E-ISSN 1658-7820
 

Review Article
Online Published: 25 Jan 2026
 


Effectiveness of antidepressant medications on improving sleep disorders in mental health patients: a systematic review

Tameem Alhomaid, Omar Zayed Alshammari, Fai Sulaiman Almarwani, Bashayer Ali Mureh, Ali Abdulrahman Alarfaj, Aysha Yahya Alhifthi, Abdulgader Abdulaziz Mira, Yusra Yahya Alsharif, Abdullah Mohammad Aljammaz, Sireen Omar Takrouni.


Abstract
Sleep disorders are prevalent among individuals with mental health conditions, often exacerbating psychiatric symptoms and impairing treatment outcomes. The purpose of this systematic review was to explore how effective the different classes of antidepressant medications are across mental health disorders and how they affect sleep disorders simultaneously. The review was conducted using the guidelines set under PRISMA and included sleep latency, total sleep time (TST), sleep efficiency, and subjective sleep quality as the key outcomes of interest. As results showed, there were different impacts based on the pharmaceutical class. The class of sleep-inducing antidepressants (such as trazodone, mirtazapine, and low-dose doxepin) consistently improved the initiation and maintenance of sleep. Trazodone was shown to improve TST and sleep efficiency in dementia patients, while Mirtazapine took one week to show benefits, as it was able to improve deep sleep. Activating antidepressants (SSRIs and SNRIs) initially disrupted sleep, which included increasing the number of awakenings, and suppressing rapid eye movement (REM) sleep, although sleep improvements sometimes coincided with mood recovery. Trazodone ouperfoprmed melatonin for sleep quality, and antidepressants with Z-drugs improved the rates of remission, but increased the risk of adverse events. A personalized approach that included mirtazapine or esketamine, among special populations like patients with Alzheimer's disease or treatment resistant depression, showed better outcomes. The antidepressant outcomes were better when there was early sleep improvement. This review highlighted the need to consider the sleep-modifying effects of different antidepressants, recommending the use of more sedating antidepressants when insomnia is a concern.

Key words: Effectiveness, antidepressants, sleep disorders, mental health, systematic review, trazodone, mirtazapine


 
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How to Cite this Article
Pubmed Style

Alhomaid T, Alshammari OZ, Almarwani FS, Mureh BA, Alarfaj AA, Alhifthi AY, Mira AA, Alsharif YY, Aljammaz AM, Takrouni SO. Effectiveness of antidepressant medications on improving sleep disorders in mental health patients: a systematic review. IJMDC. 2026; 10(3): 922-933. doi:10.24911/IJMDC.51-1764442065


Web Style

Alhomaid T, Alshammari OZ, Almarwani FS, Mureh BA, Alarfaj AA, Alhifthi AY, Mira AA, Alsharif YY, Aljammaz AM, Takrouni SO. Effectiveness of antidepressant medications on improving sleep disorders in mental health patients: a systematic review. https://www.ijmdc.com/?mno=300313 [Access: February 23, 2026]. doi:10.24911/IJMDC.51-1764442065


AMA (American Medical Association) Style

Alhomaid T, Alshammari OZ, Almarwani FS, Mureh BA, Alarfaj AA, Alhifthi AY, Mira AA, Alsharif YY, Aljammaz AM, Takrouni SO. Effectiveness of antidepressant medications on improving sleep disorders in mental health patients: a systematic review. IJMDC. 2026; 10(3): 922-933. doi:10.24911/IJMDC.51-1764442065



Vancouver/ICMJE Style

Alhomaid T, Alshammari OZ, Almarwani FS, Mureh BA, Alarfaj AA, Alhifthi AY, Mira AA, Alsharif YY, Aljammaz AM, Takrouni SO. Effectiveness of antidepressant medications on improving sleep disorders in mental health patients: a systematic review. IJMDC. (2026), [cited February 23, 2026]; 10(3): 922-933. doi:10.24911/IJMDC.51-1764442065



Harvard Style

Alhomaid, T., Alshammari, . O. Z., Almarwani, . F. S., Mureh, . B. A., Alarfaj, . A. A., Alhifthi, . A. Y., Mira, . A. A., Alsharif, . Y. Y., Aljammaz, . A. M. & Takrouni, . S. O. (2026) Effectiveness of antidepressant medications on improving sleep disorders in mental health patients: a systematic review. IJMDC, 10 (3), 922-933. doi:10.24911/IJMDC.51-1764442065



Turabian Style

Alhomaid, Tameem, Omar Zayed Alshammari, Fai Sulaiman Almarwani, Bashayer Ali Mureh, Ali Abdulrahman Alarfaj, Aysha Yahya Alhifthi, Abdulgader Abdulaziz Mira, Yusra Yahya Alsharif, Abdullah Mohammad Aljammaz, and Sireen Omar Takrouni. 2026. Effectiveness of antidepressant medications on improving sleep disorders in mental health patients: a systematic review. International Journal of Medicine in Developing Countries, 10 (3), 922-933. doi:10.24911/IJMDC.51-1764442065



Chicago Style

Alhomaid, Tameem, Omar Zayed Alshammari, Fai Sulaiman Almarwani, Bashayer Ali Mureh, Ali Abdulrahman Alarfaj, Aysha Yahya Alhifthi, Abdulgader Abdulaziz Mira, Yusra Yahya Alsharif, Abdullah Mohammad Aljammaz, and Sireen Omar Takrouni. "Effectiveness of antidepressant medications on improving sleep disorders in mental health patients: a systematic review." International Journal of Medicine in Developing Countries 10 (2026), 922-933. doi:10.24911/IJMDC.51-1764442065



MLA (The Modern Language Association) Style

Alhomaid, Tameem, Omar Zayed Alshammari, Fai Sulaiman Almarwani, Bashayer Ali Mureh, Ali Abdulrahman Alarfaj, Aysha Yahya Alhifthi, Abdulgader Abdulaziz Mira, Yusra Yahya Alsharif, Abdullah Mohammad Aljammaz, and Sireen Omar Takrouni. "Effectiveness of antidepressant medications on improving sleep disorders in mental health patients: a systematic review." International Journal of Medicine in Developing Countries 10.3 (2026), 922-933. Print. doi:10.24911/IJMDC.51-1764442065



APA (American Psychological Association) Style

Alhomaid, T., Alshammari, . O. Z., Almarwani, . F. S., Mureh, . B. A., Alarfaj, . A. A., Alhifthi, . A. Y., Mira, . A. A., Alsharif, . Y. Y., Aljammaz, . A. M. & Takrouni, . S. O. (2026) Effectiveness of antidepressant medications on improving sleep disorders in mental health patients: a systematic review. International Journal of Medicine in Developing Countries, 10 (3), 922-933. doi:10.24911/IJMDC.51-1764442065





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