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Tytuł pozycji:

A prospective study on the course of sleep disturbances in first-time fathers during the transition to parenthood.

Tytuł:
A prospective study on the course of sleep disturbances in first-time fathers during the transition to parenthood.
Autorzy:
Da Costa D; Department of Medicine, McGill University, Montreal, Quebec, Canada.; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada.
Lai JK; Department of Medicine, McGill University, Montreal, Quebec, Canada.
Zelkowitz P; Department of Psychiatry, McGill University, Montreal, Quebec, Canada.; Department of Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada.
Źródło:
Infant mental health journal [Infant Ment Health J] 2021 Mar; Vol. 42 (2), pp. 222-232. Date of Electronic Publication: 2021 Jan 25.
Typ publikacji:
Journal Article; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Original Publication: [New York, Human Sciences Press]
MeSH Terms:
Fathers*
Parenting*
Child ; Female ; Humans ; Infant ; Male ; Postpartum Period ; Pregnancy ; Prospective Studies ; Sleep
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Grant Information:
247035 Canada CIHR
Contributed Indexing:
Keywords: Schlafqualität; Väter; calidad del sueño; depressive Symptome; depressive symptoms; elterlicher Stress; estrés de crianza; fathers; papás; parenting stress; perinatal period; perinatale Periode; período perinatal; pères; période périnatale; qualité du sommeil; sleep quality; stress de parentage; symptômes dépressifs; síntomas depresivos; جودة النوم، فترة ما حول الولادة، الآباء، أعراض الاكتئاب، الإجهاد الوالدي; うつ症状; 周産期; 围产期; 子育てストレス; 抑郁症状; 父亲; 父親; 睡眠の質; 睡眠质量; 育儿压力
Local Abstract: [Publisher, Spanish; Castilian] Introducción. Este estudio examinó los trastornos para dormir en papás primerizos a partir del tercer trimestre del embarazo de su pareja hasta 2 meses después del parto para determinar la prevalencia, incidencia y persistencia de los trastornos para dormir e identificar determinantes asociados. Métodos. Se reclutaron hombres en espera de su primer niño en las clases prenatales locales y en las clínicas de obstetricia afiliadas con la universidad. Durante el tercer trimestre del embarazo de su pareja y 2 meses después del parto, 459 hombres completaron cuestionarios autorreportados electrónicamente para medir aspectos sociodemográficos, las variables de estilo de vida y sicosociales, y la calidad del sueño. Resultados. El sueño trastornado (PSQI puntaje global >5) aumentó de 29.6% durante el tercer semestre al 44.7% a los 2 meses después del parto. La incidencia del sueño débil a los 2 meses después del parto fue de 33.7% Entre los hombres con trastorno para dormir al momento de la evaluación antenatal, 70.6% continuó teniendo trastornos para dormir a los 2 meses después del parto. Un aumento en síntomas de depresión y un más alto estrés de crianza se asociaron independientemente con el comienzo y la persistencia del trastorno para dormir a los 2 meses después del parto. Conclusiones. El sueño de los papás que esperan su primer niño está en peligro. Las estrategias dirigidas a mejorar el sueño, el estado de ánimo depresivo, así como el arreglárselas con los retos de la crianza pudieran ser componentes importantes que incluir en las intervenciones prenatales que tienen como objetivo mejorar la transición a la paternidad y el desarrollo del infante. [Publisher, French] Cette étude a examiné les troubles du sommeil chez les pères étant pères pour la première fois du troisième trimestre de la grossesse de leur partenaire à deux mois après la naissance afin de déterminer la prévalence, l'incidence