Sleep Quality in Women with and Without Postpartum Depression

Overview

Journal J Obstet Gynecol Neonatal Nurs

Publisher Elsevier

Specialty Gynecology & Obstetrics

Date 2008 Nov 18

PMID 19012723

Citations 45

Authors

Bobbie Posmontier

Affiliations

Soon will be listed here.

Abstract

Objective: To compare and measure the effects of sleep quality in women with and without postpartum depression.

Design: A case-control repeated measures matched pairs design.

Setting: Home and obstetric office.

Participants: Forty-six women who were 6 to 26 weeks postpartum. Two participants were dropped from the final analysis because they were outliers.

Methods: Participants underwent wrist actigraphy at home for 7 consecutive days to measure sleep quality. The Postpartum Depression Screening Scale measured depression severity. Psychosocial variables were collected during a screening interview. A structured clinical interview was used to diagnose postpartum depression. Correlations, t tests, and hierarchical multiple regressions were run to analyze data.

Results: With the exception of wake episodes, sleep latency (B=1.80, SE=0.73, p<.05), wake after sleep onset (B=6.85, SE=2.85, p<.05), and thus sleep efficiency (B=-6.31, SE=3.13, p<.05) predicted postpartum depression symptom severity.

Conclusions: Women with postpartum depression experienced poorer sleep quality than women without postpartum depression, and sleep quality worsened with increasing postpartum depression symptom severity. Clinicians need to address measures to improve sleep quality in depressed mothers to decrease symptom severity, and researchers need to develop interventions to facilitate better sleep quality in women with postpartum depression.

Citing Articles

Genetical effects of sleep traits on postpartum depression: a bidirectional two-sample Mendelian randomization study.

Hu Q, Cong E, Chen J, Ma J, Li Y, Xu Y BMC Pregnancy Childbirth. 2024; 24(1):711.

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Unlocking the potential of wearable device wear time to enhance postpartum depression screening and detection.

Hurwitz E, Meltzer-Brody S, Butzin-Dozier Z, Patel R, Elhadad N, Haendel M medRxiv. 2024; .

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Association between breastfeeding cessation among under six-month-old infants and postpartum depressive symptoms in Nevada.

Neupane S, de Oliveira C, Palombo C, Buccini G PLoS One. 2024; 19(1):e0297218.

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Is cesarean section a clinical marker for psychiatric and sleep disorder in young mothers? A cross-sectional study from rural South India.

Ryali S, Kumar M, Ryali V, Paspulati S Ind Psychiatry J. 2023; 32(1):158-163.

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Zhu Y, Jiang C, Yang Y, Dzierzewski J, Spruyt K, Zhang B Behav Sci (Basel). 2023; 13(2).

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