Sleep quality and depression during pregnancy: a prospective study
Abstract
For the first time, the relationship between depressive symptoms and sleep quality was explored prospectively during pregnancy. Participants (n = 273) completed the Pittsburgh Sleep Quality Index and Beck Depression Inventory at three 8-week intervals, starting from 15-23 weeks gestation. In addition to sleep quality and depression remaining relatively stable during pregnancy, findings revealed that sleep quality earlier in pregnancy predicted higher levels of depressive symptoms at later stage in pregnancy (after controlling for prior depression levels). In contrast, there was no evidence to suggest that depressive symptoms earlier in pregnancy impacted on sleep quality later on. Given that depressive symptomatology can lead to major depression and given the prevalence of pre- and postnatal depression, our findings suggest that screening for sleep problems during pregnancy may be of clinical significance.
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Several prospective studies document the relationship between sleep disturbance during pregnancy and subsequent reports of depressive symptoms at a later time among perinatal women.
“Several prospective studies document the relationship between sleep disturbance during pregnancy and subsequent reports of depressive symptoms at a later time among perinatal women (later in pregnancy [81] or in the early postpartum period [79,82,83]).”
From Non-Pharmacological Treatment of Insomnia (2012) · cites this paper as [81]
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Sleep quality during pregnancy: A meta-analysis
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InfluentialBei, B., Milgrom, J., Ericksen, J., & Trinder, J. (2010) · SLEEP · doi:10.1093/sleep/33.4.531 · Cited by 234 · see citing works
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Palagini, L., Gemignani, A., Banti, S., Manconi, M., Mauri, M., & Riemann, D. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2014.02.013 · Cited by 220 · see citing works
“[66] Longitudinal 273 pregnant”
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“, 2011) and maternal mental health in the perinatal period (Tomfohr et al., 2015; Skouteris et al., 2008).”
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Tomfohr, L. M., Buliga, E., Letourneau, N. L., Campbell, T. S., & Giesbrecht, G. F. (2015) · Sleep · doi:10.5665/sleep.4900 · Cited by 182 · see citing works
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“…quality is an antecedent to depressive symptoms, as these studies suggest, it may be important to screen for and address sleep difficulties during pregnancy to prevent increases in depressive symptomatology at a life stage when women’s well being is particularly important (Skouteris et al., 2008).”
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Interventions for sleep problems during pregnancy: A systematic review
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“12 Similarly, in a Norwegian population-based study of > 4000 women at 7 weeks postpartum, subjective report of poor sleep quality was significantly associated with depression even after controlling for multiple risk factors.”
Disturbed Sleep and Postpartum Depression
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Sleep problems and depressed mood negatively impact health-related quality of life during pregnancy
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“Prior studies have found that the experience of sleep problems during pregnancy is associated with an increased risk of depression both during the pregnancy and in the postpartum (Skouteris et al. 2008; Wolfson et al. 2003).”
Zhong, Q., Gelaye, B., Sánchez, S. E., & Williams, M. A. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4936 · Cited by 135 · see citing works
Sleep quality during pregnancy: associations with depressive and anxiety symptoms
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“It has been proposed that sleep disturbances precede depressive symptoms, and that sleep disturbances thus may be considered prodromal symptoms of depressive symptoms (19).”
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Bei, B., Coo, S., & Trinder, J. (2015) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2014.11.011 · Cited by 122 · see citing works
“A study on 273 pregnant women across the 3 trimesters of pregnancy found that poor subjective sleep quality in the first and second trimesters significantly predicted depressive symptoms in the second and third trimesters, respectively.(36) In 51 women with a history of depression, self-reported poor sleep at 36 weeks…”
BackgroundQiu, C., Gelaye, B., Zhong, Q., Enquobahrie, D. A., Frederick, I. O., & Williams, M. A. (2016) · Sleep And Breathing · doi:10.1007/s11325-016-1313-4 · Cited by 116 · see citing works
“To that end, the Pittsburgh Sleep Quality Index (PSQI), a widely used self-reported measure of sleep quality with acceptable psychometric properties when used among men and non-pregnant women [8–18], has been suggested as appropriate for use among pregnant women [7, 19].”
