THE BIDIRECTIONAL RELATIONSHIP BETWEEN INSOMNIA AND DEPRESSION IN THE DIGITAL AGE: A STRUCTURED NARRATIVE REVIEW

Authors

DOI:

https://doi.org/10.31435/ijitss.3(51).2026.5753

Keywords:

Insomnia, Depression, Digital Health, Sleep Disorders, Circadian Rhythm, Bidirectional Relationship

Abstract

Introduction: Insomnia and depression are common psychiatric conditions that significantly impact global health. Recent evidence shows a bidirectional relationship between these disorders, influenced  by lifestyle changes and widespread digital technology use.

Objective: This structured narrative review analyzes the two -way relationship between insomnia and depression in the digital period, focusing on neurobiological, behavioral, and technology -related mechanisms.

Materials and Methods: We conducted a structured narrative review across PubMed, Scopus, and Web of Science. The  review covered peer -reviewed longitudinal studies, systematic reviews, and meta -analyses published over the last 10 to 15 years that focused on digital behaviors such  as screen time and social media use. Because the studies used different methods and reported different results, we used a qualitative synthesis.

Results: According to the studies, depression and sleeplessness are tightly related. Depression frequently results in persistent sleep issues, such as poor quality sleep, difficulty falling asleep, and altered sleep patterns, and insomnia can increase the risk of depression. Similar elements,  including abnormalities with the HPA axis, circadian rhythms, and neurotransmitters, link the  two diseases. Sleep issues and an increased risk of depression are also linked to excessive use  of internet -based platforms such as Instagram and TikTok.

Conclusions: Insomnia and depression are closely connected and can make each other worse through both biological and behavioral factors. Today, technology also has a big impact on this relationship.  Spotting and treating sleep problems early, along with using technology responsibly, may help  reduce the risk and severity of depression. Adding sleep -focused and technology -aware strategies to mental health care can lead to better results and help prevent problems.

References

Baglioni, C., Battagliese, G., Feige, B., Spiegelhalder, K., Nissen, C., Voderholzer, U., Lombardo, C., & Riemann, D. (2011). Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies. Journal of Affective Disorders, 135(1–3), 10–19. https://doi.org/10.1016/j.jad.2011.01.011

Benca, R. M., & Peterson, M. J. (2008). Insomnia and depression. Sleep Medicine, 9(Suppl 1), S3–S9. https://doi.org/10.1016/S1389-9457(08)70010-8

Blake, M. J., Trinder, J. A., & Allen, N. B. (2018). Mechanisms underlying the association between insomnia, anxiety, and depression. Nature Reviews Neuroscience, 19(11), 627–637. https://doi.org/10.1038/s41583-018-0071-6

Buysse, D. J. (2014). Sleep health: Can we define it? Does it matter? Sleep, 37(1), 9–17. https://doi.org/10.5665/sleep.3298

Cellini, N., Canale, N., Mioni, G., & Costa, S. (2020). Changes in sleep pattern, sense of time, and digital media use during COVID-19 lockdown. Journal of Sleep Research, 29(4), e13074. https://doi.org/10.1111/jsr.13074

Exelmans, L., & Van den Bulck, J. (2016). Bedtime mobile phone use and sleep in adults. Social Science & Medicine, 148, 93–101. https://doi.org/10.1016/j.socscimed.2015.11.037

Freeman, D., Sheaves, B., Waite, F., Harvey, A. G., & Harrison, P. J. (2020). Sleep disturbance and psychiatric disorders. The Lancet Psychiatry, 7(7), 628–637. https://doi.org/10.1016/S2215-0366(20)30136-X

Harvey, A. G. (2011). Sleep and circadian rhythms in bipolar disorder. Sleep Medicine Clinics, 6(4), 475–486. https://doi.org/10.1016/j.jsmc.2011.08.002

