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Tytuł:
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Antepartum sleep quality, mental status, and postpartum depressive symptoms: a mediation analysis.
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Autorzy:
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Wang Y; School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, 910, Hengshan Rd., Shanghai, 200030, China.; Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, 200030, China.
Liu H; School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, 910, Hengshan Rd., Shanghai, 200030, China.
Zhang C; School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, 910, Hengshan Rd., Shanghai, 200030, China.; Obstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, 200011, China.
Li C; Obstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, 200011, China.
Xu JJ; School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, 910, Hengshan Rd., Shanghai, 200030, China.; Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, 200030, China.
Duan CC; School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, 910, Hengshan Rd., Shanghai, 200030, China.; Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, 200030, China.
Chen L; School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, 910, Hengshan Rd., Shanghai, 200030, China.
Liu ZW; School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, 910, Hengshan Rd., Shanghai, 200030, China.
Jin L; Obstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, 200011, China.
Lin XH; Obstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, 200011, China.
Zhang CJ; School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, 910, Hengshan Rd., Shanghai, 200030, China.; Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, 200030, China.
Zhang HQ; School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, 910, Hengshan Rd., Shanghai, 200030, China.; Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, 200030, China.
Yu JL; School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, 910, Hengshan Rd., Shanghai, 200030, China.; Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, 200030, China.
Li T; School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, 910, Hengshan Rd., Shanghai, 200030, China.; Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, 200030, China.
Dennis CL; Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.
Li H; School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, 910, Hengshan Rd., Shanghai, 200030, China. .
Wu YT; Obstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, 200011, China. yanting_.; Research Units of Embryo Original Diseases, Chinese Academy of Medical Sciences (No. 2019RU056), Shanghai, China. yanting_.
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Źródło:
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BMC psychiatry [BMC Psychiatry] 2022 Aug 02; Vol. 22 (1), pp. 521. Date of Electronic Publication: 2022 Aug 02.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BioMed Central, [2001-
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MeSH Terms:
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Depression, Postpartum*/complications
Depression, Postpartum*/psychology
Pregnancy Complications*/psychology
Sleep Initiation and Maintenance Disorders*
Depression/complications ; Depression/psychology ; Female ; Humans ; Mediation Analysis ; Postpartum Period/psychology ; Pregnancy ; Prospective Studies ; Psychiatric Status Rating Scales ; Sleep Quality
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Contributed Indexing:
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Keywords: Mediating effect; Mental status; Perinatal depressive symptoms; Sleep quality
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Entry Date(s):
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Date Created: 20220802 Date Completed: 20220804 Latest Revision: 20220806
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Update Code:
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20240105
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PubMed Central ID:
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PMC9344627
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DOI:
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10.1186/s12888-022-04164-y
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PMID:
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35918689
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Background: Poor sleep quality and maternal mood disturbances are common during pregnancy and may play pivotal roles in the development of postpartum depression. We aim to examine the trajectories of sleep quality and mental health in women from early pregnancy to delivery and explore the mediating effects of sleep quality and mental status on the link between antepartum depressive symptoms and postpartum depressive symptoms.
Methods: In an ongoing prospective birth cohort, 1301 women completed questionnaires in the first, second and third trimesters and at 6 weeks postpartum. In each trimester, sleep quality was measured utilizing the Pittsburgh Sleep Quality Index (PSQI), and mental health was assessed with the Center for Epidemiologic Studies Depression Scale (CES-D), the Self-Rating Anxiety Scale (SAS) and the Perceived Stress Scale (PSS). Postpartum depressive symptoms were evaluated by the Edinburgh Postnatal Depression Scale (EPDS). The bootstrap method was used to test the mediation effect.
Results: The PSQI, CES-D, and SAS scores presented U-shaped curves across the antenatal period while the PSS score followed a descending trend. Antenatal sleep quality, depressive symptoms, anxiety symptoms and perceived stress all predicted depressive symptoms at 6 weeks postpartum. The influence of antepartum depressive symptoms on postpartum depressive symptoms was mediated by antepartum sleep quality and anxiety symptoms, which accounted for 32.14%, 39.25% and 31.25% in the first, second and third trimesters (P = 0.002, P = 0.001, P = 0.001, respectively).
Conclusions: Poor sleep quality and anxiety symptoms in pregnancy mediated the relationship between antepartum depressive symptoms and postpartum depressive symptoms. Interventions aimed at detecting and managing sleep quality and elevated anxiety among depressed women in pregnancy warrant further investigation as preventative strategies for postpartum depression.
(© 2022. The Author(s).)
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