Risk factors for postpartum depression in Chinese women: A cross-sectional study at 6 weeks postpartum

Shi, Xiang; Ying, Yinwei; Yu, Zhelin; Xing, Minzhi; Zhu, Jie; Feng, Wenqian; Xu, Dongmei; Zhang, Wenmiao; Zhou, Meixi; Wang, Jiangling; Yu, Xin; Zhao, Ke

doi:10.1016/j.jpsychores.2020.110295

Cited by 11 publications

(9 citation statements)

References 38 publications

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“…Specifically, it is the presence of insomnia or poor sleep quality in the postpartum, rather than in late pregnancy, that uniquely predicts PPD and anxiety. These findings corroborate other studies that have evaluated women with a history of depression (28,50), convenience samples (4,46,48,70), and those without a history (31,44,71). Notably, the results of this longitudinal study demonstrate that, when statistically pitting prenatal insomnia and sleep quality versus postpartum insomnia and quality in the same model, the postpartum variables were found to be relatively more important in uniquely contributing to postpartum mood.…”

Section: Discussionsupporting

confidence: 90%

Postpartum Insomnia and Poor Sleep Quality Are Longitudinally Predictive of Postpartum Mood Symptoms

Okun

Lac

2023

Psychosom Med

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Objective Insomnia and poor sleep quality are frequently reported by perinatal women. Both are noted to increase risk for postpartum depression, with less known about their association with postpartum anxiety. The study sought to assess whether perinatal sleep disturbances predicted depression and anxiety symptomatology across each month of the first 6 months postpartum in women with a history of depression. Methods Pregnant women without active depression at enrollment (N = 159) aged 18-45 years of age were recruited. In late pregnancy and for up to six months postpartum, women completed monthly online questionnaires including the ISQ, PSQI, EPDS, and GAD-7. Repeated-measures multilevel models were used to predict depression and anxiety across the postpartum. Results The prevalence of insomnia was 20.4%, and the prevalence of poor sleep quality was 67.8% across the first 6 months postpartum. Postpartum insomnia and poor sleep quality at the between-subjects and within-subjects levels tended to uniquely predicted greater depressive and anxiety symptoms, even after controlling for demographic characteristics, prenatal insomnia, and prenatal poor sleep quality. Conclusions Most of the women in our sample had sleep disturbances across the perinatal period. Consistent with the extant literature, postpartum insomnia and poor sleep quality, but not prenatal measures of sleep, longitudinally predicted greater postpartum depression and anxiety symptoms. The chronic sleep deprivation of insomnia and the subjective experience of poor sleep quality are uniquely relevant risks for postpartum mood disorders. Evaluation and mitigation of perinatal sleep disturbance is an ideal opportunity to reduce postpartum mood disorders and subsequent health outcomes.

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Section: Discussionsupporting

confidence: 90%

Postpartum Insomnia and Poor Sleep Quality Are Longitudinally Predictive of Postpartum Mood Symptoms

Okun

Lac

2023

Psychosom Med

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“…However, evidence for the strength of this association is lacking and the effects of prenatal sleep disorders on the development of PPD among pregnant women have not been elucidated. Further investigations are needed to determine if sleep disturbance is a risk factors of PPD (Matenchuk & Davenport, 2021; Shi et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

Sleep disorders during pregnancy and postpartum depression: A systematic review and meta‐analysis

Maghami

Shariatpanahi

Habibi

et al. 2021

Intl J of Devlp Neuroscience

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Background Postpartum depression (PPD) is one of the most important mental disorders in recent years. However, the effects of prenatal sleep disorders on the development of PPD among pregnant women have not been elucidated. This review aims to provide a summary of the literature evaluating the relation between sleep disorders during pregnancy and PPD. Method A systematic literature search was conducted in PubMed, Web of Science, Scopus, Google Scholar, and Embase up to September 2020. All observational studies (cross‐sectional, case–control, and cohort) and studies that assessed the association between sleep disorders during pregnancy and PPD were included. Total sample of 36,873 women from 13 studies was entered to meta‐analysis. An aggregate effect size estimate (odds ratio) was generated using the comprehensive meta‐analysis software. A random effects model was set a priori. Heterogeneity and publication bias were examined using the standard meta‐analytic approaches. Result We found maternal sleep disorder increased odds of PPD (point estimate, 3.300; 95% confidence interval [CI], 2.136–5.098; p < .001; n = 13). However, there was significant heterogeneity (Q, 131.250; df, 12; p < .001; I2, 90.857%). The estimated effect size was significant for all categorical studies. According to meta‐regression, no moderating factor (age and publication year) significantly mediated the estimated effect size. Conclusion We found a significant relationship between sleep disturbances during pregnancy and PPD. Women with sleep disorders are at an increased risk of developing PPD, which warrants screening pregnant mothers for sleep disturbances. Also, we found that the increasing age in pregnancy was associated with increased risk of PPD.

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“…The average incidence of postpartum depression was 17.7% according to 291 studies among 56 countries (Madeghe et al., 2016). Postpartum depression seriously damages women's physical, psychological, social function and quality of life, and impacts the infant's development of motivation, language, behaviour, cognition, and emotion (Shi et al., 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Postpartum depression seriously damages women's physical, psychological, social function and quality of life, and impacts the infant's development of motivation, language, behaviour, cognition, and emotion (Shi et al, 2020).…”

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confidence: 99%

Effects of an evidence‐based nursing intervention on prevention of anxiety and depression in the postpartum period

Meng

Diao

et al. 2021

Stress and Health

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Postpartum depression has been one of the most common psychological disorders in patients during postpartum period. The constant anxiety and depression during this period seriously affect the physiological and psychological health of both the mother and infant. Evidence-based nursing has been widely applied in clinical practice and has achieved remarkable results. However, the effect of evidencebased nursing on postpartum depression remains unclear. Pregnant women who were not diagnosed with postpartum depression during hospitalisation (Edinburgh Postpartum Depression Scale [EPDS] ≤ 13 points) but prone to postpartum depression (EPDS scores of 9-13) were recruited into the study. They were randomly divided into the Intervention group (N = 60) and Control group (N = 60).Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), EPDS and Pittsburgh Sleep Quality Index (PSQI) were used to investigate the psychological outcomes of puerperae during and after the 6-week intervention. Both the intention-to-treat and per-protocol analyses showed that 6 weeks of evidencebased nursing intervention significantly reduced the incidence of postpartum depression. The application of the evidence-based nursing also improved the patients' satisfaction degree and effectively alleviated their anxiety according to both the intention-to-treat and per-protocol analyses. Evidence-based nursing intervention had positive effects against anxiety and depression in the postpartum period.

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Risk factors for postpartum depression in Chinese women: A cross-sectional study at 6 weeks postpartum

Cited by 11 publications

References 38 publications

Postpartum Insomnia and Poor Sleep Quality Are Longitudinally Predictive of Postpartum Mood Symptoms

Postpartum Insomnia and Poor Sleep Quality Are Longitudinally Predictive of Postpartum Mood Symptoms

Sleep disorders during pregnancy and postpartum depression: A systematic review and meta‐analysis

Effects of an evidence‐based nursing intervention on prevention of anxiety and depression in the postpartum period

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