Association Between Objectively Assessed Sleep and Depressive Symptoms During Pregnancy and Post-partum

Sleep problems are common in pregnancy but many studies have relied only on self-reported sleep measures. We studied the association between objectively measured sleep and peripartum depressive symptoms in pregnant women. Sleep was assessed using Actiwatch accelerometers in a sample of 163 pregnant...

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Bibliographic Details
Published in:Frontiers in Global Women's Health 2022-01, Vol.2, p.807817-807817
Main Authors: Pitsillos, Tryfonas, Wikström, Anna-Karin, Skalkidou, Alkistis, Derntl, Birgit, Hallschmid, Manfred, Lutz, Nicolas D, Ngai, Edith, Sundström Poromaa, Inger, Wikman, Anna
Format: Article
Language:English
Subjects:
accelerometer
Edinburgh Postnatal Depression Scale
Global Women's Health
Medical Science
Medicinsk vetenskap
sleep efficiency
Sweden
total sleep time
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Summary:Sleep problems are common in pregnancy but many studies have relied only on self-reported sleep measures. We studied the association between objectively measured sleep and peripartum depressive symptoms in pregnant women. Sleep was assessed using Actiwatch accelerometers in a sample of 163 pregnant women in the late first (weeks 11-15) or early second trimester (weeks 16-19). Depressive symptoms were assessed in gestational weeks 17, 32 and at 6 weeks post-partum using the Edinburgh Postnatal Depression Scale (EPDS). Multiple linear regression and logistic regression analyses, adjusting for age, BMI, pre-pregnancy smoking, ongoing mental health problems, trimester and season of sleep assessment were carried out to test the association between sleep and depression. Sleep was measured by total sleep time and sleep efficiency, whereas depression was indicated by depressive symptoms and depression caseness. Results are presented as unstandardized beta (B) coefficients or adjusted odds ratios (AOR) and 95% confidence intervals (CI). Total sleep time ranged from 3 to 9 h (mean 7.1, SD 0.9) and average sleep efficiency was 83% (SD 6.0). Women with the shortest total sleep time, i.e., in the lowest quartile (
ISSN:2673-5059
2673-5059
DOI:10.3389/fgwh.2021.807817