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Sleep disturbances in depressed and nondepressed pregnant women
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“[18,28] Furthermore, while the PSQI has good validity in depressed and/or pregnant populations,[24,52] the recall period is over the previous 30 days.”
MethodResultMaternal and paternal sleep during pregnancy in the Child-sleep birth cohort
Paavonen, E. J., Saarenpää‐Heikkilä, O., Pölkki, P., Kylliäinen, A., Porkka‐Heiskanen, T., & Paunio, T. (2016) · Sleep Medicine · doi:10.1016/j.sleep.2016.09.011 · Cited by 110 · see citing works
“Insomnia during pregnancy might also precede an episode of major depression [37] which in turn is awellknown risk factor for the child-parent relationship.”
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“It is clear that a substantial number of women have at least one symptom cross-sectionally (25%–40%), and this is consistent with previous literature.(2,10,21,26,38) What is new here is that less than 20% of women have persistent sleep deficiency.”
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Emamian, F., Khazaie, H., Okun, M. L., Tahmasian, M., & Sepehry, A. A. (2019) · Journal of Sleep Research · doi:10.1111/jsr.12858 · Cited by 108 · see citing works
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“Poor sleep quality may be a risk factor for developing depressive symptoms during pregnancy.(24,34) Together with reduced sleep, poor sleep quality may affect women’s ability to cope with labor pain.”
BackgroundNon-Pharmacological Treatment of Insomnia
Siebern, A. T., Suh, S., & Nowakowski, S. (2012) · Neurotherapeutics · doi:10.1007/s13311-012-0142-9 · Cited by 88 · see citing works
“Several prospective studies document the relationship between sleep disturbance during pregnancy and subsequent reports of depressive symptoms at a later time among perinatal women (later in pregnancy [81] or in the early postpartum period [79, 82, 83]).”
BackgroundObjective and subjective sleep during pregnancy: links with depressive and anxiety symptoms
Volkovich, E., Tikotzky, L., & Manber, R. (2016) · Archives of Women's Mental Health · doi:10.1007/s00737-015-0554-8 · Cited by 75 · see citing works
“Research on pregnant women’s mental health in relation to sleep consistently demonstrates that self-reported poor sleep of pregnant women is concurrently and prospectively associated with higher depressive symptoms during pregnancy (Manber et al. 2013; Skouteris et al. 2008; Skouteris et al. 2009a; Swanson et al. 2011…”
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Costa, D. D., Zelkowitz, P., Dasgupta, K., Sewitch, M. J., Lowensteyn, I., Cruz, R., Hennegan, K., & Khalifé, S. (2015) · American Journal of Men s Health · doi:10.1177/1557988315606963 · Cited by 81 · see citing works
“While the cross-sectional nature of the present study precludes making causal inferences regarding sleep problems and depressive symptoms, in the general population and in women during pregnancy, sleep disturbances appear to be an antecedent to and a negative prognostic factor for new and recurrent depression (Buysse…”
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Coo, S., Milgrom, J., & Trinder, J. C. (2013) · Behavioral Sleep Medicine · doi:10.1080/15402002.2013.801348 · Cited by 79 · see citing works
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Preoperative sleep quality predicts postoperative pain after planned caesarean delivery
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“Both internal consistency coefficients and test–retest reliability coefficients have been found to be very high (Spielberger et al., 1970; Spielberger, 1983) and STAI has been used in pregnancy to test women’s anxiety (Newham et al., 2012).”
