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The Impact of Objective and Subjective Sleep Parameters on Depressive Symptoms during Pregnancy in Women with a Mental Disorder: An Explorative Study

Author

Listed:
  • Babette Bais

    (Department of Psychiatry, Erasmus University Medical Centre Rotterdam, 3015GD Rotterdam, The Netherlands)

  • Robert Lindeboom

    (Amsterdam UMC, Academic Medical Center, Department of Clinical Epidemiology, Biostatistics and Bioinformatics, University of Amsterdam, 1100 DD Amsterdam, The Netherlands)

  • Leontien van Ravesteyn

    (Graduate School of Health, University of Technology Sydney, Sydney NSW 2145, Australia)

  • Joke Tulen

    (Department of Psychiatry, Erasmus University Medical Centre Rotterdam, 3015GD Rotterdam, The Netherlands)

  • Witte Hoogendijk

    (Department of Psychiatry, Erasmus University Medical Centre Rotterdam, 3015GD Rotterdam, The Netherlands)

  • Mijke Lambregtse-van den Berg

    (Department of Psychiatry, Erasmus University Medical Centre Rotterdam, 3015GD Rotterdam, The Netherlands
    Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Centre Rotterdam, 3015GD Rotterdam, The Netherlands)

  • Astrid Kamperman

    (Epidemiological and Social Psychiatric Research Institute, Department of Psychiatry, Erasmus University Medical Centre Rotterdam, 3015GD Rotterdam, The Netherlands)

Abstract

Poor sleep quality during pregnancy is associated with both antepartum and postpartum depression and adverse birth outcomes. This study evaluated both objective and subjective sleep quality and the effects on the subsequent course of antepartum depressive symptoms in psychiatric patients. This observational explorative study was embedded in an ongoing study focusing on pregnant women with a mental disorder and was performed in 18 patients (24–29 weeks pregnant). Depressive symptoms were assessed throughout pregnancy using the Edinburgh Postnatal Depression Scale (EPDS) with 5-week intervals. Sleep was assessed with actigraphy, the Pittsburgh Sleep Quality Index (PSQI) and sleep diaries at the start of the study. We studied correlations between sleep parameters and EPDS scores cross-sectionally using Spearman correlation. Next, we studied the course of antepartum EPDS scores over time per sleep parameter using generalized linear mixed modelling analysis. Objectively measured fragmentation index, total PSQI score and 4 PSQI subscales (sleep quality, sleep duration, sleep disturbances and daytime dysfunctions) were significantly correlated with EPDS scores when measured cross-sectionally at the start. Six objectively and subjectively measured sleep parameters had moderate to large effects on the course of depressive symptoms through the third trimester, but these effects were not statistically significant. More research is necessary to explore the causality of the direction between sleep problems and antepartum depressive symptoms we found in psychiatric patients.

Suggested Citation

  • Babette Bais & Robert Lindeboom & Leontien van Ravesteyn & Joke Tulen & Witte Hoogendijk & Mijke Lambregtse-van den Berg & Astrid Kamperman, 2019. "The Impact of Objective and Subjective Sleep Parameters on Depressive Symptoms during Pregnancy in Women with a Mental Disorder: An Explorative Study," IJERPH, MDPI, vol. 16(9), pages 1-10, May.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:9:p:1587-:d:228729
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    Citations

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    Cited by:

    1. Gerard Dunleavy & André Comiran Tonon & Ai Ping Chua & Yichi Zhang & Kei Long Cheung & Thuan-Quoc Thach & Yuri Rykov & Chee-Kiong Soh & Georgios Christopoulos & Hein de Vries & Josip Car, 2019. "A Multifactorial Approach to Sleep and Its Association with Health-Related Quality of Life in a Multiethnic Asian Working Population: A Cross-Sectional Analysis," IJERPH, MDPI, vol. 16(21), pages 1-14, October.
    2. Laura S. Bleker & Susanne R. de Rooij & Tessa J. Roseboom, 2019. "Prenatal Psychological Stress Exposure and Neurodevelopment and Health of Children," IJERPH, MDPI, vol. 16(19), pages 1-5, September.

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