Cited by 190Maternal Mental Health During Pregnancy and PostpartumSleep and related disordersPregnancy-related medical research

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Sleep quality and depression during pregnancy: a prospective study

SKOUTERIS, HELEN, GERMANO, CARMELA, WERTHEIM, ELEANOR H., PAXTON, SUSAN J., MILGROM, JEANNETTE·2008·Journal of Sleep Research

DOI 10.1111/j.1365-2869.2008.00655.x

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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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Séguin, K., Pennestri, M., Booij, L., Giac, R., Brun, A., Vaillancourt, C., Lippé, S., & Herba, C. M. (2025) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2025.101009 · Cited by 1
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Crowley, S. K. (2016) · Springer eBooks · doi:10.1007/978-3-319-44558-8_10 · Cited by 1
Psychological distress across pregnancy and postpartum: a prospective study
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The Relationship of Sense of Coherence and Quality of Sleep with Symptoms of Post-Partum Depression and Mother-Infant Attachment in Primiparous Women Re-ferring to Lamerd Maternity Wards in 2021
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Sleep Disorders in Women
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Pregnancy and Postpartum
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Sleep in women during pregnancy and postpartum
Rohr, J. C., Nowakowski, S., Orff, H. J., & Parry, B. L. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822963-7.00060-8 · Cited by 1
Women's Sleep Throughout the Lifespan
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Sleeplessness During and After Pregnancy
O'Brien, L. M., & Swanson, L. M. (2015) · Springer eBooks · doi:10.1007/978-3-319-18054-0_15
“Poor sleep quality in the second trimester is a signifi cant predictor of depression symptoms later in pregnancy [ 15 ].”
Background
Les troubles du sommeil au troisième trimestre de la grossesse
Beau, G. (2013) · HAL
Sleep Related Movement Disorders : Association with Menopause and Pregnancy
Wesström, J. (2013) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
T-O-125 INFANT SLEEP LOCATION: BED SHARING, ROOM SHARING AND SOLITARY SLEEPING AT 6 AND 12WEEKS POSTPARTUM
Stremler, R., HODNETT, E. D., Kenton, L., Lee, K. A., Macfarlane, J., Weiss, S. K., Weston, J. A., & Willan, A. R. (2011) · Sleep Medicine · doi:10.1016/s1389-9457(11)70338-0
“Since unrelieved postpartum fatigue and sleep disruption are factors in the development of postpartum depression [23-25], and sleep disturbance and insomnia are known risk factors for general depression in men and women [26, 27] the effects of ISL on fatigue and depression merit exploration.”
Background
Influência do padrão de sono sobre o ganho de peso ao longo da gestação
Balieiro, L. C. T. (2017) · doi:10.14393/ufu.di.2017.79
Impact of lifestyle habits on individual and relational adaptation and on the obstetric outcomes of adult women after birth
Levandowski, D. C., Pereira, M., Moura-Ramos, M., & Canavarro, M. C. (2018) · Psychologica · doi:10.14195/1647-8606_61-2_5
“An association has also been reported between sleep disturbances, duration and type of delivery (Lee & Gay, 2004), namely, a greater likelihood of caesarean deliveries, and between sleep quality and intensity of depressive symptoms (Skouteris et al., 2008).”
BackgroundResult
Quality of Sleep and Quality of Life during Pregnancy
Kim, K. T., Bae, H., Bae, J. G., & Cho, Y. W. (2020) · Journal of the Korean Neurological Association · doi:10.17340/jkna.2020.3.4 · Cited by 1
Psychometric Properties of the Abbreviated Version of the Health-Related Quality of Life (SF-8) Among Diabetes and Non-Diabetes Iranian Old PeoplePreprint
Namjoo, S., Mirzaei, M., Foroughan, M., & Harouni, G. G. (2021) · Research Square · doi:10.21203/rs.3.rs-166641/v1
“Because many studies have examined the relationship between health related quality of life with mental health and sleep quality but not specially in the elderly, As well as due to inconsistencies in the results of previous studies[34-36]; the Pittsburgh Sleep Quality Index was used to assess convergent validity.”
Result
Mindfulness-Based Cognitive Therapy in Pregnancy and Sleep Quality: Secondary Analysis from a Randomized Controlled TrialPreprint
MacKinnon, A., Sedov, I., Silang, K., Kumari, J., Giesbrecht, G. F., Campbell, T. S., & Tomfohr‐Madsen, L. M. (2022) · doi:10.31234/osf.io/er7p6
Mindfulness-Based Interventions during Pregnancy and Labour
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Brain-derived neurotrophic factor (BDNF) levels and subjective sleep quality in the first trimester of pregnancy among Myanmar migrant workers in Samut Sakhon province, Thailand: a secondary data analysis
Kriengtuntiwong, T. (2020) · doi:10.58837/chula.the.2020.410
Exercise, Depression–Anxiety Disorders, and Sex Hormones
Crowley, S. K. (2023) · Springer eBooks · doi:10.1007/978-3-031-21881-1_19
Insomnia in pregnancy: Possible associations with birth spacing, family functioning, and spousal age difference in a Nigerian population
Fawale, B., Ismaila, I. A., Kulima, A. A., & Mustapha, A. F. (2025) · Sleep Health · doi:10.1016/j.sleh.2025.10.006
Psychosocial factors associated with sleep quality in working pregnant Japanese women during the second trimester by parity: A cross-sectional study
INOSHITA, S., TAKIMOTO, A., Shiraishi, M., HARUNA, M., & MATSUZAKI, M. (2026) · Journal of Japan Academy of Midwifery · doi:10.3418/jjam.jjam-2025-0043
Les rêves durant la grossesse : étude de leur nature et de leur rôle prédictif dans l’adaptation psychologique à la maternité
Lara-Carrasco, J. (2013) · doi:10.71781/18499

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.
ORCID: SKOUTERIS, HELEN
WERTHEIM, ELEANOR H.
PAXTON, SUSAN J.
MILGROM, JEANNETTE
Venue: Journal of Sleep Research
Publisher: Wiley
Published: 2008-06
Volume: 17
Issue: 2
Pages: 217-220
ISSN: 0962-1105 (ISSN-L)
1365-2869
DOI: 10.1111/j.1365-2869.2008.00655.x
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
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 27 d)
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 › Obstetrics and Gynecology › 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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Sleep quality and depression during pregnancy: a prospective study

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