Perinatal Insomnia and Mental Health: a review of recent literature
Open accessAbstract
Purpose of review The perinatal period is a time of high risk for insomnia and mental health conditions. The purpose of this review is to critically examine the most recent literature on perinatal insomnia, focusing on unique features of this period which may confer specific risk, associations with depression and anxiety, and emerging work on perinatal insomnia treatment.Recent findings A majority of perinatal women experience insomnia, which may persist for years, and is associated with depression and anxiety. Novel risk factors include personality characteristics, nocturnal perinatal-focused rumination, and obesity. Mindfulness and physical activity may be protective. Cognitive-behavioral therapy for insomnia is an effective treatment. Perinatal insomnia is exceedingly common, perhaps due to factors unique to this period. Although closely linked to perinatal mental health, more work is needed to establish causality. Future work is also needed to establish the role of racial disparities, tailor treatments, and determine whether insomnia treatment improves perinatal mental health.
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Many nurses and midwives reported insomnia, anxiety, and lingering emotional distress, consistent with the concept of compassion fatigue.
“Furthermore, many nurses and midwives reported insomnia, anxiety, and lingering emotional distress, consistent with the concept of compassion fatigue (Swanson et al., 2020).”
From Nurses' and midwives' experiences of supporting parents following perinatal bereavement: A qualitative systematic review (2026) · cites this paper as Swanson et al., 2020
The Abstract’s Recent findings and the Anxiety section link insomnia with anxiety in perinatal women. They do not report symptoms among nurses or midwives, lingering emotional distress, or compassion fatigue; the cited population is different. (LLM, conf=0.78)
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References 72 · Cited by 70
- Authors
- Swanson, L. M., Kalmbach, D. A., Raglan, G. B., & O’Brien, L. M.
- Affiliations
- University of Michigan (US)
- Henry Ford Health (US)
- Corresponding author
- Swanson, Leslie M.
- Venue
- Current Psychiatry Reports
- Published
- 2020-10-26
- Volume
- 22
- Issue
- 12
- Pages
- 73-73
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- PMC
- PMC9109228
- OpenAlex
- W3093920128
- Cited by
- 70
- References
- 72
- Citations by year
- 2026: 10 · 2025: 26 · 2024: 8 · 2023: 13 · 2022: 10 · 2021: 3
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Psychiatry Reports (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (K23HL122461)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Keywords
- perinatal mental health, depression, anxiety, obesity, mindfulness, physical activity, cognitive behavioral therapy for insomnia, insomnia treatment, personality traits, racial disparities
- MeSH terms
- Anxiety, Depression, Female, Humans, Sleep Initiation and Maintenance Disorders, Mental Health, Pregnancy, Cognitive Behavioral Therapy, Mindfulness
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