MethodPersson, M., Winkvist, A., Dahlgren, L. G., & Mogren, I. (2013) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-13-111 · Cited by 68 · see citing works
“Other studies have shown that sleep difficulties in pregnancy may be related to increased levels of depressive symptoms later in pregnancy [30], and in a population-based study of insomnia and depression in late pregnancy, the presence of PGP and lower back pain were significantly related to insomnia, but not associat…”
BackgroundDeterminants of sleep quality among pregnant women in China: a cross-sectional survey
Yang, Y., Mao, J., Ye, Z., Zeng, X., Zhao, H., Liu, Y., & Li, J. (2017) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2017.1359831 · Cited by 68 · see citing works
“Our study confirmed previous findings that sleep quality during pregnancy is associated with prenatal depression [16,38,39], showing that higher levels of prenatal depression predicted poorer sleep quality, as depression is one of the main psychological factors contributing to sleep complaints.”
ResultZolpidem (Ambien®) in pregnancy: placental passage and outcome
Jurić, S., Newport, D. J., Ritchie, J., Galanti, M., & Stowe, Z. N. (2009) · Archives of Women s Mental Health · doi:10.1007/s00737-009-0100-7 · Cited by 64 · see citing works
“Several prospective investigations have identified a relationship between maternal depression and sleep disturbance during pregnancy (Skouteris et al. 2008; Field et al. 2007).”
BackgroundAssociation between sleep quality and postpartum depression
Iranpour, S., Kheirabadi, G. R., Esmaillzadeh, A., Heidari‐Beni, M., & Maracy, M. R. (2016) · Journal of Research in Medical Sciences · doi:10.4103/1735-1995.193500 · Cited by 64 · see citing works
“[23] These studies have shown findings which are consistent with the results of the present study.”
Felder, J. N., Laraia, B. A., Coleman‐Phox, K., Bush, N. R., Suresh, M., Thomas, M., Adler, N. E., Epel, E. S., & Prather, A. A. (2017) · Behavioral Sleep Medicine · doi:10.1080/15402002.2016.1266488 · Cited by 64 · see citing works
“…research supporting the role of poor sleep in worsening depression among the general population and during pregnancy specifically (Baglioni et al., 2011; Skouteris et al., 2008), and extends it to a unique sample of ethnically diverse, predominantly low-income, overweight or obese pregnant women.”
BackgroundResultCrowley, S. K., O’Buckley, T. K., Schiller, C. E., Stuebe, A. M., Morrow, A. L., & Girdler, S. S. (2016) · Psychopharmacology · doi:10.1007/s00213-016-4217-x · Cited by 64 · see citing works
“In addition, disturbed sleep has been associated with both depressed mood (Jomeen and Martin 2007; Okun et al. 2013; Skouteris et al. 2008) and stress during pregnancy”
BackgroundMoss, K. M., Skouteris, H., Wertheim, E. H., Paxton, S. J., & Milgrom, J. (2009) · Archives of Women's Mental Health · doi:10.1007/s00737-009-0086-1 · Cited by 53 · see citing works
“We controlled for social support, prior depression and sleep quality, since they have been associated with depressive symptoms during pregnancy (Milgrom et al. 2008; Skouteris et al. 2008) and have predicted postpartum depression (Milgrom et al.”
