| Popis: |
Objectives This study aimed to separately ascertain and examine the association between sleep and mental health among primiparas and multiparas at one month postpartum.Methods The subjects were 234 primiparas and 223 multiparas (a total of 457) at one month postpartum who agreed to participate in the questionnaire survey during a health check-up at a maternity hospital. According to the delivery records, they had no history of mental diseases. The survey items of the questionnaire concerned living environment, sleep status, subjective mental health (depressive mood, anxiety, low motivation, irritability) and sleep-related lifestyle. At first, we compared these items between primiparas and multiparas. Next, multiple regression analysis by a general linear model was used to investigate the association between sleep status and mental health. The dependent variables were sleep satisfaction, total sleep time, the existence of sleep problems (difficulty initiating sleep, difficulty maintaining sleep, waking up too early), irregularity of bedtime, and five kinds of sleep-related lifestyle. The independent variables were the four mental health indices according to a visual analog scale.Results In primiparas, total sleep time was shorter, bedtime and sleeping time were later, two kinds of sleep-related lifestyle were worse, and the symptoms of tinnitus and tired feeling were higher than in multiparas. In multiparas, sleep onset latency was longer, the number of times of night awakening was higher, irritability was stronger, and the prevalence of headache was higher than in primiparas. Sleep satisfaction was related to all four indices of mental health for both primiparas and multiparas. In primiparas, the existence of sleep problems was related to depressive mood and anxiety, and the irregularity of bedtime was related to anxiety. "Getting up immediately after awakening" was related to irritability, as well as low motivation, in multiparas. "A nap shorter than 30 minutes before 3 PM" was related to anxiety and low motivation in primiparas. The irregularity of bedtime was negatively related to anxiety, low motivation, and irritability in multiparas.Conclusion It is suggested that sleep problems, which tend to be overlooked, are related to subjective mental health at one month postpartum. Thus, we conclude that sleep education during pregnancy and sleep evaluations at postpartum check-ups are necessary for postpartum women's mental health. |
