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Changes in Sleep Patterns and Depressive Symptoms in First-Time Mothers: Last Trimester to 1-Year Postpartum
Abstract
Thirty-eight 1st-time mothers were recruited from childbirth classes and were assessed at 4 different time periods: the last trimester of pregnancy, 2-4 weeks postpartum, 12-16 weeks postpartum, and 12-15 months postpartum. Measures included a daily sleep-wake diary and a depression scale (Center for Epidemiological Studies Depression Scale, CES-D). Results reveal significant differences in week-day night sleep schedules (rise time, time awake due to disruptions, and nap time) at 2-4 weeks postpartum in comparison to other times of measurement. Total sleep time and bedtime was not significantly different between times of measurement. More depressive symptoms were reported at 2-4 weeks postpartum than at later postpartum measurements. Mothers who developed clinically elevated depressive symptoms (CES-D > or = 16) at 2-4 weeks postpartum reported more total sleep time, later rise times, and more time napping at the end of pregnancy in comparison to those mothers that reported fewer depressive symptoms (CES-D < 16) at 2-4 weeks postpartum.
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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 (later in pregnancy [81] or in the early postpartum period [79,82,83]).”
From Non-Pharmacological Treatment of Insomnia (2012) · cites this paper as [79]
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Metadata
- Authors
- Wolfson, A. R., Crowley, S. J., Anwer, U., & Bassett, J. L.
- Affiliations
- College of the Holy Cross (US)
- Venue
- Behavioral Sleep Medicine
- Publisher
- Informa UK Limited
- Published
- 2003-02
- Volume
- 1
- Issue
- 1
- Pages
- 54-67
- ISSN
- 1540-2002 (ISSN-L)
- 1540-2010
- OpenAlex
- W2032765500
- Cited by
- 134
- References
- 41
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 4 · 2022: 7 · 2021: 6 · 2020: 7 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 9 · 2015: 9 · 2014: 8 · 2013: 14 · 2012: 8
- FWCI
- 2.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioral Sleep Medicine (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 patterns, primiparous women, napping, bedtime, rise time, total sleep time, pregnancy, postpartum period
- MeSH terms
- Adult, Depression, Female, Humans, Mothers, Pregnancy, Pregnancy Complications, Pregnancy Trimester, Third, Sleep Wake Disorders, Depression, Postpartum, Sleep Disorders, Circadian Rhythm
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