BackgroundMethodInfluentialSelf-citationThe Relationship Between Sleep and Mood in First-Time and Experienced Mothers
Coo, S., Bei, B., Milgrom, J., & Trinder, J. C. (2012) · Behavioral Sleep Medicine · doi:10.1080/15402002.2012.668147 · Cited by 51 · see citing works
“Studies addressing the interaction between antenatal sleep and mood have suggested that subjective sleep quality significantly contributes to depressed mood in late pregnancy ( Jomeen & Martin, 2007 ; Skouteris, Germano, Wertheim, Paxton, & Milgrom, 2008 ; Kamysheva, Skouteris, Wertheim, Paxton, & Milgrom, 2010 ), and…”
BackgroundThe influence of physical activity in water on sleep quality in pregnant women: A randomised trial
Rodríguez-Blanque, R., Sánchez-García, J. C., Sánchez-López, A. M., Mur-Villar, N., & Cordero, M. J. A. (2017) · Women and Birth · doi:10.1016/j.wombi.2017.06.018 · Cited by 51 · see citing works
Sleeping problems during pregnancy—a risk factor for postnatal depressiveness
Pietikäinen, J. T., Polo‐Kantola, P., Pölkki, P., Saarenpää‐Heikkilä, O., Paunio, T., & Paavonen, E. J. (2018) · Archives of Women s Mental Health · doi:10.1007/s00737-018-0903-5 · Cited by 51 · see citing works
Navas, A., Carrascosa, M. D. C., Artigues, C., Ortas, S., Portells, E., Soler, A., Yáñez, A. M., Bennasar‐Veny, M., & Leiva, A. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10112432 · Cited by 52 · see citing works
“Previous studies have shown that sleep problems during pregnancy are associated with an increased risk of depression both during pregnancy and postpartum [65,66].”
Stress, Sleep, Depression and Dietary Intakes Among Low-Income Overweight and Obese Pregnant Women
Chang, M., Brown, R., Nitzke, S. A., Smith, B., & Eghtedary, K. (2014) · Maternal and Child Health Journal · doi:10.1007/s10995-014-1604-y · Cited by 47 · see citing works
Trajectories of Depressive Symptoms and Fatigue Among Postpartum Women
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Antenatal depression: an artefact of sleep disturbance?
Mellor, R., Chua, S. C., & Boyce, P. M. (2014) · Archives of Women s Mental Health · doi:10.1007/s00737-014-0427-6 · Cited by 44 · see citing works
“Use of the PSQI to screen for sleep problems in pregnancy has revealed a significant association between poor sleep quality and depressive symptomatology (Ko et al. 2010; Skouteris et al. 2008; Kamysheva et al. 2010; Jomeen and Martin 2007).”
BackgroundMethodResultInfluentialGelaye, B., Kajeepeta, S., Zhong, Q., Borba, C. P. C., Rondón, M. B., Sánchez, S. E., Henderson, D. C., & Williams, M. A. (2015) · Sleep Medicine · doi:10.1016/j.sleep.2015.07.004 · Cited by 45 · see citing works
“Available data suggest that sleep disturbances during pregnancy are associated with adverse perinatal outcomes, including maternal depression, preeclampsia, and preterm birth [2–4].”
BackgroundHou, Q., Li, S., Jiang, C., Huang, Y., Huang, L., Ye, J., Pan, Z., Teng, T., Wang, Q., Jiang, Y., et al. (2018) · Scientific Reports · doi:10.1038/s41598-018-28974-x · Cited by 44 · see citing works
Personalized Maternal Sleep Quality Assessment: An Objective IoT-based Longitudinal Study
Azimi, I., Oti, O., Labbaf, S., Niela‐Vilén, H., Axelin, A., Dutt, N. D., Liljeberg, P., & Rahmani, A. M. (2019) · IEEE Access · doi:10.1109/access.2019.2927781 · Cited by 44 · see citing works
“monitoring, and assessment of maternal sleep quality are essential during pregnancy to alleviate sleep disturbances and prevent its potential complications [12], [15], [16].”
BackgroundMethodAllison, K. C., Wrotniak, B. H., Paré, E., & Sarwer, D. B. (2012) · Obstetrics and Gynecology International · doi:10.1155/2012/878607 · Cited by 42 · see citing works
“Additionally, poor sleep quality early in pregnancy has been linked to increased depressed mood later in pregnancy [36, 37], and poor sleep quality in late pregnancy has been predictive of early postpartum depression [38].”
