Bhati Sue, Richards Kathy
J Obstet Gynecol Neonatal Nurs. 2015 May-Jun;44(3):350-7. doi: 10.1111/1552-6909.12562. Epub 2015 Mar 28.
To examine the relationship between postpartum sleep disturbance and postpartum depression and describe the characteristics and demographics of the samples.
Electronic databases Medline, PubMed, Cochrane, EPOC, CINAHL, ProQuest, and Psych INFO. In addition, hand searches of bibliographies supplemented the electronic search.
English language primary studies on the relationship between postpartum sleep disturbance and postpartum depression were included. Thirteen observational studies met the inclusion criteria.
Data that specified the relationship between sleep disturbance and postpartum depression were extracted from the studies. The data were organized per author, year, participants, setting, country, demographics, design, sample size, outcomes, evidence, and effect size.
The effect size indicating the relationship between sleep disturbance and postpartum depression across the studies ranged between 0.4 and 1.7. There was evidence of a strong relationship between sleep disturbance and postpartum depression; however, the participants in the 13 studies were predominantly educated, middle class, older than age 30 years, and White. Likewise, the definition and measurement of postpartum sleep varied across the studies, which increased the possibility of bias.
Further research within the postpartum period involving underserved, younger women and samples with more diversity in race and ethnicity are needed.
探讨产后睡眠障碍与产后抑郁之间的关系，并描述样本的特征和人口统计学信息。
电子数据库Medline、PubMed、Cochrane、EPOC、CINAHL、ProQuest和Psych INFO。此外，通过手工检索参考文献对电子检索进行补充。
纳入关于产后睡眠障碍与产后抑郁之间关系的英文原创研究。13项观察性研究符合纳入标准。
从研究中提取明确睡眠障碍与产后抑郁之间关系的数据。数据按作者、年份、参与者、研究背景、国家、人口统计学信息、设计、样本量、结果、证据和效应量进行整理。
各项研究中表明睡眠障碍与产后抑郁之间关系的效应量在0.4至1.7之间。有证据表明睡眠障碍与产后抑郁之间存在密切关系；然而，13项研究中的参与者主要是受过教育的、中产阶级、30岁以上的白人。同样，产后睡眠的定义和测量方法在各项研究中也有所不同，这增加了偏差的可能性。
需要在产后阶段对服务不足的年轻女性以及种族和民族更多样化的样本进行进一步研究。
