Stress and health-related well-being among mothers with a low birth weight infant: The role of sleep
Stress and health-related well-being among mothers with a low birth weight infant: The role of sleep
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DOI：
10.1016/j.socscimed.2011.12.030
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发表时间：
2012-04-01
影响因子：
5.4
通讯作者：
Hsu, Hui-Chin
中科院分区：
文献类型：
--
作者：
Lee, Shih-Yu;Hsu, Hui-Chin
这项基于美国的研究调查了产后早期在新生儿重症监护病房出生的低出生体重早产儿的母亲的睡眠的定量和定性特征，以及睡眠在压力与抑郁、疲劳和健康相关生活质量 (H-QOL) 之间的关系。 55 名初次当妈妈的人记下了睡眠日记，并填写了一系列调查问卷。手腕体动记录法也被用来收集产妇睡眠信息。我们测试了一个路径模型，其中睡眠障碍和抑郁调节压力对健康相关福祉的影响。结果显示，大多数研究参与者都感到压力、抑郁、疲劳，并面临身心健康状况不佳的风险。母亲认为的睡眠质量差与她们的压力、疲劳以及不良的身心健康生活质量显着相关。在路径模型中发现了级联效应，其中母亲的压力导致睡眠质量差和抑郁，进而导致不良的心理健康生活质量。此外，不良的睡眠质量与疲劳相关，进而导致不良的身心健康生活质量。讨论了睡眠影响压力与健康关系的潜在神经生物学机制。还讨论了睡眠对干预和预防的影响。由爱思唯尔有限公司出版
This U.S.A.-based study examined the quantitative and qualitative characteristics of sleep, as well as the role of sleep, in the association of stress with depression, fatigue, and health-related quality of life (H-QOL) among mothers with a low-birth-weight, preterm infant in the neonatal intensive care unit at early postpartum. Fifty-five first-time mothers kept a sleep diary and filled out a battery of questionnaires. The wrist actigraphy method was also applied to collect information on maternal sleep. We tested a path model, with sleep disturbance and depression mediating the effect of stress on health-related well-being. Results showed that the majority of the study participants were stressed, depressed, fatigued, and at risk for poor physical and mental health. Poor sleep quality as perceived by mothers was significantly associated with their stress, fatigue, and poor mental and physical H-QOL A cascading effect was found in the path model where maternal stress contributed to poor sleep quality and depression, which in turn contributed to poor mental H-QOL In addition, poor sleep quality was associated with fatigue, which in turn contributed to poor physical and mental H-QOL The underlying neurobiological mechanisms through which sleep affects the stress-health relation are discussed. The implications of sleep for intervention and prevention are also addressed. Published by Elsevier Ltd.