Assessment and relationship of sleep quality to depression in early pregnancy
Assessment and relationship of sleep quality to depression in early pregnancy
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DOI：
10.1080/02646830601117308
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发表时间：
2007-02-01
影响因子：
2.5
通讯作者：
Martin, Colin R.
中科院分区：
文献类型：
--
作者：
Jomeen, Julie;Martin, Colin R.
睡眠质量是怀孕期间最佳身体功能和心理健康的组成部分。然而，几乎没有进行任何工作来确定该临床群体睡眠质量的最适当衡量标准，考虑到怀孕的复杂且动态的心理生物学，这是一个令人惊讶的观察结果。匹兹堡睡眠质量指数（PSQI）进行了评估，以确定这项措施在怀孕早期的有用性。在怀孕14周的妇女的PSQI的心理测量特性进行了评估，并透露该仪器具有良好的内部一致性和收敛和发散的可靠性特性。验证性因素分析表明，从总体睡眠质量总分计算中删除PSQI睡眠药物子量表将提高该措施在妊娠早期的效用。根据爱丁堡产后抑郁量表（EPDS）评分被归类为抑郁的女性在大多数PSQI子量表上的睡眠质量评分显着较差。睡眠质量和抑郁症之间的关系被发现是统计学上显着的，在怀孕早期和PSQI的临床相关似乎是一个适当的措施，以评估睡眠质量在这组。
Sleep quality is integral to optimal physical functioning and mental health during pregnancy. There has, however, been little work conducted to determine the most appropriate measure of sleep quality in this clinical group, a surprising observation given the complex and dynamic psychobiology of pregnancy. The Pittsburgh Sleep Quality Index (PSQI) was evaluated to determine the usefulness of this measure in early pregnancy. The psychometric properties of the PSQI were evaluated in women at 14 weeks of pregnancy and revealed the instrument to have good internal consistency and convergent and divergent reliability properties. Confirmatory factor analysis suggested that the removal of the PSQI sleeping medications sub-scale from the global sleep quality total score calculation would improve the utility of this measure in early pregnancy. Women classified as depressed on the basis of Edinburgh Postnatal Depression Scale (EPDS) scores were found to have significantly poorer sleep quality scores on the majority of PSQI sub-scales. The relationship between sleep quality and depression was found to be statistically significant and clinically relevant during early pregnancy and the PSQI would appear to be an appropriate measure to assess sleep quality in this group.