A pilot longitudinal sleep education intervention from early pregnancy and its effect on optimizing sleep and minimizing depressive symptoms

Ladyman, Clare; Signal, T. Leigh; Sweeney, Bronwyn; Gander, Philippa H.; Paine, Sarah‐Jane; Huthwaite, Mark

doi:10.1016/j.sleh.2020.05.001

Cited by 4 publications

(16 citation statements)

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“…The 14 educational interventions identified in this review focussed on either maternal health ( n = 5) [ 29 , 57 , 60 , 73 , 74 ], infant health ( n = 5) [ 41 , 47 , 48 , 59 , 61 ] or a combination of both ( n = 4) [ 49 , 62 , 63 , 69 , 70 ] (70 & 71 used the same sample). Table 5 provides a summary of the interventions.…”

Section: Resultsmentioning

confidence: 99%

“…Five maternal health interventions [ 29 , 57 , 60 , 73 , 74 ] ranged from 4 to 24 weeks in duration. Four occurred during pregnancy and one during the postnatal period [ 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…Four of the five studies used an RCT design, and all had similar session schedules: 1–2-hours in duration, weekly or fortnightly, over a time period of 4–12 weeks, the shortest consisting of four sessions over 4 weeks and the longest consisting of eight sessions over 12 weeks. The fifth study was a single arm pilot which ran 1–2-hour education sessions in the first, second and third trimesters of pregnancy (three sessions over 24 weeks) [ 29 ]. All five of these interventions utilised face-to-face delivery; three studies provided individual education sessions [ 29 , 57 , 74 ], one study used group education sessions [ 73 ] and one utilised both modes [ 60 ].…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, supporting and improving sleep in the perinatal period is not only an important outcome in and of itself, but also a pathway through which future mental health outcomes may be altered. Recent studies have shown that interventions aimed at improving perinatal sleep help reduce depressive symptoms [ 29 , 30 ] and vice versa; interventions that reduce depressive symptoms assist in improving sleep [ 31 , 32 ]. Previous reviews have described perinatal interventions that aim to improve sleep or improve mental health [ 33 ], or examine the relationship between sleep and mental health during either pregnancy or the postnatal period.…”

Section: Introductionmentioning

confidence: 99%

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A scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health

Ladyman

Sweeney

Sharkey

et al. 2022

BMC Pregnancy Childbirth

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Background A woman’s vulnerability to sleep disruption and mood disturbance is heightened during the perinatal period and there is a strong bidirectional relationship between them. Both sleep disruption and mood disturbance can result in significant adverse outcomes for women and their infant. Thus, supporting and improving sleep in the perinatal period is not only an important outcome in and of itself, but also a pathway through which future mental health outcomes may be altered. Methods Using scoping review methodology, we investigated the nature, extent and characteristics of intervention studies conducted during the perinatal period (pregnancy to one-year post-birth) that reported on both maternal sleep and maternal mental health. Numerical and descriptive results are presented on the types of studies, settings, sample characteristics, intervention design (including timeframes, facilitation and delivery), sleep and mood measures and findings. Results Thirty-seven perinatal interventions were identified and further described according to their primary focus (psychological (n = 9), educational (n = 15), lifestyle (n = 10), chronotherapeutic (n = 3)). Most studies were conducted in developed Western countries and published in the last 9 years. The majority of study samples were women with existing sleep or mental health problems, and participants were predominantly well-educated, not socio-economically disadvantaged, in stable relationships, primiparous and of White race/ethnicity. Interventions were generally delivered across a relatively short period of time, in either the second trimester of pregnancy or the early postnatal period and used the Pittsburgh Sleep Quality Index (PSQI) to measure sleep and the Edinburgh Postnatal Depression Scale (EPDS) to measure mood. Retention rates were high (mean 89%) and where reported, interventions were well accepted by women. Cognitive Behavioural Therapies (CBT) and educational interventions were largely delivered by trained personnel in person, whereas other interventions were often self-delivered after initial explanation. Conclusions Future perinatal interventions should consider spanning the perinatal period and using a stepped-care model. Women may be better supported by providing access to a range of information, services and treatment specific to their needs and maternal stage. The development of these interventions must involve and consider the needs of women experiencing disadvantage who are predominantly affected by poor sleep health and poor mental health.

