Sleep complaints in late pregnancy and the recurrence of postpartum depression.
Sleep complaints in late pregnancy and the recurrence of postpartum depression.
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DOI：
10.1080/15402000902762394
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发表时间：
2009
影响因子：
3.1
通讯作者：
Wisner KL
中科院分区：
文献类型：
--
作者：
Okun ML;Hanusa BH;Hall M;Wisner KL
本研究旨在评估妊娠晚期睡眠质量与产后抑郁症（PPMD）复发的关系。在51名有PPMD病史的非抑郁妇女中评估了妊娠36周时的匹兹堡睡眠质量指数（PSQI）;复发由21项汉密尔顿抑郁评定量表和情感障碍和精神分裂症量表确定。妊娠晚期的睡眠质量与复发本身无关，但与复发时间有关（Kruskal-Wallace = 9.78，p = 0.008）。快速复发（分娩后4周内）之前的睡眠投诉较少（早期复发者的平均PSQI = 4.8 vs. 7.3，非复发者，p = 0.09）。产后4周后复发之前，妊娠晚期有更多的睡眠抱怨（晚期复发者的平均PSQI = 9.9，非复发者为7.3，p = 0.02）。怀孕后期的睡眠质量可能有助于识别有PPMD复发风险的女性。
This study evaluated the relationship between sleep quality in late pregnancy and recurrence of postpartum major depression (PPMD) through 28 weeks postpartum. The Pittsburgh Sleep Quality Index (PSQI) at 36 weeks gestation was assessed in 51 non-depressed women with a history of PPMD; recurrence was determined by the 21-item Hamilton Rating Scale for Depression and the Schedule for Affective Disorders and Schizophrenia. Sleep quality in late pregnancy was not related to recurrence per se, but it was related to timing of recurrence (Kruskal–Wallace = 9.78, p = .008). Rapid recurrence (within 4 weeks post delivery) was preceded by fewer sleep complaints (mean PSQI for early recurrers = 4.8 vs. 7.3 for non-recurrers, p = .09). Recurrence after 4 weeks postpartum was preceded by more sleep complaints in late pregnancy (mean PSQI for late recurrers = 9.9 vs. 7.3 for non-recurrers, p = .02). Sleep quality in late pregnancy may help in identifying women at risk for a PPMD recurrence.
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