Association of sleep quality during pregnancy with stress and depression: a prospective birth cohort study in China.
BMC Pregnancy Childbirth
; 19(1): 444, 2019 Nov 27.
Article
em En
| MEDLINE
| ID: mdl-31775666
ABSTRACT
BACKGROUND:
The sleep quality of pregnant women in the third trimester is related to mental health. However, there is still a lack of large-scale cohort research exploring this relationship in the second trimester. Thus, we assessed the associations of sleep quality during the second trimester with antenatal stress and antenatal and postnatal depression.METHODS:
We examined 1152 pregnant women from a prospective cohort study in China to assess the associations of sleep quality in the second trimester with antenatal stress, antenatal depression, and postnatal depression. We used linear regression models and logistic regression models to examine the associations of sleep quality (Pittsburgh Sleep Quality Index [PSQI]) during pregnancy with perinatal stress (Pregnancy Pressure Scale [PPS]) and depression (Edinburgh Postnatal Depression Scale [EPDS]) status. We further assessed the relationship in groups divided according to maternal age.RESULTS:
PSQI scores were positively associated with antenatal PPS scores (ß 1.52, 95% confidence interval [CI] 1.28, 1.76), antenatal EPDS scores (ß 0.68, 95% CI 0.58, 0.78), and postpartum EPDS scores (ß 0.51, 95% CI 0.38, 0.64). Poor sleep quality (PSQI scores ≥5) was associated with antenatal stress status (odds ratio [OR] 2.60, 95% CI 1.79, 3.77), antenatal depression status (OR 3.42, 95% CI 2.48, 4.72), and postpartum depression status (OR 2.40, 95% CI 1.58, 3.64) after adjusting maternal age, BMI, gestational age, smoking, educational level, annual household income and social support. The association of poor sleep quality (PSQI scores ≥5) in the second trimester with postnatal depression status was significant among women more than or equal to 30 years old (OR 4.12, 95% CI 2.18, 7.78) but not among women less than 30 years old after adjusting covariates above.CONCLUSION:
Poor sleep quality in the second trimester among Chinese pregnant women is associated with stress and depression symptoms. Strategies to boost sleep quality should be considered during prenatal health care to improve women's mental health status.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Sono
/
Estresse Psicológico
/
Depressão Pós-Parto
/
Depressão
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article