Hertenstein, E., Feige, B., Gmeiner, T., Kienzler, C., Spiegelhalder, K., Johann, A., Jansson-Fröjmark, M., Palagini, L., Rücker, G., Riemann, D., & Baglioni, C. (2019). Insomnia as a predictor of mental disorders: A systematic review and meta-analysis. Sleep Medicine Reviews, 43, 96–105. https://doi.org/10.1016/j.smrv.2018.10.006

Levenson, J. C., Shensa, A., Sidani, J. E., Colditz, J. B., & Primack, B. A. (2016). Social media use before bed and sleep disturbance. Preventive Medicine, 85, 36–41. https://doi.org/10.1016/j.ypmed.2016.01.014

Liu, Y., Wheaton, A. G., Chapman, D. P., Cunningham, T. J., Lu, H., & Croft, J. B. (2016). Prevalence of healthy sleep duration. MMWR, 65(6), 137–141. https://doi.org/10.15585/mmwr.mm6506a1

Meerlo, P., Sgoifo, A., & Suchecki, D. (2008). Restricted sleep and stress. Sleep Medicine Reviews, 12(3), 197–210. https://doi.org/10.1016/j.smrv.2007.07.001

Owens, J. A., & Weiss, M. R. (2017). Insufficient sleep in adolescents. Pediatrics, 134(3), e921–e932. https://doi.org/10.1542/peds.2014-1696

Palagini, L., Baglioni, C., Ciapparelli, A., Gemignani, A., & Riemann, D. (2014). REM sleep dysregulation in depression. Sleep Medicine Reviews, 18(5), 377–390. https://doi.org/10.1016/j.smrv.2014.01.001

Riemann, D., Krone, L. B., Wulff, K., & Nissen, C. (2020). Sleep, insomnia, and depression. The Lancet Psychiatry, 7(7), 628–637. https://doi.org/10.1016/S2215-0366(20)30136-X

Scott, H., Biello, S. M., & Woods, H. C. (2019). Social media use and adolescent sleep patterns. Sleep Medicine, 64, 122–129. https://doi.org/10.1016/j.sleep.2019.06.001

Sivertsen, B., Harvey, A. G., Lundervold, A. J., & Hysing, M. (2014). Sleep problems and depression in adolescence. Journal of Sleep Research, 23(2), 179–186. https://doi.org/10.1111/jsr.12113

Taylor, D. J., Lichstein, K. L., & Durrence, H. H. (2003). Insomnia and depression. Behavior Therapy, 34(3), 329–349. https://doi.org/10.1016/S0005-7894(03)80013-0

van der Zweerde, T., Bisdounis, L., Kyle, S. D., Lancee, J., & van Straten, A. (2019). Cognitive behavioral therapy for insomnia. Sleep Medicine Reviews, 48, 101208. https://doi.org/10.1016/j.smrv.2019.08.003

Walker, M. P. (2017). Why we sleep: Unlocking the power of sleep and dreams. Scribner.

World Health Organization. (2021). Depression. https://www.who.int/news-room/fact-sheets/detail/depression

World Health Organization. (2022). Sleep and health guidelines. https://www.who.int

Zhai, L., Zhang, H., & Zhang, D. (2015). Sleep duration and depression. Sleep Medicine, 16(7), 865–871. https://doi.org/10.1016/j.sleep.2015.02.540

Downloads

Published

2026-09-22

How to Cite

Dziki, K., Kucab, E., Kula, I., Kołodziej, A., Kołodziej, R., Klecha, J., Lulek, S., Półchłopek, S., Szpanelewski, K., Adamiec, W., Danilczuk, D., & Ciemięga, J. (2026). THE BIDIRECTIONAL RELATIONSHIP BETWEEN INSOMNIA AND DEPRESSION IN THE DIGITAL AGE: A STRUCTURED NARRATIVE REVIEW. International Journal of Innovative Technologies in Social Science, 4(3(51). https://doi.org/10.31435/ijitss.3(51).2026.5753

Most read articles by the same author(s)

1 2 > >>