BackgroundMcEvoy, K., Rayapati, D., Cole, K. O. W., Erdly, C., Payne, J. L., & Osborne, L. M. (2019) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.7924 · Cited by 40 · see citing works
A Longitudinal Study of Physical Activity to Improve Sleep Quality During Pregnancy
Tan, L., Zou, J., Zhang, Y., Yang, Q., & Shi, H. (2020) · Nature and Science of Sleep · doi:10.2147/nss.s253213 · Cited by 38 · see citing works
Sleep Disturbances and Symptoms of Depression and Daytime Sleepiness in Pregnant Women
Tsai, S., Lin, J., Wu, W., Lee, C., & Lee, P. (2016) · Birth · doi:10.1111/birt.12215 · Cited by 38 · see citing works
“Poor sleep has been suggested to be the cause rather than the consequence of elevated depressive symptoms in pregnant women (29).”
Backgroundvan der Zwan, J. E., de Vente, W., Tolvanen, M., Karlsson, H., Buil, J. M., Koot, H. M., Paavonen, E. J., Polo‐Kantola, P., Huizink, A. C., & Karlsson, L. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.08.023 · Cited by 39 · see citing works
“The findings of decreasing sleep quality and shortening of sleep duration during pregnancy are consistent with previous literature [1,10,14].”
ResultAukia, L., Paavonen, E. J., Jänkälä, T., Tolvanen, M., Korja, R., Karlsson, L., Karlsson, H., & Polo‐Kantola, P. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2020.03.031 · Cited by 37 · see citing works
Maternal pre- and postnatal mental health trajectories and child mental health and development
Vänskä, M., Punamäki, R., Tolvanen, A. J., Lindblom, J., Flykt, M. S., Unkila‐Kallio, L., Tiitinen, A. E., Repokari, L., Sinkkonen, J., & Tulppala, M. (2011) · International Journal of Behavioral Development · doi:10.1177/0165025411417505 · Cited by 36 · see citing works
Takelle, G. M., Muluneh, N. Y., & Biresaw, M. S. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-056564 · Cited by 35 · see citing works
Cognitive Behavioral Therapy for Insomnia and Women's Health
Nowakowski, S., & Meers, J. M. (2019) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2019.01.002 · Cited by 37 · see citing works
Tsai, S., Lee, P., Gordon, C. J., Cayanan, E. A., & Lee, C. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2021.103966 · Cited by 35 · see citing works
Sarberg, M., Bladh, M. K., Svanborg, E., & Josefsson, A. (2016) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-016-0917-9 · Cited by 36 · see citing works
“There is evidence that disturbed sleep precedes depressive symptoms in the general population [5] and that poor sleep quality in early pregnancy might contribute to antepartum depressive symptoms during pregnancy [17].”
BackgroundThe Experience of and Coping with Lumbopelvic Pain among Pregnant Women in Taiwan
Chang, H., Yang, Y., Jensen, M. P., Lee, C., & Lai, Y. (2011) · Pain Medicine · doi:10.1111/j.1526-4637.2011.01151.x · Cited by 34 · see citing works
Neuroendocrine Effects of Lactation and Hormone-Gene-Environment Interactions
Gust, K. M., Caccese, C., Larosa, A., & Nguyen, T. (2020) · Molecular Neurobiology · doi:10.1007/s12035-019-01855-8 · Cited by 38 · see citing works
Habitual snoring and depressive symptoms during pregnancy
O'Brien, L. M., Owusu, J. T., & Swanson, L. M. (2013) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-13-113 · Cited by 32 · see citing works
“In recent years several studies have shown a relationship between poor sleep and depressive symptoms in pregnant and postpartum women [9-11,14,30-32].”
BackgroundBei, B., Coo, S., Baker, F. C., & Trinder, J. C. (2015) · Australian Psychologist · doi:10.1111/ap.12095 · Cited by 31 · see citing works
Skouteris, H., McCabe, M. P., Milgrom, J., Kent, B., Bruce, L. J., Mihalopoulos, C., Herring, S. J., Barnett, M., Patterson, D., Teale, G. R., et al. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-78 · Cited by 31 · see citing works
“Our estimate of a drop-out rate is conservative and based on our previous large longitudinal studies with pregnant women and multiple time points [21,23,64].”
