Maternal perinatal depression and infant sleep problems at 1 year of age: Subjective and actigraphy data from a population‐based birth cohort study

Halal, Camila S.; Bassani, Diego G.; Santos, Iná S.; Tovo‐Rodrigues, Luciana; Del‐Ponte, Bianca; Silveira, Mariângela F.; Bertoldi, Andréa Dâmaso; Barros, Fernando C.; Nunes, Magda L.

doi:10.1111/jsr.13047

Cited by 24 publications

(17 citation statements)

References 52 publications

(66 reference statements)

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“…Third, because the study was framed around mothers’ and infants’ sleep, the number of women with mood disturbances may be overrepresented relative to the general population because participants experiencing sleep problems and infant sleep problems may have been more likely to complete the survey. Only 30% of our sample indicated an absence of infant sleep problems as compared to 75-88% in other samples [ 91 , 92 ] . Fourth, we did not employ objective measures for assessing sleep problems (e.g., actigraphy) or use a clinical interview for establishing the presence of depressive disorders for participants.…”

Section: Discussioncontrasting

confidence: 76%

Correlates of Canadian mothers’ anger during the postpartum period: a cross-sectional survey

Hall

Rodney

et al. 2022

BMC Pregnancy Childbirth

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Background Although some women experience anger as a mood problem after childbirth, postpartum anger has been neglected by researchers. Mothers’ and infants’ poor sleep quality during the postpartum period has been associated with mothers’ depressive symptoms; however, links between mothers’ sleep quality and postpartum anger are unclear. This study aimed to determine proportions of women with intense anger, depressive symptoms, and comorbid intense anger and depressive symptoms, and to examine mothers’ and infants’ sleep quality as correlates of postpartum anger. Methods This cross-sectional survey study was advertised as an examination of mothers’ and babies’ sleep. Women, with healthy infants between 6 and 12 months of age, were recruited using community venues. The survey contained validated measures of sleep quality for mothers and infants, and fatigue, social support, anger, depressive symptoms, and cognitions about infant sleep. Results 278 women participated in the study. Thirty-one percent of women (n = 85) reported intense anger (≥ 90th percentile on State Anger Scale) while 26% (n = 73) of mothers indicated probable depression (>12 on Edinburgh Postnatal Depression Scale). Over half of the participants rated their sleep as poor (n = 144, 51.8%). Using robust regression analysis, income (β = -0.11, p < 0.05), parity (β = 0.2, p < 0.01), depressive symptoms (β = 0.22, p < 0.01), and mothers’ sleep quality (β = 0.10, p < 0.05), and anger about infant sleep (β = 0.25, p < 0.01) were significant predictors of mothers’ anger. Conclusions Mothers’ sleep quality and anger about infant sleep are associated with their state anger. Clinicians can educate families about sleep pattern changes during the perinatal time frame and assess women’s mood and perceptions of their and their infants’ sleep quality in the first postpartum year. They can also offer evidence-based strategies for improving parent-infant sleep. Such health promotion initiatives could reduce mothers’ anger and support healthy sleep.

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Section: Discussioncontrasting

confidence: 76%

Correlates of Canadian mothers’ anger during the postpartum period: a cross-sectional survey

Hall

Rodney

et al. 2022

BMC Pregnancy Childbirth

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“…Concerning the effect that parental mental health has in sleep development in early childhood, and in relation to the perinatal period, depressed pregnant women seem to have newborns exhibiting higher levels of disrupted sleep. 35 Similarly, prenatal maternal anxiety and depression predict more sleep problems in toddlers aged 18–30 months, 36 and mothers with prenatal depression report more night awakenings in their one-year-old infants. 37 There is also evidence that both mother’s prenatal and early postpartum depression symptoms associate with the emergence of infant’s sleep problems.…”

Section: Methodsmentioning

confidence: 99%

“… Maternal depression and family disorganization were associated with sleep problems and anxiety in twins. Halal et al (2021) 36 Longitudinal 2222 Age=Newborns Age grouping: infancy. Actigraphy: sleep duration, night awakenings and sleep efficiency.…”

Section: Methodsmentioning

confidence: 99%

Understanding the Relationship Between Sleep Problems in Early Childhood and Borderline Personality Disorder: A Narrative Review

Morales‐Muñoz¹,

Durdurak²,

Bilgin³

et al. 2021

NSS

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Objective Recent research indicates that sleep problems in childhood precede the development of borderline personality disorder (BPD) symptoms, but the mechanisms by which sleep problems associate with BPD are still unknown. This narrative review aims to provide some potential explanations for how early sleep problems might associate with BPD. Methods We used the biosocial developmental model of BPD as a framework to discuss how sleep problems may associate with BPD. Articles were identified via PubMed and Embase, and papers published between January 1991 and April 2021 were extracted. Authors made a series of literature searches using the following keywords: Sleep problems, Insomnia, Nightmares, Hypothalamic–Pituitary–Adrenal Axis (HPA), Prefrontal Cortex, Family Psychopathology, Disrupted Attachment, Child Maltreatment, Impulsivity, Emotion Regulation, Internalizing, Externalizing, Rumination, Childhood, Adolescence, Young people. The inclusion criteria were published in peer-reviewed journals; human studies or reviews; published in English. The exclusion criteria were commentaries; abstracts from conferences; studies with animal samples. A total of 96 articles were included for the purpose of this review. Results The evidence from this review suggests that some biological factors and core features of BPD act as potential mechanisms mediating the associations between early sleep and subsequent BPD, while some family-related factors might constitute common risk factors for sleep problems and BPD. Conclusion The biosocial developmental model of BPD provides a plausible characterization of how sleep disruption might lead to subsequent BPD. Further research on new developmental and early intervention approaches to understand how sleep in early stages associates with BPD could have significant clinical impact on these patients and could inform targeted therapeutic interventions.

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“…In the first study we have hypothesized that maternal depression in the perinatal period would be associated with poor infant sleep, as results, we have observed that although mothers in the depressed group were more likely to report more night wakings in their children, objective data from actigraphy did not replicate this finding. Suggesting a dysfunctional cognition affecting the mother’s impression of her infant’s sleep 6 . The second study was a web-survey with data collected in the first months of the COVID 19 pandemics in Brazil, besides the findings of an increased prevalence of sleep problems in all age groups studied (children from 0 to 18 years and adults), the fact of having children with sleep disorders was a risk factor for parents worse sleep quality 7 .…”

mentioning

confidence: 99%

Sleep in children/adolescents: from self-perception to technical/ economic issues

Nunes¹

2021

Sleep Sci

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Maternal perinatal depression and infant sleep problems at 1 year of age: Subjective and actigraphy data from a population‐based birth cohort study

Abstract: Maternal perinatal depression, defined as an episode of major depression occurring from pregnancy to the first 12 months after delivery, is a highly prevalent condition, affecting up to 20% of childbearing women (

Cited by 24 publications

References 52 publications

Correlates of Canadian mothers’ anger during the postpartum period: a cross-sectional survey

Correlates of Canadian mothers’ anger during the postpartum period: a cross-sectional survey

Understanding the Relationship Between Sleep Problems in Early Childhood and Borderline Personality Disorder: A Narrative Review

Sleep in children/adolescents: from self-perception to technical/ economic issues

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