Sleep and Depression in Postpartum Women: A Population-Based Study
Sleep and Depression in Postpartum Women: A Population-Based Study
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DOI：
10.1093/sleep/32.7.847
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发表时间：
2009-07-01
期刊：
影响因子：
5.6
通讯作者：
Bjorvatn, Bjorn
中科院分区：
文献类型：
--
作者：
Dorheim, Signe Karen;Bondevik, Gunnar Tschudi;Bjorvatn, Bjorn
研究目标：（1）描述产后母亲睡眠问题和抑郁症状的患病率和危险因素，（2）确定独立相关的因素与任何条件，和（3）探讨特定产后睡眠成分和抑郁症之间的关联。设定：Population-based.Participants:从2005年10月至2006年9月在斯塔万格大学医院分娩的所有妇女（n = 4191）在产后7周邮寄了一份调查问卷。回应率为68%（n = 2830）。干预措施：无。测量和结果：睡眠使用匹兹堡睡眠质量指数（PSQI），抑郁症状使用爱丁堡产后抑郁量表（EPDS）。睡眠问题（定义为PSQI > 5）的患病率为57.7%，抑郁症（定义为EPIDS >= 10）的患病率为16.5%。平均自我报告的夜间睡眠时间为6.5小时，睡眠效率为73%。抑郁症、先前的睡眠问题、未产妇、非纯母乳喂养、或有一个年轻的或男孩的婴儿是与产后睡眠质量差相关的因素。当调整其他抑郁症的重要风险因素时，睡眠不足也与抑郁症有关，如伴侣关系不佳，先前的抑郁症，怀孕期间的抑郁症和压力性生活事件。睡眠障碍和主观睡眠质量方面的睡眠最强烈的相关depress.Conclusions：睡眠不佳与抑郁症独立的其他危险因素。睡眠不好可能会增加一些女性患抑郁症的风险，但正如先前已知的风险因素也相关，被诊断患有产后抑郁症的母亲不仅仅是报告慢性睡眠剥夺的症状。
Study Objectives: (1) To describe the prevalence of and risk factors for postpartum maternal sleep problems and depressive symptoms simultaneously, (2) identify factors independently associated with either condition, and (3) explore associations between specific postpartum sleep components and depression.Design: Cross-sectional. Setting: Population-based.Participants: All women (n = 4191) who had delivered at Stavanger University Hospital from October 2005 to September 2006 were mailed a questionnaire seven weeks postpartum. The response rate was 68% (n = 2830).Interventions: None.Measurements and results: Sleep was measured using the Pittsburgh Sleep Quality Index (PSQI), and depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS). The prevalence of sleep problems, defined as PSQI > 5, was 57.7%, and the prevalence of depression, defined as EPIDS >= 10, was 16.5%. The mean self-reported nightly sleep duration was 6.5 hours and sleep efficiency 73%. Depression, previous sleep problems, being primiparous, not exclusively breastfeeding, or having a younger or male infant were factors associated with poor postpartum sleep quality. Poor sleep was also associated with depression when adjusted for other significant risk factors for depression, such as poor partner relationship, previous depression, depression during pregnancy and stressful life events. Sleep disturbances and subjective sleep quality were the aspects of sleep most strongly associated with depression.Conclusions: Poor sleep was associated with depression independently of other risk factors. Poor sleep may increase the risk of depression in some women, but as previously known risk factors were also associated, mothers diagnosed with postpartum depression are not merely reporting symptoms of chronic sleep deprivation.