Posmontier Bobbie
Drexel University, College of Nursing and Health Professions, Newtown, PA 18940, USA.
J Obstet Gynecol Neonatal Nurs. 2008 Nov-Dec;37(6):722-35; quiz 735-7. doi: 10.1111/j.1552-6909.2008.00298.x.
To compare and measure the effects of sleep quality in women with and without postpartum depression.
A case-control repeated measures matched pairs design.
Home and obstetric office.
Forty-six women who were 6 to 26 weeks postpartum. Two participants were dropped from the final analysis because they were outliers.
Participants underwent wrist actigraphy at home for 7 consecutive days to measure sleep quality. The Postpartum Depression Screening Scale measured depression severity. Psychosocial variables were collected during a screening interview. A structured clinical interview was used to diagnose postpartum depression. Correlations, t tests, and hierarchical multiple regressions were run to analyze data.
With the exception of wake episodes, sleep latency (B=1.80, SE=0.73, p<.05), wake after sleep onset (B=6.85, SE=2.85, p<.05), and thus sleep efficiency (B=-6.31, SE=3.13, p<.05) predicted postpartum depression symptom severity.
Women with postpartum depression experienced poorer sleep quality than women without postpartum depression, and sleep quality worsened with increasing postpartum depression symptom severity. Clinicians need to address measures to improve sleep quality in depressed mothers to decrease symptom severity, and researchers need to develop interventions to facilitate better sleep quality in women with postpartum depression.
比较并测量产后抑郁女性与未患产后抑郁女性的睡眠质量影响。
病例对照重复测量配对设计。
家中及产科诊所。
46名产后6至26周的女性。两名参与者因属异常值而被排除在最终分析之外。
参与者在家中连续7天进行手腕活动监测以测量睡眠质量。产后抑郁筛查量表用于测量抑郁严重程度。在筛查访谈期间收集社会心理变量。采用结构化临床访谈来诊断产后抑郁。运用相关性分析、t检验和分层多元回归进行数据分析。
除觉醒次数外，睡眠潜伏期（B = 1.80，标准误 = 0.73，p <.05）、睡眠开始后觉醒时间（B = 6.85，标准误 = 2.85，p <.05）以及睡眠效率（B = -6.31，标准误 = 3.13，p <.05）可预测产后抑郁症状严重程度。
产后抑郁女性比未患产后抑郁的女性睡眠质量更差，且睡眠质量随产后抑郁症状严重程度的增加而恶化。临床医生需要采取措施改善抑郁母亲的睡眠质量以减轻症状严重程度，研究人员需要开发干预措施以促进产后抑郁女性获得更好的睡眠质量。
