Goyal Deepika, Gay Caryl L, Lee Kathryn A
Department of Family Health Care Nursing, University of California, San Francisco, CA 94143, USA.
J Perinat Neonatal Nurs. 2007 Apr-Jun;21(2):123-9. doi: 10.1097/01.JPN.0000270629.58746.96.
This study describes the patterns of sleep disturbance and depressive symptoms in a sample of childbearing women from the third trimester through the postpartum period. The relationship between sleep and depressive symptoms is also examined. A secondary aim of this study was to examine the relationship between self-report measures of sleep and depressive symptoms between women with depressive symptoms in comparison with women with minimal or no depressive symptoms in the third trimester and in the third month postpartum.
This longitudinal, descriptive study followed 124 primiparous women from their last month of pregnancy through 3 months postpartum. Questionnaires on sleep and depressive symptoms were completed during the third trimester (Time 1), 1 month postpartum (Time 2), 2 months postpartum (Time 3), and during the third month postpartum (Time 4). Sleep measures in a subset of women with depressive symptoms were compared with those of women with minimal or no symptoms at Time 1 and Time 4.
Sleep disturbance and depressive symptoms were associated at Time 1 and Time 4. For new mothers, a complaint of trouble falling asleep (delayed sleep onset latency) may be the most relevant screening question in relation to their risk for postpartum depression.
本研究描述了从孕晚期到产后阶段的育龄妇女样本中的睡眠障碍模式和抑郁症状。同时也研究了睡眠与抑郁症状之间的关系。本研究的第二个目的是比较孕晚期和产后第三个月有抑郁症状的女性与抑郁症状轻微或无抑郁症状的女性在自我报告的睡眠和抑郁症状测量方面的关系。
这项纵向描述性研究跟踪了124名初产妇，从她们怀孕的最后一个月到产后3个月。在孕晚期（时间1）、产后1个月（时间2）、产后2个月（时间3）和产后第三个月（时间4）完成了关于睡眠和抑郁症状的问卷调查。将有抑郁症状的一部分女性在时间1和时间4的睡眠测量结果与抑郁症状轻微或无症状的女性进行比较。
在时间1和时间4时，睡眠障碍与抑郁症状相关。对于新妈妈来说，入睡困难（睡眠起始延迟）的主诉可能是与产后抑郁风险最相关的筛查问题。
