产后抑郁和非抑郁女性的主观与客观睡眠情况
Subjective and objective sleep among depressed and non-depressed postnatal women.
作者信息
Dørheim S K, Bondevik G T, Eberhard-Gran M, Bjorvatn B
机构信息
Department of Public Health and Primary Health Care, Section for General Practice, University of Bergen, Bergen, Norway.
出版信息
Acta Psychiatr Scand. 2009 Feb;119(2):128-36. doi: 10.1111/j.1600-0447.2008.01272.x. Epub 2008 Sep 23.
OBJECTIVE
Women sleep less in the postnatal period and it has been suggested that mothers diagnosed with depression alternatively could be suffering from the effects of chronic sleep deprivation.
METHOD
From a population-based study, we recruited 42 women, of whom 21 scored >or=10 on the Edinburgh Postnatal Depression Scale. Sleep was registered by the Pittsburgh Sleep Quality Index (PSQI), sleep diaries and actigraphy 2 months after delivery.
RESULTS
There were significant differences in subjective sleep measured retrospectively by the PSQI between depressed and non-depressed women. In contrast, there were no significant differences in sleep measured prospectively by sleep diaries and actigraphy. Both depressed and non-depressed women had impaired sleep efficiency (82%) and were awake for about 1.5 h during the night. Primipara had worse sleep, measured by actigraphy, compared with multipara.
CONCLUSION
Measured objectively and prospectively, women with depression did not have worse sleep than non-depressed women.
目的
产后女性睡眠较少，有人提出，被诊断为抑郁症的母亲可能反而正遭受慢性睡眠剥夺的影响。
方法
在一项基于人群的研究中，我们招募了42名女性，其中21名在爱丁堡产后抑郁量表上的得分大于或等于10分。分娩2个月后，通过匹兹堡睡眠质量指数（PSQI）、睡眠日记和活动记录仪记录睡眠情况。
结果
通过PSQI回顾性测量的主观睡眠，抑郁女性与非抑郁女性之间存在显著差异。相比之下，通过睡眠日记和活动记录仪前瞻性测量的睡眠没有显著差异。抑郁和非抑郁女性的睡眠效率均受损（82%），夜间清醒约1.5小时。与经产妇相比，初产妇通过活动记录仪测量的睡眠更差。
结论
经客观和前瞻性测量，抑郁女性的睡眠并不比非抑郁女性差。
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