Duarte L A, Martinello N S, et al. Circadian rhythms and sleep disorders associated to major depressive disorder: pathophysiology and therapeutic opportunities[J]. CNS Neurol Disord Drug Targets, 2024, 23(9): 1085-1100. |
| [53] | Wichniak A, Wierzbicka A, Walęcka M, et al. Effects of antidepressants on sleep[J]. Curr Psychiatry Rep, 2017, 19(9): 63. |
| [54] | Hassanein E H M, Althagafy H S, Baraka M A, et al. Pharmacological update of mirtazapine: a narrative literature review[J]. Naunyn Schmiedebergs Arch Pharmacol, 2024, 397(5): 2603-2619. |
| [55] | de Crescenzo F, D'Alò G L, Ostinelli E G, et al. Comparative effects of pharmacological interventions for the acute and long-term management of insomnia disorder in adults: a systematic review and network meta-analysis[J]. Lancet, 2022, 400(10347): 170-184. |
| [56] | Crouse J J, Carpenter J S, Song Y J C, et al. Circadian rhythm sleep-wake disturbances and depression in young people: implications for prevention and early intervention[J]. Lancet Psychiatry, 2021, 8(9): 813-823. |
| [57] | Song B J, Zhu J C. Mechanisms of the rapid effects of ketamine on depression and sleep disturbances: a narrative review[J]. Front Pharmacol, 2021, 12: 782457. |
| [58] | Hertenstein E, Trinca E, Wunderlin M, et al. Cognitive behavioral therapy for insomnia in patients with mental disorders and comorbid insomnia: a systematic review and meta-analysis[J]. Sleep Med Rev, 2022, 62: 101597. |
| [59] | Schuffelen J, Maurer L F, Gieselmann A. Digital CBT-I in comorbid insomnia and depression: clinical outcomes from a pragmatic randomized controlled trial[J]. Depress Anxiety, 2025, 2025: 2171041. |
| [60] | Yaodong C, Zhang Y Z, Feng G, et al. Light therapy for sleep disturbance comorbid depression in relation to neural circuits and interactive hormones: a systematic review[J]. PLoS One, 2023, 18(9): e0286569. |
| [61] | Menegaz de Almeida A, Aquino de Moraes F C, Cavalcanti Souza M E, et al. Bright light therapy for nonseasonal depressive disorders: a systematic review and meta-analysis[J]. JAMA Psychiatry, 2025, 82(1): 38-46. |
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