Poor sleep quality increases symptoms of depression and anxiety in postpartum women

Journal of Behavioral Medicine
Michele L OkunMary Coussons-Read

Abstract

This study evaluated the relationship between sleep quality and symptoms of depression and anxiety in women studied in pregnancy and postpartum. Scores on standardized measures of sleep (PSQI) at 6 months postpartum, and symptoms of anxiety and depression (OASIS, the PHQ9, and EPDS) were assessed by structured interviews in 116 women in pregnancy and/or postpartum. Poor sleep quality was significantly associated with greater symptoms of depression and anxiety. Women who had significantly higher OASIS (anxiety) scores (β = .530, p < .001), PHQ9 (depression) scores (β = .496, p < .001), and EPDS (postpartum depression and anxiety) scores (β = .585, p < .001) also had elevated total PSQI scores after adjustment for covariates, including prenatal depression and anxiety scores. Though inferences about causality are not feasible, these results support emerging research showing sleep quality is a risk factor for negative maternal affect in the postpartum period. Assessment of maternal sleep hygiene is worth consideration as a component of identifying women at risk for postpartum depression and anxiety.

References

Aug 1, 1990·The British Journal of Psychiatry : the Journal of Mental Science·L Murray, A D Carothers
Jun 1, 1987·The British Journal of Psychiatry : the Journal of Mental Science·J L CoxR Sagovsky
Nov 1, 1993·Journal of Pineal Research·S SuzukiE Satohisa
Nov 1, 1993·Archives of General Psychiatry·K S KendlerL J Eaves
Jun 1, 1996·Journal of the American Geriatrics Society·J C HaysD J Foley
Feb 1, 1997·Journal of Affective Disorders·M L PerlisD J Kupfer
Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Sep 25, 2001·Depression and Anxiety·D E Ford, L Cooper-Patrick
Dec 17, 2004·Behavioral Sleep Medicine·Amy R WolfsonJennifer L Bassett
Nov 2, 2005·The Journal of Clinical Psychiatry·Norifumi TsunoKaren Ritchie
Nov 2, 2005·Obstetrics and Gynecology·Norma I GavinTammeka Swinson
Jan 3, 2006·Journal of Perinatal Medicine·Barbara Luke
Jan 27, 2006·International Clinical Psychopharmacology·Anna Wirz-Justice
May 12, 2006·Depression and Anxiety·Sonya B NormanMurray B Stein
Sep 9, 2006·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·M Cynthia LogsdonMelissa D Pinto-Foltz
Nov 1, 2006·Journal of Reproductive Immunology·Michele L Okun, Mary E Coussons-Read
Dec 7, 2006·JAMA : the Journal of the American Medical Association·Katherine L WisnerDorothy K Y Sit
Feb 13, 2007·Behavior Therapy·Daniel J TaylorJeff R Temple
Apr 14, 2007·Journal of Psychiatric and Mental Health Nursing·J Jomeen, C R Martin
May 17, 2007·The Journal of Perinatal & Neonatal Nursing·Deepika GoyalKathryn A Lee
Aug 12, 2008·Journal of the American Geriatrics Society·Natalie D DautovichMeredeth Rowe
Feb 26, 2009·American Journal of Physiology. Endocrinology and Metabolism·Elaine ThamJean-Pierre Chanoine
Mar 31, 2009·Behavioral Sleep Medicine·Michele L OkunKatherine L Wisner
Dec 1, 2009·Obstetrics and Gynecology Clinics of North America·Judith R Davidson
Apr 27, 2010·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Shaila MisriRuth E Grunau
Aug 17, 2010·Journal of Affective Disorders·Michele L OkunKatherine L Wisner
Jul 9, 2011·The Journal of Obstetrics and Gynaecology Research·Chrishantha Abeysena, Pushpa Jayawardana
Dec 21, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Laura ManeaDean McMillan
Oct 25, 2012·Mini Reviews in Medicinal Chemistry·G Terán-PérezJ Velázquez Moctezuma
Dec 17, 2014·Biological Research for Nursing·Amanda L McBean, Hawley E Montgomery-Downs
Mar 15, 2015·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Rebecca M EbertMichele L Okun
Apr 8, 2015·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Qiu-Yue ZhongMichelle A Williams
Nov 26, 2015·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Shaila Misri, Elena Swift
Apr 29, 2016·Behavioral Sleep Medicine·Lianne M Tomfohr-MadsenTavis S Campbell
Jun 4, 2016·Journal of Affective Disorders·Elaine K H ThamBirit F P Broekman
Aug 6, 2016·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Darby E SaxbeUNKNOWN Eunice Kennedy Shriver National Institute for Child Health and Human Development Community Child Health Network
Nov 29, 2017·Sleep Disorders·Laura CretiPhyllis Zelkowitz
Jan 11, 2018·BMC Women's Health·Beth A LewisBess H Marcus

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Citations

Nov 9, 2018·Western Journal of Nursing Research·Azza H AhmedTheresa Casey
Mar 20, 2019·Journal of Midwifery & Women's Health·Melissa A StecHeather Findletar Hines
Mar 20, 2019·Journal of Neuroendocrinology·Florent PittetBenjamin C Nephew
Dec 19, 2019·International Journal of Behavioral Medicine·Nancy KiwanHassen Al-Amin
Oct 22, 2020·Journal of Behavioral Medicine·Alexandra R FischerHeather E Gunn
Jan 27, 2021·The Journal of Obstetrics and Gynaecology Research·Yu-Hsiang LiuChung-Hey Chen
Jan 28, 2021·BMC Public Health·Che Wan Jasimah Bt Wan Mohamed RadziNadia Samsudin
Jan 5, 2021·Southern African Journal of HIV Medicine·Marzieh MahboobiSamaneh Akbarpour
Apr 28, 2021·Sleep Health·Judith E CarrollChristine Dunkel Schetter
Apr 27, 2021·Infant Mental Health Journal·Valérie SimardMarie-Michelle Blouin
Apr 27, 2021·Journal of Sleep Research·Cláudia Castro Dias, Bárbara Figueiredo
Jun 26, 2021·Sleep Medicine: X·Christopher KalogeropoulosMarie-Hélène Pennestri
Jul 10, 2021·International Review of Psychiatry·Caitlin E Martin, Anna Beth Parlier-Ahmad
Jan 3, 2021·Brazilian Journal of Physical Therapy·Élida Raquel Freitas Neri BulhõesDiego De Sousa Dantas
Aug 12, 2021·BMJ Open·Jasmyn E A CunninghamAnastasiya Slyepchenko
Aug 27, 2021·Journal of Ethnopharmacology·Bingcong XingQingsong Shao
Jan 27, 2022·Journal of Complementary & Integrative Medicine·Leila Seiiedi-Biarag, Mojgan Mirghafourvand

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