et la persistance de perturbation du sommeil et d'identifier les déterminants qui y sont liés. Méthodes: Des hommes attendant leur premier enfant ont été recrutés dans des classes locales de préparation à la naissance et des cliniques obstétriques affiliées à un CHU. Durant le troisième trimestre de la grossesse de leur partenaire et deux mois après la naissance 459 hommes ont rempli des questionnaires standardisés en ligne et auto-rapportés, mesurant l'information sociodémographique, le style de vie, les variables psychosociales et la qualité du sommeil. Résultats: Le sommeil perturbé (score global PSQI >5) a augmenté de 29,6% durant le troisième trimestre à 44,7% à deux mois après la naissance. L'incidence de mauvais sommeil à deux mois après la naissance était de 33,7%. Chez les hommes avec un sommeil perturbé dans l’évaluation avant la naissance, 70,6% ont continué à avoir des troubles du sommeil à deux mois après la naissance. Une augmentation des symptômes dépressifs et un stress de parentage plus élevé étaient indépendamment liés à l'apparition et à la persistance de sommeil perturbés à deux mois après la naissance. [Publisher, French] Le sommeil est compromis chez les pères qui attendent un enfant et les nouveaux pères. Des stratégies destinées à améliorer le sommeil, l'humeur déprimée et à contrôler les défis du parentage peuvent s'avérer être des composants importants à inclure dans les interventions prénatales destinées à améliorer la transition au parentage et au développement du nourrisson. [Publisher, German] Eine prospektive Studie zum Verlauf von Schlafstörungen bei erstmaligen Vätern während des Übergangs in die Elternschaft Einleitung. In dieser Studie wurden Schlafstörungen bei Erstvätern untersucht, um deren Prävalenz, Inzidenz und Persistenz zu bestimmen und damit verbundene Determinanten zu identifizieren. Der Untersuchungszeitraum reichte vom dritten Trimenon der Schwangerschaft ihrer Partnerin bis 2 Monate nach der Geburt. Methoden. Aus örtlichen Schwangerschaftsvorbereitungskursen und Geburtskliniken wurden Männer rekrutiert, die ihr erstes Kind erwarteten. 459 Teilnehmer füllten während des dritten Schwangerschaftstrimenons ihrer Partnerin und 2 Monate nach der Geburt standardisierte Online-Fragebögen aus, in denen Soziodemographie, Lebensstil und psychosoziale Variablen sowie die Schlafqualität erhoben wurden. Ergebnisse. Schlafstörungen (PSQI Global Score> 5) stiegen von 29,6% im dritten Trimenon auf 44,7% 2 Monate nach der Geburt. Die Inzidenz von Schlafstörungen betrug 2 Monate nach der Geburt 33,7%. Von den Männern, die bei der vorgeburtlichen Untersuchung Schlafstörungen aufwiesen, hatten 70,6% 2 Monate nach der Geburt weiterhin Schlafstörungen. Eine Zunahme depressiver Symptomatik und höherer elterlicher Stress waren jeweils mit dem Einsetzen und dem Fortbestehen von Schlafstörungen 2 Monate nach der Geburt assoziiert. Fazit. Bei werdenden und neuen Vätern ist der Schlaf beeinträchtigt. Strategien zur Verbesserung von Schlaf und depressiver Symptomatik sowie zur Bewältigung der Herausforderungen einer Elternschaft könnten wichtige Komponenten für vorgeburtliche Interventionen sein, die auf eine Verbesserung des Übergangs in die Elternschaft und der Entwicklung des Kindes abzielen. [Publisher, Japanese] 初めての父親における、親への移行期間の睡眠障害の経過に関する縦断的コホート研究 背景 本研究は、初めての父親になる際の睡眠障害について、パートナーの妊娠 後期から産後2か月までの期間について検討し、睡眠障害の有病率、発症、持続 について調査し、関連性のある要因を同定した。 方法 第一子の出産をひかえている男性を、地元の母親学級と大学付属の産科ク リニックで募集した。パートナーの妊娠後期から産後2か月までの期間に、459人 の男性が、社会人口統計学、ライフスタイル、心理社会的変数および睡眠の質に ついての標準化された自己申告質問票にオンラインで記入した。 結果:睡眠障害 (PSQIグローバルススコア>5) は、妊娠後期に29.6%であった が、産後2か月に44.7%と増加していた。産後2か月に睡眠不足を33.7%に認めた。 