A Comparison of Sleep and Daytime Sleepiness in Depressed and Non-Depressed Mothers During the Early Postpartum Period

Huang, Chun‐Kai; Carter, Patricia A.; Guo, Jong Long

doi:10.1097/01.jnr.0000387513.75114.bb

Cited by 64 publications

(61 citation statements)

References 28 publications

(33 reference statements)

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“…36,37 Our review of the published literature revealed a wide range of reported Cronbach α for the PSQI, with a low of 0.43 (among Japanese healthy participants) to a high of 0.85 (among German patients with insomnia). [8][9][10][11]13,[15][16][17]38 Although the statistic is not interpretable in our study (given the observed three-factor structure), we reported an overall Cronbach's α (0.57) so as to be consistent with the other studies. Several previous studies conducted among pregnant Australian and British women, 1,7 Norwegian postpartum women, 39 Australian adults, 40 and cancer patients in Greece 8 found that the removal of "sleep medication use" component improved the Cronbach's α for the PSQI.…”

Section: Discussionsupporting

confidence: 73%

Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women

Zhong

Gelaye

Sánchez

et al. 2015

Journal of Clinical Sleep Medicine

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Study Objectives: We sought to evaluate the construct validity and factor structure of the Spanish-language version of the Pittsburgh Sleep Quality Index (PSQI) among pregnant Peruvian women. Methods: A cohort of 642 women were interviewed at ≤ 16 weeks of gestation. During interview, we ascertained information about lifestyles, demographics, sleep characteristics, and mood symptoms. Stress induced sleep disturbance, depressive symptoms, and anxiety symptoms were evaluated using the Ford Insomnia Response to Stress Test (FIRST), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder-7 (GAD-7) assessment scales, respectively. Consistency indices, exploratory and confi rmatory factor analyses, correlations, and logistic regressions were used. Results: Both exploratory and confi rmatory factor analyses indicated a three-factor solution: sleep quality, sleep effi ciency, and sleep medication. We observed signifi cantly positive correlations of the PSQI with the FIRST (0.42), the PHQ-9 (0.49), and the GAD-7 (0.46). Poor sleepers (PSQI global score > 5) had signifi cantly increased odds of experiencing stress-induced sleep disturbance (odds ratio, OR = 3.57; 95% CI: 2.40, 5.31), depression (OR = 5.48; 95% CI: 3.58, 8.37), and generalized anxiety disorder (OR = 4.57; 95% CI: 3.08, 6.76). Conclusions:The Spanish-language version of the PSQI instrument was found to have good construct validity among pregnant Peruvian women. Consistent with some other studies, the PSQI was found to have a three-factor structure. Further assessment and validation studies are needed to determine whether the three, factor-specifi c scoring of the PSQI is favored over the PSQI global score in diverse populations. A mong pregnant women, pregnancy-associated physiological and hormonal changes are known to contribute to increased prevalence and severity of sleep complaints and disorders.1,2 Sleep complaints and disorders experienced in early pregnancy have been linked to hyperemesis, cesarean delivery, preterm birth, gestational diabetes mellitus, fetal growth restriction, and preeclampsia.2-5 Of note, an emerging literature has suggested that sleep disorders and poor sleep quality predict an increased risk of mood disorders including depressive symptomatology in late pregnancy.6,7 However, despite these observations and their clinical implications, relatively little has been done to design and implement clinical protocols that may be used to reliably and validly assess sleep effi ciency and night and daytime disturbance among pregnant women.One widely used self-reported measure of sleep quality, the Pittsburgh Sleep Quality Index (PSQI), has been established as a valid scale with acceptable psychometric properties when used among men and non-pregnant women in diverse global settings. [8][9][10][11][12][13][14][15][16][17][18] Though increasingly being used among pregnant women, 1,7,19 the psychometric properties of the PSQI has not been adequately assessed in this population. We are aware of only two published studies have eva...

