Sleeping problems during pregnancy—a risk factor for postnatal depressiveness

In the general population, sleeping problems can precede an episode of depression. We hypothesized that sleeping problems during pregnancy, including insomnia symptoms, shortened sleep, and daytime tiredness, are related to maternal postnatal depressiveness. We conducted a prospective study evaluati...

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Bibliographic Details
Published in:Archives of women's mental health 2019-06, Vol.22 (3), p.327-337
Main Authors: Pietikäinen, Johanna T., Polo-Kantola, Päivi, Pölkki, Pirjo, Saarenpää-Heikkilä, Outi, Paunio, Tiina, Paavonen, E. Juulia
Format: Article
Language:English
Subjects:
Adult
Cohort Studies
Complications and side effects
Depression, Postpartum - epidemiology
Depression, Postpartum - etiology
Epidemiology
Female
Finland - epidemiology
Health aspects
Health risk assessment
Humans
Latency
Medicine
Medicine & Public Health
Mental depression
Original Article
Postpartum depression
Pregnancy
Pregnancy Complications - epidemiology
Prenatal depression
Prenatal influences
Prospective Studies
Psychiatry
Psychotherapy
Risk Factors
Sleep and wakefulness
Sleep disorders
Sleep Wake Disorders - complications
Sleep Wake Disorders - epidemiology
Surveys and Questionnaires
Womens health
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Summary:In the general population, sleeping problems can precede an episode of depression. We hypothesized that sleeping problems during pregnancy, including insomnia symptoms, shortened sleep, and daytime tiredness, are related to maternal postnatal depressiveness. We conducted a prospective study evaluating sleep and depressive symptoms, both prenatally (around gestational week 32) and postnatally (around 3 months after delivery) in the longitudinal CHILD-SLEEP birth cohort in Finland. Prenatally, 1667 women returned the questionnaire, of which 1398 women participated also at the postnatal follow-up. Sleep was measured with the Basic Nordic Sleep Questionnaire (BNSQ) and depressive symptoms with a 10-item version of the Center for Epidemiological Studies Depression Scale (CES-D). Altogether, 10.3% of the women had postnatal depressiveness (CES-D ≥ 10 points). After adjusting for main background characteristics and prenatal depressiveness (CES-D ≥ 10), poor general sleep quality (AOR 1.87, 95% CI 1.21–2.88), tiredness during the day (AOR 2.19, 95% CI 1.41–3.38), short sleep ≤ 6 and ≤ 7 h, sleep latency > 20 min, and sleep loss ≥ 2 h were associated with postnatal depressiveness (all p  
ISSN:1434-1816
1435-1102
DOI:10.1007/s00737-018-0903-5