Depression and suicidal ideation in pregnancy: exploring relationships with insomnia, short sleep, and nocturnal rumination
| Autor: | Jason C. Ong, Roopina Sangha, David A. Kalmbach, Louise M. O'Brien, Leslie M. Swanson, Philip Cheng, Thomas Roth, Sheryl A. Kingsberg, Jeffrey A. Ciesla, Christopher L. Drake |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Nocturnal Article Suicidal Ideation 03 medical and health sciences 0302 clinical medicine Pregnancy Sleep Initiation and Maintenance Disorders Surveys and Questionnaires mental disorders Prevalence medicine Insomnia Humans Psychiatry Suicidal ideation Depression (differential diagnoses) Psychiatric Status Rating Scales Depressive Disorder Major business.industry General Medicine medicine.disease 030228 respiratory system Edinburgh Postnatal Depression Scale Rumination Female Pregnant Women medicine.symptom Sleep onset business 030217 neurology & neurosurgery |
| Zdroj: | Sleep Med |
| ISSN: | 1389-9457 |
| Popis: | Background Sleep problems and depression are highly prevalent in pregnancy. Nocturnal rumination has been linked to insomnia and depression in non-pregnant samples, but remains poorly characterized in pregnancy. This study explored relationships of depression and suicidal ideation with insomnia, short sleep, and nocturnal rumination in mid-to-late pregnancy. Methods In this study, 267 pregnant women were recruited from obstetric clinics and completed online surveys on sleep, depression, and nocturnal rumination. Results Over half (58.4%) of the sample reported clinical insomnia on the Insomnia Severity Index, 16.1% screened positive for major depression on the Edinburgh Postnatal Depression Scale (EPDS), and 10.1% endorsed suicidal ideation. Nocturnal rumination was more robustly associated with sleep onset difficulties than with sleep maintenance issues. Depressed women were at greater odds of sleep onset insomnia (OR = 2.80), sleep maintenance insomnia (OR = 6.50), high nocturnal rumination (OR = 6.50), and negative perinatal-focused rumination (OR = 2.70). Suicidal ideation was associated with depression (OR = 3.64) and negative perinatal-focused rumination (OR = 3.50). A four-group comparison based on insomnia status and high/low rumination revealed that pregnant women with insomnia and high rumination endorsed higher rates of depression (35.6%) and suicidal ideation (17.3%) than good-sleeping women with low rumination (1.2% depressed, 4.9% suicidal). Women with insomnia alone (depression: 3.9%, suicidal: 5.9%) or high rumination alone (depression: 10.7%, suicidal: 7.1%) did not differ from good-sleeping women with low rumination. Conclusions High rumination and insomnia are highly common in mid-to-late pregnancy and both are associated with depression and suicidal ideation. Depression and suicidal ideation are most prevalent in pregnant women with both insomnia and high rumination. ClinicalTrials.gov identifier NCT03596879 . |
| Databáze: | OpenAIRE |
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