Sleep and Mood During Pregnancy and the Postpartum Period

Bei, Bei; Coo, Soledad; Trinder, John

doi:10.1016/j.jsmc.2014.11.011

Cited by 96 publications

(74 citation statements)

References 48 publications

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“…Women's sleep is affected by pregnancy as early as the first trimester (for a review of sleep patterns in the peripartum, see refs. 1,2 ). As pregnancy progresses, selfreported sleep quality worsens, with decreases in reported sleep duration and sleep efficiency 3 .…”

Section: Sleep Disturbances In the Peripartummentioning

confidence: 99%

Delayed sleep timing and circadian rhythms in pregnancy and transdiagnostic symptoms associated with postpartum depression

et al. 2020

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Later sleep timing, circadian preference, and circadian rhythm timing predict worse outcomes across multiple domains, including mood disorders, substance use, impulse control, and cognitive function. Disturbed sleep is common among pregnant and postpartum women. We examined whether sleep timing during third trimester of pregnancy predicted postpartum symptoms of mania, depression, and obsessive-compulsive disorder (OCD). Fifty-one women with a previous, but not active, episode of unipolar or bipolar depression had symptoms evaluated and sleep recorded with wrist actigraphy at 33 weeks of gestation and 2, 6, and 16 weeks postpartum. Circadian phase was measured in a subset of women using salivary dim light melatonin onset (DLMO). We divided the sample into "early sleep" and "late sleep" groups using average sleep onset time at 33 weeks of gestation, defined by the median-split time of 11:27 p.m. The "late sleep" group reported significantly more manic and depressive symptoms at postpartum week 2. Longer phase angle between DLMO and sleep onset at 33 weeks was associated with more manic symptoms at postpartum week 2 and more obsessive-compulsive symptoms at week 6. Delayed sleep timing in this sample of atrisk women was associated with more symptoms of mania, depression, and OCD in the postpartum period. Sleep timing may be a modifiable risk factor for postpartum depression.

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Section: Sleep Disturbances In the Peripartummentioning

confidence: 99%

Delayed sleep timing and circadian rhythms in pregnancy and transdiagnostic symptoms associated with postpartum depression

et al. 2020

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“…In accord with this, injection of OX-A into the cerebral ventricles or medial preoptic area specifically increases licking and grooming of pups but not of the self, while peripheral or medial preoptic area injections of an OX1R antagonist reduces these behaviors (D’Anna & Gammie, 2006; Rivas, Torterolo, Ferreira, & Benedetto, 2016). It is possible that the increase in OX during the perinatal period also contributes to other behaviors observed in mothers during this time, including disturbed sleep (Bei, Coo, & Trinder, 2015) and increased caloric intake (Whichelow, 1975), which are ultimately tied to care of the offspring.…”

Section: Role Of Orexin/hypocretin In Homeostatic Feeding and Othementioning

confidence: 99%

Orexin/Hypocretin System: Role in Food and Drug Overconsumption

Barson

Leibowitz

2017

International Review of Neurobiology

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The neuropeptide orexin/hypocretin (OX), while largely transcribed within the hypothalamus, is released throughout the brain to affect complex behaviors. Primarily through the hypothalamus itself, OX homeostatically regulates adaptive behaviors needed for survival, including food intake, sleep-wake regulation, mating, and maternal behavior. However, through extra-hypothalamic limbic brain regions, OX promotes seeking and intake of rewarding substances of abuse, like palatable food, alcohol, nicotine, and cocaine. This neuropeptide, in turn, is stimulated by the intake of or early life exposure to these substances, forming a non-homeostatic, positive feedback loop. The OX receptor involved in these behaviors, adaptive behavior or substance seeking and intake, is dependent on the particular brain region that contributes to them. Thus, we propose that, while the primary function of OX is to maintain arousal for the performance of adaptive behaviors, this neuropeptide system is readily coopted by rewarding substances that involve positive feedback, ultimately promoting their abuse.

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“…Compared to men, women report higher mean scores of waking after sleep onset (OR = 0.86, p < .01) (Ohayon et al, 2004), more insomnia (Zhang & Wing, 2006), poor sleep quality and daytime sleepiness (Baker, Wolfson, & Lee, 2009). Gender differences have been attributed to hormonal fluctuations during the menstrual cycle, pregnancy and postpartum (Bei, Coo, & Trinder, 2015) and during menopausal transition (Moline & Broch, 2013).…”

mentioning

confidence: 99%