Sleep Moderates and Mediates the Relationship Between Acculturation and Depressive Symptoms in Pregnant Mexican-American Women.
Sleep Moderates and Mediates the Relationship Between Acculturation and Depressive Symptoms in Pregnant Mexican-American Women.
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DOI：
10.1007/s10995-015-1840-9
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发表时间：
2016-02
影响因子：
2.3
通讯作者：
Ross RG
中科院分区：
文献类型：
--
作者：
D'Anna-Hernandez KL;Garcia E;Coussons-Read M;Laudenslager ML;Ross RG
在墨西哥裔美国妇女中，更大的文化适应与不良围产期结局相关，但文化适应影响围产期结局的机制尚不清楚。怀孕的墨西哥裔美国妇女更有可能从事不健康的产前行为相对于那些较少的文化，包括睡眠不足。由于睡眠中断与文化适应和消极的围产期结果，特别是产妇抑郁症，睡眠的改变可能会对怀孕的墨西哥裔美国妇女产生不利影响。60名墨西哥裔孕妇完成了关于睡眠、文化适应、抑郁症状和社会支持潜在保护因素的调查。文化适应，而不是社会支持，显着预测增加睡眠中断，以及整体感觉不太清醒后，在整个怀孕。适度分析表明，更多的文化适应妇女谁需要更长的时间入睡报告增加抑郁症状。清醒后感觉神清气爽也介导了文化适应增加和母亲抑郁症状升高之间的关系。文化适应和睡眠改变有助于墨西哥裔美国妇女在围产期发生母亲抑郁症状的风险更大。这些研究结果对预防和治疗孕产妇心理健康障碍有影响，这可能会对弱势墨西哥裔美国人的围产期结局产生不利影响。
Greater acculturation is associated with adverse perinatal outcomes in Mexican-American women, but the mechanisms by which acculturation influences perinatal outcomes are unclear. Pregnant acculturated Mexican-American women are more likely to engage in unhealthy prenatal behaviors relative to those less acculturated, including poor sleep. As sleep disruptions are associated with acculturation and negative perinatal outcomes, particularly maternal depression, alterations in sleep may adversely affect pregnant Mexican-American women. Sixty pregnant women of Mexican descent completed surveys about sleep, acculturation, depressive symptoms and potential protective factor of social support. Acculturation, but not social support, significantly predicted increased sleep disruptions as well as overall feeling less refreshed upon waking across pregnancy. Moderation analysis indicated that more acculturated women who took longer to fall asleep reported increased depressive symptoms. Feeling refreshed upon waking also mediated the relationship between increased acculturation and elevated maternal depressive symptoms. Acculturation and altered sleep contribute to greater risk in Mexican-American women for maternal depressive symptoms in the perinatal period. These findings have implications for prevention and treatment of maternal mental health disorders, which may adversely affect perinatal outcomes in the vulnerable Mexican-American population.