The DOI matches its Crossref record; 51 of the 52 references it cites were found in a registry or an index.
Sleep and Depression in Postpartum Women: A Population-Based Study
Open accessAbstract
STUDY OBJECTIVES: (1) To describe the prevalence of and risk factors for postpartum maternal sleep problems and depressive symptoms simultaneously, (2) identify factors independently associated with either condition, and (3) explore associations between specific postpartum sleep components and depression. DESIGN: Cross-sectional. SETTING: Population-based. PARTICIPANTS: All women (n = 4191) who had delivered at Stavanger University Hospital from October 2005 to September 2006 were mailed a questionnaire seven weeks postpartum. The response rate was 68% (n = 2830). INTERVENTIONS: None. MEASUREMENTS AND RESULTS: Sleep was measured using the Pittsburgh Sleep Quality Index (PSQI), and depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS). The prevalence of sleep problems, defined as PSQI > 5, was 57.7%, and the prevalence of depression, defined as EPDS > or = 10, was 16.5%. The mean self-reported nightly sleep duration was 6.5 hours and sleep efficiency 73%. Depression, previous sleep problems, being primiparous, not exclusively breastfeeding, or having a younger or male infant were factors associated with poor postpartum sleep quality. Poor sleep was also associated with depression when adjusted for other significant risk factors for depression, such as poor partner relationship, previous depression, depression during pregnancy and stressful life events. Sleep disturbances and subjective sleep quality were the aspects of sleep most strongly associated with depression. CONCLUSIONS: Poor sleep was associated with depression independently of other risk factors. Poor sleep may increase the risk of depression in some women, but as previously known risk factors were also associated, mothers diagnosed with postpartum depression are not merely reporting symptoms of chronic sleep deprivation.
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“The prevalence of a probable diagnosis of perinatal insomnia range from 41 to 58 % of perinatal women [54,71,72].”
From Non-Pharmacological Treatment of Insomnia (2012) · cites this paper as [71]
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Magnitude and risk factors for postpartum symptoms: A literature review
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Metadata
- Authors
- Dørheim, S. K., Bondevik, G. T., Eberhard-Gran, M., & Bjorvatn, B.
- Affiliations
- Stavanger University Hospital (NO)
- University of Bergen (NO)
- Haukeland University Hospital (NO)
- Corresponding author
- Dørheim, Signe Karen
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-07
- Volume
- 32
- Issue
- 7
- Pages
- 847-855
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- PMC
- PMC2704916
- OpenAlex
- W177648084
- Cited by
- 331
- References
- 52
- Citations by year
- 2026: 7 · 2025: 17 · 2024: 26 · 2023: 19 · 2022: 23 · 2021: 20 · 2020: 21 · 2019: 21 · 2018: 25 · 2017: 11 · 2016: 19 · 2015: 27 · 2014: 21 · 2013: 29 · 2012: 21
- FWCI
- 14.72
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- SLEEP (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
- Keywords
- postpartum depression, sleep quality, sleep disorders, depressive symptoms, risk factors, primiparity, breastfeeding, infant characteristics, couple relationships, sleep deprivation, antenatal depression
- MeSH terms
- Adult, Cross-Sectional Studies, Depressive Disorder, Female, Humans, Norway, Psychiatric Status Rating Scales, Puerperal Disorders, Surveys and Questionnaires, Risk Factors, Sleep, Sleep Deprivation, Sleep Wake Disorders, Stress, Psychological, Comorbidity, Prevalence, Odds Ratio, Postpartum Period, Young Adult
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