A Study of the Psychological and Family Factors Associated with Sleep Quality among Pregnant Women

Abstract

Objective: Given the significance of sleep quality among pregnant women and its effects on the health of the fetus and the lack of sufficient studies in this field as well, the present study aimed to both identify some of the psychological factors associated with sleep quality among pregnant women and investigate the relationship between sleep quality among pregnant women and other variables, including depression, anxiety, stress, resilience, perceived social support, and marital adjustment. Materials and methods: In this descriptive-correlational study, 425 pregnant women, visiting Islamabad and Ravansarbased prenatal care centers (randomly selected from the townships of Kermanshah Province (Iran)) in 2015, were selected. To collect the required data, the Locke-Wallace Marital Adjustment Test (LWSMAT), Pittsburgh Sleep Quality Index (PSQI), Conner-Davidson Resilience Scale (CD-RIS), Zimet's Multidimensional Scale of Perceived Social Support (MSPSS), and depression, anxiety and stress scales were used. Results:The results of data analysis demonstrated that there was a significant relationship between the quality of sleep and variables like depression, anxiety, stress, perception, social support and marital adjustment. Further, the results showed that the hierarchical regression of all variables could predict 31% of the changes of sleep quality. Additionally, anxiety, depression and stress were ranked first, second and third in terms of the shares of variables in predicting the quality of sleep. Whereas, resilience, perceived social support and marital adjustment were unable to predict the quality of sleep. Conclusion: Given the results of the present study, it is suggested that the roles of the psychological factors be considered in improving the quality of sleep among pregnant women.

Determinants of Poor Sleep Quality During the COVID-19 Pandemic Among Women Attending Antenatal Care Services at the Health Facilities of Debre Berhan Town, Ethiopia: An Institutional-Based Cross-Sectional Study

“…Pregnancy is a process accompanied by dramatic hormonal changes (1-3) that create significant anatomical, physiological, and biochemical changes in a woman's life. These hormonal changes can also have profound effects on women's ability to sleep and may result in poor sleep quality (4)(5)(6)(7). Sleep is a physiological process and a basic requirement for the physical and mental well-being of pregnant women and their fetuses (2,8).…”

Sömnproblem och sömnkvalitet bland gravida – en enkätstudie

“…Majoriteten av forskningen som finns är kvantitativa studier och sammanfattningsstudier. Sex av studierna är gjorda i Asien (Effati-Daryani et al, 2016;Reshadat et al, 2018;Rezaei et al, 2013;Tsai et al, 2016;Zhong et al, 2018;Zhou et al, 2020). Fyra studier kom ifrån USA (Chang et al, 2010;Facco et al, 2010;Kalmbach et al, 2020;Mindell et al, 2015).…”

“…Sömnproblem under graviditet påverkade det psykiska måendet (Effati-Daryani et al, 2016;Kalmbach et al, 2019;Sarberg et al, 2019;Reshadat et al, 2018;Rezaei et al, 2013;Tsai et al, 2016;Ertmann et al, 2020). Sömnproblem ökade risken för depression och ångest under graviditeten (Kalmbach et al, 2019), samt postpartumdepression (Sarberg et al, 2016;Reshadat et al, 2018;Zhou et al, 2020).…”

Fear of childbirth and sleep quality among pregnant women: a generalized additive model and moderated mediation analysis

“…Moreover, research has consistently shown that pregnant women with high resilience exhibit better-coping abilities in managing childbirth-related concerns and report lower levels of fear of childbirth [ 10 , 20 ]. Furthermore, resilience has been confirmed as a crucial protective factor for mental health and better sleep quality among pregnant women [ 18 , 21 – 23 ]. Thus, resilience may have an important role in the relationships among fear of childbirth, psychological distress, and sleep quality.…”