出産前の調査で睡眠障害を認めた男性の70.6%に、引き続き産後2か月時にも睡 眠障害を認めた。うつ症状や子育てのストレスの高まりは、それぞれが、産後2 か月の睡眠障害の発症と持続とに関連していた。 結論 初めての父親になる際、睡眠障害が起きていた。睡眠改善、うつ状態の改 善と親になるという課題の管理を目的とした方策を、親への移行と乳幼児の発達 を促進するための出生前の介入に加えることが重要であろう。. [Publisher, Chinese] 摘 要: 研究简介:这项研究调查了初生父亲从伴侣的妊娠晚期到产后两个月的睡眠障碍, 以确定其患病率、发病率和持续性, 并确定相关的决定因素。 研究方法:从当地的产前班和大学附属的产科诊所招募即将迎来第一个孩子的男性。在伴侣的妊娠晚期和产后两个月中, 459名男性完成了标准化的在线自我报告调查问卷, 这些问卷调查了社会人口指数、生活方式和心理社会变量以及睡眠质量。 研究结果:睡眠障碍 (PSQI总分>5) 从妊娠晚期的29.6%增加到产后2个月的44.7%。产后2个月睡眠不良发生率为33.7%。在产前评估时有睡眠障碍的男性中, 70.6%的人在产后2个月仍有睡眠障碍。产后2个月, 抑郁症状的增加和较高的育儿压力与睡眠障碍的发生和持续存在独立相关。 研究结论:准爸爸和新爸爸的睡眠受到影响。旨在改善睡眠、抑郁情绪和应对育儿挑战的策略可能是促进向父母身份和婴儿发育过渡的产前干预措施中的重要组成部分。. [Publisher, Arabic] دراسة استطلاعية حول مسار اضطرابات النوم عند الآباء للمرة الأولى خلال فترة الانتقال إلى الأبوة مقدمة: تناولت هذه الدراسة اضطرابات النوم لدى الآباء لأول مرة من بداية الثلث الأخير من حمل الشريكة إلى شهرين بعد الولادة لتحديد مدى حدوث واستمرار اضطرابات النوم وتحديد العوامل المرتبطة بها. منهج البحث: تم تعيين الرجال الذين يتوقعون مولودهم الأول من صفوف الرعاية الصحية المحلية قبل الولادة وعيادات الولادة التابعة للجامعة. وخلال الثلث الثالث من الحمل الذي مارسه شريكهم وشهرين بعد الولادة، أكمل 459 رجلاً استبيانات موحدة للتقرير الذاتي على الإنترنت تقيس الجوانب الاجتماعية والديموغرافية ونمط الحياة والمتغيرات النفسية والاجتماعية وجودة النوم. النتائج: زادت درجة النوم المضطرب (PSQI >5) من29.6 % خلال الثلث الثالث من الحمل إلى 44.7٪ بعد شهرين من الولادة. وكان معدل النوم الضعيف 33.7% في عينة البحث . ومن بين الرجال الذين يعانون من اضطراب النوم في تقييم ما قبل الولادة، استمر 70.6٪ يعانون من اضطرابات النوم بعد شهرين من الولادة. وارتبطت الزيادة في أعراض الاكتئاب وارتفاع الإجهاد الوالدي بشكل مستقل مع بداية واستمرار النوم المضطرب عند شهرين بعد الولادة.الاستنتاجات: يواجه الآباء المتوقعون والجدد اضطرابات في النوم. وقد تكون الاستراتيجيات الرامية إلى تحسين النوم، والمزاج المُكتئب، ومواجهة تحديات الأبوة والأمومة، عناصر هامة يجب استخدامها في تدخلات ما قبل الولادة التي تهدف إلى تعزيز الانتقال إلى الأبوة والأمومة ونمو الرضع.
Entry Date(s):
Date Created: 20210125 Date Completed: 20210906 Latest Revision: 20210906
Update Code:
20240105
DOI:
10.1002/imhj.21911
PMID:
33491788
Czasopismo naukowe
Introduction: This study examined sleep disturbances in first-time fathers from the third trimester of their partner's pregnancy to 2 months postpartum to determine prevalence, incidence, and persistence of sleep disturbances and identify associated determinants.
Methods: Men expecting their first child were recruited from local prenatal classes and university-affiliated obstetric clinics. During their partner's third trimester of pregnancy and 2 months postpartum, 459 men completed standardized online self-report questionnaires measuring sociodemographics, lifestyle, and psychosocial variables and sleep quality.
Results: Disturbed sleep (Pittsburgh Sleep Quality Index [PSQI] global score >5) increased from 29.6% during the third trimester to 44.7% at 2 months postpartum. The incidence of poor sleep at 2 months postpartum was 33.7%. Among men with disturbed sleep at the antenatal assessment, 70.6% continued to have sleep disturbances at 2 months postpartum. An increase in depressive symptoms and higher parenting stress was independently associated with onset and persistence of disturbed sleep at 2 months postpartum.
Conclusions: Sleep is compromised in expectant and new fathers. Strategies aimed at improving sleep, depressed mood, and managing the challenges of parenting may be important components to include in prenatal interventions aimed at enhancing the transition to parenthood and infant development.
(© 2021 Michigan Association for Infant Mental Health.)
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