Selective serotonin reuptake inhibitors for depression in pregnancy
Susser, L. C., Sansone, S. A., & Hermann, A. D. (2016) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2016.07.011 · Cited by 31 · see citing works
Sleep quality and its relationship with quality of life in Iranian pregnant women
Effati-Daryani, F., Mirghafourvand, M., Mohammad‐Alizadeh‐Charandabi, S., Shiri‐Sarand, F., & Zarei, S. (2017) · International Journal of Nursing Practice · doi:10.1111/ijn.12518 · Cited by 31 · see citing works
Associations between Maternal Sleep Quality Throughout Pregnancy and Newborn Birth Weight
Liu, H., Hong, L., Li, C., Chen, L., Zhang, C., Liu, Z., Wu, Y., & Huang, H. (2019) · Behavioral Sleep Medicine · doi:10.1080/15402002.2019.1702551 · Cited by 31 · see citing works
Ladyman, C., Sweeney, B., Sharkey, K. M., Bei, B., Wright, T., Mooney, H., Huthwaite, M., Cunningham, C. W., Firestone, R. T., & Signal, T. L. (2022) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-022-04844-3 · Cited by 32 · see citing works
“Women with greater levels of depressive symptoms report more sleep disruption [5], and women with poor sleep are more likely to experience depressive symptoms both antenatally [6, 7], and postnatally [8, 9].”
BackgroundQiu, C., Gelaye, B., Fida, N., & Williams, M. A. (2012) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-12-104 · Cited by 31 · see citing works
“Sleep disturbance is both a defining feature of depression diagnosis [7], and is a prodromal symptom of both new and recurrent depressive episodes [18,19].”
BackgroundThe influence of psychological factors on post‐partum weight retention at 9 months
Phillips, J., King, R. M., & Skouteris, H. (2013) · British Journal of Health Psychology · doi:10.1111/bjhp.12074 · Cited by 29 · see citing works
Shift work and depressive symptoms: the mediating effect of vitamin D and sleep quality
Park, H., Suh, B.-S., & Lee, S. (2019) · Chronobiology International · doi:10.1080/07420528.2019.1585367 · Cited by 27 · see citing works
“The association between poor sleep quality and depressive symptoms has been found in many other groups as well (Skouteris et al. 2008, 2009).”
BackgroundWilkerson, A. K., & Uhde, T. W. (2018) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/j.ogc.2018.04.003 · Cited by 27 · see citing works
Newland, R. P., Parade, S. H., Dickstein, S., & Seifer, R. (2016) · Infant Behavior and Development · doi:10.1016/j.infbeh.2016.06.010 · Cited by 26 · see citing works
Al-Musharaf, S. (2022) · Nutrients · doi:10.3390/nu14132633 · Cited by 25 · see citing works
“Several studies also support our finding that sleep patterns worsen as pregnancy progresses, as reflected by the increasing total PSQI scores over time [9,18,48,49].”
ResultAssociation of Body Weight and Female Sexual Dysfunction: A Case Control Study
Mozafari, M., Khajavikhan, J., Jaafarpour, M., Khani, A., Moghadam, Z. B., & Najafi, F. (2015) · Iranian Red Crescent Medical Journal · doi:10.5812/ircmj.11420 · Cited by 25 · see citing works
“Sleep quality early pregnancy may contribute to the higher development levels of depressive symptoms in later pregnancy, Given that depressive symptoms can lead to clinical depression (35).”
