Table 2.

Patient Comments About the Relationship of Their Own Depression and Sleep

Patient no.Comments
4My insomnia evolved from stressful life situations
10Sleep problems cause my depression
12My depression has led to insomnia
18Sadness, bad dreams, awakening and ruminating
20Pain medications cause depression and anxiety and lead to poor sleep
23Disrupted sleep causes me to have less energy and to want to sleep during the day
24If I am sleep deprived, then my depression is exacerbated
25Anxiety has a part in my trouble falling asleep
29My depression has not been consistent, but my trouble falling asleep has been
40My inability to get things done makes me have less self-esteem leading to worse depression
53It's hard to stay positive without a full amount of energy