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Section: Resultsmentioning

confidence: 99%

“…Five maternal health interventions [ 29 , 57 , 60 , 73 , 74 ] ranged from 4 to 24 weeks in duration. Four occurred during pregnancy and one during the postnatal period [ 57 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health

Ladyman

Sweeney

Sharkey

et al. 2022

BMC Pregnancy Childbirth

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“…Nevertheless, the adherence to psychotherapy is difficult (Rojas et al, 2015), and the outcome depends on the individual traits of the mothers (Miranda et al, 2017). In the recent years, new behavioral interventions have emerged as an alternative treatment for maternal depression, such as interpersonal psychotherapy, mindfulness, peer support groups, massage, tai chi, yoga, aerobic exercise, and sleep interventions (Field, 2017b;Ladyman et al, 2020;Lucena et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Depression and Antidepressants During Pregnancy: Craniofacial Defects Due to Stem/Progenitor Cell Deregulation Mediated by Serotonin

Sánchez

Juárez-Balarezo

Olhaberry

et al. 2021

Front. Cell Dev. Biol.

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Depression is a common and debilitating mood disorder that increases in prevalence during pregnancy. Worldwide, 7 to 12% of pregnant women experience depression, in which the associated risk factors include socio-demographic, psychological, and socioeconomic variables. Maternal depression could have psychological, anatomical, and physiological consequences in the newborn. Depression has been related to a downregulation in serotonin levels in the brain. Accordingly, the most commonly prescribed pharmacotherapy is based on selective serotonin reuptake inhibitors (SSRIs), which increase local serotonin concentration. Even though the use of SSRIs has few adverse effects compared with other antidepressants, altering serotonin levels has been associated with the advent of anatomical and physiological changes in utero, leading to defects in craniofacial development, including craniosynostosis, cleft palate, and dental defects. Migration and proliferation of neural crest cells, which contribute to the formation of bone, cartilage, palate, teeth, and salivary glands in the craniofacial region, are regulated by serotonin. Specifically, craniofacial progenitor cells are affected by serotonin levels, producing a misbalance between their proliferation and differentiation. Thus, it is possible to hypothesize that craniofacial development will be affected by the changes in serotonin levels, happening during maternal depression or after the use of SSRIs, which cross the placental barrier, increasing the risk of craniofacial defects. In this review, we provide a synthesis of the current research on depression and the use of SSRI during pregnancy, and how this could be related to craniofacial defects using an interdisciplinary perspective integrating psychological, clinical, and developmental biology perspectives. We discuss the mechanisms by which serotonin could influence craniofacial development and stem/progenitor cells, proposing some transcription factors as mediators of serotonin signaling, and craniofacial stem/progenitor cell biology. We finally highlight the importance of non-pharmacological therapies for depression on fertile and pregnant women, and provide an individual analysis of the risk–benefit balance for the use of antidepressants during pregnancy

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The Potential of Internet-Based Psychological Interventions for Perinatal Depression Prevention and Treatment

Franco

Olhaberry

Muzard

et al. 2022

Depression and Personality

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A pilot longitudinal sleep education intervention from early pregnancy and its effect on optimizing sleep and minimizing depressive symptoms

Cited by 4 publications

References 45 publications

A scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health

A scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health

Depression and Antidepressants During Pregnancy: Craniofacial Defects Due to Stem/Progenitor Cell Deregulation Mediated by Serotonin

The Potential of Internet-Based Psychological Interventions for Perinatal Depression Prevention and Treatment

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