产前睡眠与产后心理健康状况相关[j]

Carolyn S. Sinow, Lyndsay A. Avalos, A. Beck, Jennifer N. Felder, J. Stark, Ayesha C. Sujan
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引用次数: 0

摘要

睡眠障碍通常发生在怀孕期间;产后状态会增加精神健康障碍的风险。在未怀孕的人群中,睡眠问题与精神健康问题有关。关于产前睡眠障碍和产后心理健康之间关系的研究很少,结果好坏参半。本项目的目的是评估产前睡眠与产后心理健康之间的关系。方法:这项经irb批准的前瞻性队列研究包括336名在2020年8月至2021年4月期间在一家机构接受产前护理的个体。参与者在招募时完成了一份基线问卷,在妊娠早期或中期早期,并在产后4-8周完成了一份随访问卷。受试者完成了睡眠(匹兹堡睡眠质量指数[PSQI])、抑郁(患者健康问卷抑郁量表[PHQ-8])和焦虑(一般焦虑障碍量表[GAD-7])的调查。结果:在调整基线抑郁和潜在混杂因素后,产前整体睡眠质量(PSQI, >5)与产后抑郁(PHQ-8,≥10)的发生相关(相对危险度[RR] 1.12: 95% CI 1.01-1.25)。具体而言,睡眠质量(RR 2.18: 95% CI 1.22-3.91)和睡眠潜伏期(RR 1.52: 95% CI 1.06-2.17)与产后抑郁症相关。产前睡眠问题与产后焦虑评分较高相关(RR 1.09: 95% CI 0.99-1.20),但研究结果无统计学意义。结论:产前睡眠问题与产后抑郁症的发生有关。研究表明,治疗产前失眠可以预防产后抑郁。妊娠期睡眠障碍的筛查可能用于针对产后抑郁症的筛查和预防措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prenatal Sleep Linked to Postpartum Mental Health Outcomes [ID: 1375042]
INTRODUCTION: Sleep disturbances commonly occur in pregnancy; and the postpartum state confers elevated risk for mental health disorders. In nonpregnant populations, sleep problems have been linked to mental health problems. The scant research on the association between prenatal sleep disturbances and postpartum mental health has produced mixed results. The goal of this project was to evaluate the association between prenatal sleep and postpartum mental health. METHODS: This IRB-approved prospective cohort study included 336 individuals receiving prenatal care at a single institution between August 2020 and April 2021. Participants completed a baseline questionnaire upon recruitment, in the first or early second trimester, and a follow-up questionnaire at 4–8 weeks postpartum. Individuals completed surveys for sleep (Pittsburgh Sleep Quality Index [PSQI]), depression (Patient Health Questionnaire depression scale [PHQ-8]), and anxiety (General Anxiety Disorder scale [GAD-7]). RESULTS: After adjusting for baseline depression and potential confounders, prenatal global sleep quality (PSQI, >5) was associated with development of postpartum depression (PHQ-8, ≥10) (relative risk [RR] 1.12: 95% CI 1.01–1.25). Specifically, sleep quality (RR 2.18: 95% CI 1.22–3.91) and sleep latency (RR 1.52: 95% CI 1.06–2.17) were associated with postpartum depression. Prenatal sleep problems were associated with higher postpartum anxiety scores (RR 1.09: 95% CI 0.99–1.20), but findings did not reach statistical significance. CONCLUSION: Prenatal sleep problems are associated with the development of postpartum depression. Research suggests that treating prenatal insomnia may prevent postpartum depression. Screening for sleep disorders in pregnancy could potentially be used to target screening and prevention measures for postpartum depression.
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