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Section: Discussionsupporting

confidence: 73%

Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women

Zhong

Gelaye

Sánchez

et al. 2015

Journal of Clinical Sleep Medicine

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“…These reports also revealed a positive association with depressive symptoms and altered sleep [24,45] . With the exception of WASO, however, our findings did not show a statistically significant difference in the sleep measurements when comparing women based on our a priori cut-off for high or lowdepressive symptoms.…”

Section: Discussionmentioning

confidence: 69%

Depressive symptoms and the relationship of stress, sleep, and well-being among NICU mothers

Shelton

Meaney‐Delman

Hunter

et al. 2014

JNEP

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Objective: To compare the level of self-reported perceived global and situational stress, sleep disturbance, and the level of wellness between mothers with an infant in Neonatal Intensive Care Units (NICU) who are categorized as having high or low depressive symptoms.Methods: Cross-sectional comparative design which included 55 first-time mothers who were in their second postpartum week and had a preterm infant admitted to the NICU of three urban hospitals in the southeastern United States. Participants wore wrist actigraphy and completed sleep diary for 2-3 days, in addition to completing self-report questionnaires for depressive symptoms, stress, perceived sleep disturbance, and well-being. Participants were categorized as having high (≥ 13) or low (< 13) depressive symptoms by using the total score of Edinburgh Postnatal Depression Scale.Results: Approximately 62% of the study participants reported high depressive symptoms. Mothers with high depressive symptoms reported greater stress and less well-being compared to those with less depressive symptoms. With the exception of wake after sleep onset, there was no statistically significant difference in the sleep between the two groups; all of the mothers had clinically significant poor sleep. Conclusions:Mothers of infants in the NICU who experienced higher depressive symptoms also reported greater stress and experienced poorer sleep; altogether, this may compromise one's ability to learn and care for a child in the NICU. Nurses and members of the healthcare team should be attuned to signs and symptoms of depression, perhaps incorporating more formal screening of mothers, educational and support resources, and referral systems.

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“…The postpartum women were classified as poor sleepers during the early postpartum period. The mothers reported approximately 3 hours of sleep each night 6 . Postpartum mothers with self-reports of poor sleep quality had a low perceived ability to cope with motherhood-related issues.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Foot Reflexology and Back Massage in Improving the Quality of Sleep Among Post Caesarean Mothers

Manjuri¹,

Latheef²

2016

Int. J. Res. Ayurveda Pharm.

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Childbirth is one of the challenging occasions in a woman's life. The aim of the study was to evaluate the effectiveness of the foot reflexology and back massage in improving the quality of sleep among the post caesarean mothers. A true experimental-repeated measures design with simple random sampling technique was used to study the control and experimental groups. The quality of sleep was assessed on 120 post caesarean mothers with 40 samples in each group of control, back massage and foot reflexology. Modified Pittsburg Sleep Quality Index Scale was used to assess the quality of sleep. After the pretest, back massage and foot reflexology was given for three consecutive days in the evening for the respective group. The results revealed that the day 2, day 3, and day 4 of back massage and foot reflexology quality of sleep were significantly different from the control day 2, day 3 and day 4 except on day 1. There is an improvement in the quality of sleep from day 1 to day 4. When comparing the pretest and the posttests, the quality of sleep of the control, back massage and foot reflexology day 3, day 4 (posttests) were highly significantly different from control, back massage and foot reflexology day 1 except on day 2. The improvement in the foot reflexology and back massage was better than the control group. The chi square of control and back massage were 13.132, 41.645 whereas chi square of foot reflexology was 101.234. Hence the foot reflexology was better in improving quality of sleep than back massage.

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A Comparison of Sleep and Daytime Sleepiness in Depressed and Non-Depressed Mothers During the Early Postpartum Period

Cited by 64 publications

References 28 publications

Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women

Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women

Depressive symptoms and the relationship of stress, sleep, and well-being among NICU mothers

Effectiveness of Foot Reflexology and Back Massage in Improving the Quality of Sleep Among Post Caesarean Mothers

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