Table 1 Individual and composite sleep features.

From: An international multi-cohort investigation of self-reported sleep and future depressive symptoms in older adults

Name

Harmonized item details

Potentially adverse levels

Individual sleep features

 Daytime symptoms

Level of problems related to daytime sleepiness, fatigue, and/or difficulty with daily activities. [1. No problem; 2. Very slight problem; 3. Somewhat of a problem; 4. Very big problem]

Poor: 3–4a

Good: 1–2

 Poor sleep quality

Level of sleep quality or restfulness. [1. Very good; 2. Fairly good; 3. Average; 4. Fairly bad; 5. Very bad]

Poor: 4–5b,22

Good: 1–3

 Sleep midpoint

Midpoint of ‘go-to-bed’ and ‘wake-up’ times

Early: < 02:00b,22

Late: > 04:00

 Sleep duration

Time spent asleep in hours during main sleep bout

Short: < 6 hb,22

Long: > 8 h

 Sleep efficiency

Sleep Duration/Time in Bed * 100

Poor: < 85%b,22,30

Good: ≥ 85%

 Difficulty falling asleep

Frequency of difficulty falling asleep. [1. Not during the past month; 2. Less than once a week; 3. Once or twice a week; 4. Three or more times a week]

Poor: 4a

Good: 1–3

 Difficulty staying asleep

Frequency of difficulty staying asleep. [1. Not during the past month; 2. Less than once a week; 3. Once or twice a week; 4. Three or more times a week]

Poor: 4a

Good: 1–3

 Snoring

Frequency of snoring. [1. Never/ not any more; 2. Rarely (< 1night); 3. Sometimes (1or 2 nights); 4. Frequently (3 or 5 nights); 5. Almost always (6 to 7 nights); 6. Don’t know]

Poor: 3–5a

Good: 1–2 or 6

 Stops breathing during sleep

Frequency of stopping breathing during sleep. [1. Not at all; 2. Rarely (< once/wk); 3. Sometimes (1–2 times/wk); 4. Frequently (3–5 times/wk); 5. Always (6–7 times/wk); 6. Don’t know]

Poor: 2–5a

Good: 1 or 6

Composite sleep scores

 All-unweighted sleep score

Number of potentially adverse sleep health or sleep disorder characteristics

Integers from 0 to 9; higher scores indicate worse overall sleep

 All-weighted sleep score

Weights derived from regularized regression are applied to each of the nine sleep characteristics prior to summing them. Weights for the US sample are generated in RS, and vice versa

Continuous from 0 to 9; higher scores indicate a worse depression-specific sleep score

 SATED score

Number of potentially adverse SATED sleep health characteristics, considering poor sleep quality (Satisfaction), daytime symptoms (Alertness/Sleepiness), sleep midpoint (Timing), sleep efficiency (Efficiency), and sleep duration (Duration)

Integers from 0 to 5; higher scores indicate worse sleep health

 Selected score

Variables with at least moderate effect sizes are selected and summed. Both ‘difficulty falling asleep’ and ‘daytime sleepiness’ had moderate effect sizes in the US and RS samples, and thus were used in both the US and RS scores

Integers from 0 to 2; higher score indicate a worse depression-specific sleep score

 Insomnia with short sleep

Endorse difficulty falling asleep or difficulty staying asleep, plus short sleep duration

0 (No), 1 (Yes)

  1. aPotentially adverse levels selected based on consideration of clnical rationale and empirical distribution.
  2. bPotentially adverse levels selected based on consideration of clnical rationale and consistency with prior literature and recommendations.