BackgroundCosta, D. D., Lai, J., & Zelkowitz, P. (2021) · Infant Mental Health Journal · doi:10.1002/imhj.21911 · Cited by 25 · see citing works
Shaun, M. M. A., Nizum, M. W. R., Shuvo, M. A., Fayeza, F., Faruk, M. O., Alam, M. F., Ahmed, M. S., Zaman, S., Mali, S. K., & Hawlader, M. D. H. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03839-w · Cited by 24 · see citing works
Rubio, E., Levey, E. J., Rondón, M. B., Friedman, L. E., Sánchez, S. E., Williams, M. A., & Gelaye, B. (2022) · Maternal and Child Health Journal · doi:10.1007/s10995-022-03449-8 · Cited by 25 · see citing works
“Our findings are consistent with previous studies examining the association of sleep quality with depression during pregnancy (Chang et al., 2015; Skouteris et al., 2008; Yu et al., 2017).”
BackgroundResultDeterminants of sleep quality among pregnant women in China: A cross-sectional survey
Yang, Y., Mao, J., Ye, Z., Li, J., Zhao, H., & Liu, Y. (2017) · Nursing and Palliative Care · doi:10.15761/npc.1000152 · Cited by 23 · see citing works
Zhu, Y., Yu, X., Wu, Y., Shi, C., Zhang, A., Jiang, R., Li, S., Guo, G., Gao, R., & Blumenthal, J. A. (2019) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000384 · Cited by 24 · see citing works
Maternal insomnia during the COVID-19 pandemic: associations with depression and anxiety
Wang, J., Zhou, Y., Qian, W., Zhou, Y., Han, R., & Liu, Z. (2021) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-021-02072-2 · Cited by 22 · see citing works
“As a form of emotional distress, depression is closely related to insomnia [64] , which is especially evident in pregnant women [65], and the positive predictive effect of depression on insomnia may be due to their common genetic components.”
BackgroundSleep Quality and Performance in Professional Athletes Fasting during the Month of Ramadan
Lipert, A., Kozłowski, R., Rasmus, P., Marczak, M., Timler, M., Timler, D., Kaniecka, E., Nasser, A., Ghaddar, M., & Ghaddar, A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18136890 · Cited by 22 · see citing works
“…has been validated in numerous populations and languages [23,24] as well as many medical populations such as patients with insomnia, patients with traumatic brain injury, patients with cancer, patients receiving bone marrow and renal transplants, nursing home residents and pregnant women [25,26].”
Paulson, J. L., & Miller‐Graff, L. E. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.11.011 · Cited by 22 · see citing works
Sokunbi, G. O., Takai, I. U., Nwosu, I. B., & Balarabe, R. (2020) · Journal of Acupuncture and Meridian Studies · doi:10.1016/j.jams.2020.10.003 · Cited by 21 · see citing works
“Studies have also elucidated that pregnant women with depression have various types of insomnia symptoms and reduced sleep quality [12,13].”
D'Anna‐Hernandez, K., Garcia, E. R., Coussons‐Read, M. E., Laudenslager, M. L., & Ross, R. G. (2016) · Maternal and Child Health Journal · doi:10.1007/s10995-015-1840-9 · Cited by 19 · see citing works
“Sleep disturbances contribute to depression during pregnancy [47, 77, 87, 88], however, the role of acculturation in maternal depression is less clear [2, 4, 34].”
BackgroundSleep quality in women with nausea and vomiting of pregnancy: a cross-sectional study
Laitinen, L. M., Nurmi, M., Rautava, P. T., Koivisto, M. A., & Polo‐Kantola, P. (2021) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-021-03639-2 · Cited by 19 · see citing works
Felder, J. N., Mirchandaney, R., Harrison, J. M., Manber, R., Cuneo, J., Krystal, A. D., Epel, E. S., & Hecht, F. M. (2022) · Global Advances in Health and Medicine · doi:10.1177/2164957x221087655 · Cited by 19 · see citing works
Sleep during the third trimester of pregnancy: the role of depression and anxiety
Ruiz‐Robledillo, N., Canário, C., Dias, C. C., Moya‐Albiol, L., & Figueiredo, B. (2015) · Psychology Health & Medicine · doi:10.1080/13548506.2015.1017508 · Cited by 19 · see citing works
“We expect to find high sleep disturbances in depressed pregnant compared to non-depressed (Field et al., 2007; Kamysheva et al., 2010; Okun et al., 2011; Qiu et al., 2012; Skouteris et al., 2008), after controlling for anxiety.”
