Insomnia in Pregnancy Is Associated With Depressive Symptoms and Eating at Night
| Autor: | Sylwia Fudalej, Aneta Brzezicka, Anna Różańska-Walędziak, Dorota Wołyńczyk-Gmaj, Marcin Ufnal, Simon Ziemka, Bartłomiej Gmaj, Krzysztof Czajkowski, Piotr Januszko, Marcin Wojnar |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine medicine.medical_specialty Adolescent Young Adult 03 medical and health sciences 0302 clinical medicine Feeding behavior Pregnancy Sleep Initiation and Maintenance Disorders Surveys and Questionnaires Insomnia Humans Medicine Young adult skin and connective tissue diseases Psychiatry Depression (differential diagnoses) Depressive symptoms Depressive Disorder Sleep quality business.industry Feeding Behavior medicine.disease Scientific Investigations 030227 psychiatry Pregnancy Complications Neurology Female sense organs Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Clinical Sleep Medicine. 13:1171-1176 |
| ISSN: | 1550-9397 1550-9389 |
| DOI: | 10.5664/jcsm.6764 |
| Popis: | Deterioration in sleep quality seems to be a natural consequence of physical changes during pregnancy. It is still unclear if insomnia in pregnancy is associated with the same factors as chronic insomnia in the general population. The aim of this study was to explore the determinants of insomnia during pregnancy.The study included 266 women (mean age: 30.6 ± 5 years, weeks of pregnancy: 36 [interquartile range 32-38]) recruited at the Department of Gynecology and Obstetrics, Medical University of Warsaw. The assessment of variables was performed using the Athens Insomnia Scale (AIS), Beck Depression Inventory (BDI), Regestein Hyperarousal Scale (HS), Epworth Sleepiness Scale (ESS), General Practice Physical Activity Questionnaire, and a semi-structured interview about different sleep disorders.Almost 40% of the women in our study received a diagnosis of insomnia based on AIS cutoff scores. The between-group analyses indicated that HS score, BDI score, eating at night, legs tingling, nightmares, snoring, and myoclonus differentiated the groups of individuals with insomnia from those without insomnia. Other variables were not significantly different between the groups. We divided individuals with insomnia in terms of insomnia duration: 49% developed insomnia at least 1 year before the study onset and 39.6% during pregnancy. For further analyses we used only the women in whom insomnia developed during pregnancy. Logistic regression confirmed that depressive symptoms (BDI) and eating at night were significant predictors of insomnia in pregnancy.Depressive symptoms and night eating are key factors related to insomnia developed during pregnancy. |
| Databáze: | OpenAIRE |
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