Stress-related sleep reactivity is associated with insomnia, psychopathology and suicidality in pregnant women: preliminary results

Sleep Medicine
Laura PalaginiChristopher L Drake

Abstract

Depression and anxiety symptoms are commonly experienced by women during pregnancy and may have negative consequences on mothers and newborns. Deterioration of sleep quality throughout pregnancy increases insomnia, which may lead to adverse outcomes including increased psychopathology in the perinatal period. Thus, identifying women at high risk of developing insomnia may have important clinical implications on maternal-fetal outcomes. Stress-related sleep reactivity is a well-established risk factor for future insomnia, depression, and anxiety in general adult samples. However, little is known of sleep reactivity and its relations to sleep and mood pathology in pregnancy. Therefore, we explored sleep reactivity in pregnant women and its relations to prenatal symptoms of insomnia, depression, anxiety, and suicidality. Sixty-two pregnant women (mean age 33.6 ± 3 years, 20.6 ± 0.6 weeks of pregnancy) were evaluated during their routine visit at the Gynecological Unit of the University of Pisa, Italy, using the Insomnia Severity Index (ISI) for insomnia symptoms, the Ford Insomnia Response to Stress Test for sleep reactivity (FIRST), Edinburgh Postnatal Depression Scale (EPDS) for depressive symptoms, and the Zung Self Rating Anxi...Continue Reading

Citations

Oct 27, 2020·Current Psychiatry Reports·Leslie M SwansonLouise M O'Brien
Nov 4, 2020·Journal of Sleep Research·Ivan D SedovLianne M Tomfohr-Madsen
Jan 16, 2021·International Journal of General Medicine·Pengsheng LiXiaoling Guo
Sep 2, 2021·Journal of American College Health : J of ACH·Elizabeth N Dougherty Haedt-Matt
Dec 1, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Verinder SharmaDieter Riemann

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