Gao, Y., Li, X., Lin, Y., Liu, X., & Pang, L. (2014) · CHI Conference Extended Abstracts on Human Factors in Computing Systems (CHI EA) · doi:10.1145/2559206.2580928 · Cited by 19 · see citing works
“We believe that pregnancy is a special couple experience for most people, which involves the cooperation of both expectant parents.”
Xiong, P., Spira, A. P., & Hall, B. J. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17145219 · Cited by 19 · see citing works
Coo, S., Milgrom, J., Kuppens, P., Cox, P., & Trinder, J. C. (2014) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/1552-6909.12464 · Cited by 18 · see citing works
“The PSQI has been used extensively with perinatal women (Dørheim, Bondevik, EberhardGran, & Bjorvatn, 2009; Skouteris et al., 2008).”
MethodThe influence of psychological distress during pregnancy on early postpartum weight retention
Phillips, J., King, R. M., & Skouteris, H. (2013) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2013.845873 · Cited by 18 · see citing works
Simpson, W. S., Frey, B. N., & Steiner, M. S. (2015) · Journal of Women s Health · doi:10.1089/jwh.2015.5404 · Cited by 18 · see citing works
A conceptual model of psychological predictors of postpartum weight retention
Phillips, J., King, R. M., & Skouteris, H. (2012) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2012.717265 · Cited by 18 · see citing works
“For example, disturbed sleep quality during the later stages of pregnancy predicts symptoms of depression in the first few weeks postpartum (Skouteris, Germano, Wertheim, Paxton, & Milgrom, 2008 ) and poor sleep quality is also associated with postpartum psychological distress (Herring et al, 2008 ; Siega-Riz et al, 2…”
BackgroundQualidade do sono em gestantes com sobrepeso
Ribeiro, M. C., Nakamura, M. U., Torloni, M. R., Scanavino, M. D. T., Forte, B., Mancini, P. E., & Mattar, R. (2015) · Revista Brasileira Ginecologia e Obstetrícia · doi:10.1590/so100-720320150005415 · Cited by 17 · see citing works
“≥2 14 (20,9) 14 (27,4) 0,7** 12 (23,5) 16 (29,6) 0,7**”
- Authors
- SKOUTERIS, H., GERMANO, C., WERTHEIM, E. H., PAXTON, S. J., & MILGROM, J.
- Affiliations
- Deakin University (AU)
- La Trobe University (AU)
- The University of Melbourne (AU)
- Corresponding author
- WERTHEIM, ELEANOR H.
- Venue
- Journal of Sleep Research
- Publisher
- Wiley
- Published
- 2008-06
- Volume
- 17
- Issue
- 2
- Pages
- 217-220
- ISSN
- 0962-1105 (ISSN-L)
- 1365-2869
- OpenAlex
- W2143429143
- Cited by
- 190
- References
- 30
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 5 · 2023: 8 · 2022: 17 · 2021: 18 · 2020: 16 · 2019: 12 · 2018: 8 · 2017: 9 · 2016: 20 · 2015: 17 · 2014: 10 · 2013: 15 · 2012: 10
- FWCI
- 5.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Sleep Research (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 › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
- Keywords
- sleep quality, depression, pregnancy, depressive symptoms, sleep disorders, longitudinal change, sleep screening
- MeSH terms
- Adolescent, Adult, Cross-Sectional Studies, Depressive Disorder, Female, Gestational Age, Health Surveys, Humans, Disorders of Excessive Somnolence, Infant, Newborn, Sleep Initiation and Maintenance Disorders, Mass Screening, Personality Inventory, Pregnancy, Pregnancy Complications, Prospective Studies, Risk Factors, Statistics as Topic, Causality
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