Improving perinatal sleep via a scalable cognitive behavioural intervention: findings from a randomised controlled trial from pregnancy to 2 years postpartum

Bei, Bei; Pinnington, Donna M.; Quin, Nina; Shen, Lin; Blumfield, Michelle; Wiley, Joshua F.; Drummond, S; Newman, Louise; Manber, Rachel

doi:10.1017/s0033291721001860

Cited by 24 publications

(14 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…33 Treating insomnia in pregnancy also appears to reduce symptoms of depression, with evidence showing benefit up to 2 years postpartum. 30 , 32 Data from this study, and others longitudinal cohorts add to a burgeoning literature showing the impact of untreated sleep problems on later symptoms of depression, and point to an urgent need for accessible treatment options to be disseminated. 4 , 5 , 34 …”

Section: Discussionmentioning

confidence: 64%

Sleep and mental health in pregnancy during COVID-19: A parallel process growth model

et al. 2022

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 64%

Sleep and mental health in pregnancy during COVID-19: A parallel process growth model

et al. 2022

View full text Add to dashboard Cite

“…Those that did collect follow up data show mixed findings (long term improvement in five studies, short term but no long-term improvement in six studies, no short term or long-term improvement in eight studies, and no short-term improvement but long-term change in two studies). A recently published study found that CBTi delivered in a community sample over multiple time points during pregnancy and postpartum was associated with improved insomnia severity and sleep disturbance in late pregnancy and at 24 months postpartum, but not at 12 months postpartum [ 88 ], suggesting that within the immediate postpartum timeframe making measurable changes to sleep may be difficult to achieve but that there are long term benefits to supporting sleep at this time.…”

Section: Discussionmentioning

confidence: 99%

A scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health

Ladyman

Sweeney

Sharkey

et al. 2022

BMC Pregnancy Childbirth

Self Cite

View full text Add to dashboard Cite

Background A woman’s vulnerability to sleep disruption and mood disturbance is heightened during the perinatal period and there is a strong bidirectional relationship between them. Both sleep disruption and mood disturbance can result in significant adverse outcomes for women and their infant. Thus, supporting and improving sleep in the perinatal period is not only an important outcome in and of itself, but also a pathway through which future mental health outcomes may be altered. Methods Using scoping review methodology, we investigated the nature, extent and characteristics of intervention studies conducted during the perinatal period (pregnancy to one-year post-birth) that reported on both maternal sleep and maternal mental health. Numerical and descriptive results are presented on the types of studies, settings, sample characteristics, intervention design (including timeframes, facilitation and delivery), sleep and mood measures and findings. Results Thirty-seven perinatal interventions were identified and further described according to their primary focus (psychological (n = 9), educational (n = 15), lifestyle (n = 10), chronotherapeutic (n = 3)). Most studies were conducted in developed Western countries and published in the last 9 years. The majority of study samples were women with existing sleep or mental health problems, and participants were predominantly well-educated, not socio-economically disadvantaged, in stable relationships, primiparous and of White race/ethnicity. Interventions were generally delivered across a relatively short period of time, in either the second trimester of pregnancy or the early postnatal period and used the Pittsburgh Sleep Quality Index (PSQI) to measure sleep and the Edinburgh Postnatal Depression Scale (EPDS) to measure mood. Retention rates were high (mean 89%) and where reported, interventions were well accepted by women. Cognitive Behavioural Therapies (CBT) and educational interventions were largely delivered by trained personnel in person, whereas other interventions were often self-delivered after initial explanation. Conclusions Future perinatal interventions should consider spanning the perinatal period and using a stepped-care model. Women may be better supported by providing access to a range of information, services and treatment specific to their needs and maternal stage. The development of these interventions must involve and consider the needs of women experiencing disadvantage who are predominantly affected by poor sleep health and poor mental health.

show abstract

“…However, given positive associations between women’s exposure to discrimination and poorer sleep quality in pregnancy, future researchers may also consider examining objective measures of women’s sleep health during pregnancy as potential mediator variables. Our measure of prenatal sleep quality has not been validated among pregnant women despite being used in several studies of perinatal health [ 43 , 66 ]. The use of objective prenatal sleep data may be needed to more fully assess this potential mediator.…”

Section: Discussionmentioning

confidence: 99%

Intergenerational Effects of Discrimination on Black American Children’s Sleep Health

Cohen

Dunlop

Johnson

et al. 2022

IJERPH

View full text Add to dashboard Cite

Greater exposure to racial/ethnic discrimination among pregnant Black American women is associated with elevated prenatal depressive symptomatology, poorer prenatal sleep quality, and poorer child health outcomes. Given the transdiagnostic importance of early childhood sleep health, we examined associations between pregnant women’s lifetime exposure to racial/ethnic discrimination and their two-year-old children’s sleep health. We also examined women’s gendered racial stress as a predictor variable. In exploratory analyses, we examined prenatal sleep quality and prenatal depressive symptoms as potential mediators of the prior associations. We utilized data from a sample of Black American women and children (n = 205). Women self-reported their lifetime experiences of discrimination during early pregnancy, their sleep quality and depressive symptoms during mid-pregnancy, and their children’s sleep health at age two. Hierarchical linear multiple regression models were fit to examine direct associations between women’s experiences of discrimination and children’s sleep health. We tested our mediation hypotheses using a parallel mediator model. Higher levels of gendered racial stress, but not racial/ethnic discrimination, were directly associated with poorer sleep health in children. Higher levels of racial/ethnic discrimination were indirectly associated with poorer sleep health in children, via women’s prenatal depressive symptomatology, but not prenatal sleep quality. Clinical efforts to mitigate the effects of discrimination on Black American women may benefit women’s prenatal mental health and their children’s sleep health.

show abstract

Improving perinatal sleep via a scalable cognitive behavioural intervention: findings from a randomised controlled trial from pregnancy to 2 years postpartum

Cited by 24 publications

References 47 publications

Sleep and mental health in pregnancy during COVID-19: A parallel process growth model

Sleep and mental health in pregnancy during COVID-19: A parallel process growth model

A scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health

Intergenerational Effects of Discrimination on Black American Children’s Sleep Health

Contact Info

Product

Resources

About