Search

Summary: Background: Depressive symptoms are rising in the general population, but their associated factors are unclear. Although the link between sleep disturbances and depressive symptoms severity (DSS) is reported, the predictive role of sleep on DSS and the impact of anxiety and the brain on their relationship remained obscure. Methods: Using three population-based datasets (N = 1813), we trained the machine learning models in the primary dataset (N = 1101) to assess the predictive role of sleep quality, anxiety problems, and brain structural (and functional) measurements on DSS, then we tested our models’ performance in two independent datasets (N = 378, N = 334) to test the generalizability of our findings. Furthermore, we applied our model to a smaller longitudinal subsample (N = 66). In addition, we performed a mediation analysis to identify the role of anxiety and brain measurements on the sleep quality and DSS association. Findings: Sleep quality could predict individual DSS (r = 0.43, R2 = 0.18, rMSE = 2.73), and adding anxiety, contrary to brain measurements, strengthened its prediction performance (r = 0.67, R2 = 0.45, rMSE = 2.25). Importantly, out-of-cohort validations in other cross-sectional datasets and a longitudinal subsample provided robust similar results. Furthermore, anxiety scores, contrary to brain measurements, mediated the association between sleep quality and DSS. Interpretation: Poor sleep quality could predict DSS at the individual subject level across three datasets. Anxiety scores not only increased the predictive model's performance but also mediated the link between sleep quality and DSS. Funding: The study is supported by Helmholtz Imaging Platform grant (NimRLS, ZTI-PF-4-010), the Deutsche Forschungsgemeinschaft (DFG, GE 2835/2–1, GE 2835/4-1), the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation)—Project-ID 431549029—SFB 1451, the programme “Profilbildung 2020” (grant no. PROFILNRW-2020-107-A), an initiative of the Ministry of Culture and Science of the State of Northrhine Westphalia.

Abstract Most everyday behaviors and laboratory tasks rely on visual, auditory and/or motor-related processes. Yet, to date, there has been no large-scale quantitative synthesis of functional neuroimaging studies mapping the brain regions consistently recruited during such perceptuo-motor processing. We therefore performed three coordinate-based meta-analyses, sampling the results of neuroimaging experiments on visual (n = 114), auditory (n = 122), or motor-related (n = 251) processing, respectively, from the BrainMap database. Our analyses yielded both regions known to be recruited for basic perceptual or motor processes and additional regions in posterior frontal cortex. Comparing our results with data-driven network definitions based on resting-state functional connectivity revealed good overlap in expected regions but also showed that perceptual and motor task-related activations consistently involve additional frontal, cerebellar, and subcortical areas associated with “higher-order” cognitive functions, extending beyond what is captured when the brain is at “rest.” Our resulting sets of domain-typical brain regions can be used by the neuroimaging community as robust functional definitions or masks of regions of interest when investigating brain correlates of perceptual or motor processes and their interplay with other mental functions such as cognitive control or affective processing. The maps are made publicly available via the ANIMA database.