Sleep and depression in couples during the transition to parenthood.

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY Behavioral Sleep Medicine Pub Date : 2024-05-01 Epub Date: 2023-09-05 DOI:10.1080/15402002.2023.2255327
Fei-Wan Ngai, Yao Jie Xie
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Abstract

Objectives: The objectives were to: (1) investigate the prevalence, differences and changes in sleep quality over time among Chinese couples during pregnancy and at 6 weeks and 6 months postpartum and (2) examine the association between sleep quality and depressive symptoms.

Method: This study was part of an intervention study for postnatal depression. Childbearing couples were recruited from antenatal clinics. Data on sleep and depression during pregnancy and at 6 weeks and 6 months postpartum were collected using the Pittsburgh Sleep Quality Index (PSQI) and Edinburgh Postnatal Depression Scale, respectively.

Results: The prevalence of sleep disturbance (PSQI score > 5) during pregnancy and at 6 weeks and 6 months postpartum was 45.0%, 62.8% and 36.8%, respectively, among women and 26.4%, 36.4% and 27.3%, respectively, among men. Sleep quality declined significantly in both partners from pregnancy to 6 weeks postpartum, followed by a significant improvement by 6 months postpartum. The results revealed significant correlations between partners' scores on sleep quality across the perinatal period, with women experiencing poorer sleep quality than men. Poor sleep was associated with depressive symptoms across the perinatal period for both partners.

Conclusions: This study highlights the importance of screening couples for sleep disturbances throughout pregnancy and the postnatal period and assisting them to develop strategies to improve sleep quality during the transition to parenthood.

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为人父母过渡期夫妇的睡眠与抑郁。
目标:目的是(1)调查中国夫妇在孕期、产后6周和6个月时睡眠质量的普遍性、差异和随时间的变化;(2)研究睡眠质量与抑郁症状之间的关系:本研究是产后抑郁症干预研究的一部分。育龄夫妇是从产前诊所招募的。分别使用匹兹堡睡眠质量指数(PSQI)和爱丁堡产后抑郁量表收集孕期、产后 6 周和 6 个月的睡眠和抑郁数据:孕期、产后 6 周和 6 个月时睡眠障碍(PSQI 评分大于 5 分)的发生率在女性中分别为 45.0%、62.8% 和 36.8%,在男性中分别为 26.4%、36.4% 和 27.3%。从怀孕到产后 6 周,夫妻双方的睡眠质量都有明显下降,而到产后 6 个月,睡眠质量则有明显改善。研究结果表明,在整个围产期,伴侣的睡眠质量得分之间存在明显的相关性,女性的睡眠质量比男性差。在整个围产期,夫妻双方的睡眠质量差都与抑郁症状有关:这项研究强调了在整个孕期和产后对夫妇进行睡眠障碍筛查,并帮助他们制定策略以在为人父母的过渡时期提高睡眠质量的重要性。
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来源期刊
Behavioral Sleep Medicine
Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY
CiteScore
7.20
自引率
3.20%
发文量
49
审稿时长
>12 weeks
期刊介绍: Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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