Sarberg Maria, Bladh Marie, Svanborg Eva, Josefsson Ann
Department of Obstetrics and Gynaecology, University Hospital and Linköping University, SE-581 85, Linköping, Sweden.
Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
BMC Pregnancy Childbirth. 2016 Jun 6;16(1):137. doi: 10.1186/s12884-016-0917-9.
Postpartum depression is a common condition, which consequences might be harmful for both mother and child. Since sleep and depression are closely related it is possible that women who suffer from sleep related problems during pregnancy are more likely to develop depression in the postpartum period. This study aims to investigate the possible association between depressive symptoms in the postpartum period and sleep related problems during pregnancy.
In this study 293 women in the last trimester of pregnancy answered a questionnaire about symptoms of restless legs, snoring and daytime sleepiness. They also completed the Epworth Sleepiness Scale (ESS). The same women were screened for depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS) four to ten weeks after giving birth. Additional information about social data, pregnancy and delivery was received from the medical charts.
Women with postpartum depressive symptoms had higher prevalence of excessive daytime sleepiness defined as ESS score ≥10 (OR 3.84, CI 1.57-9.39), and restless legs syndrome (OR 2.837 CI 1.18-6.84) in last trimester of pregnancy, when adjusted for socio-demographic factors and obstetric risk factors. No association was found between postpartum depressive symptoms and snoring.
Depressive symptoms after childbirth are preceded by sleep related problems such as daytime sleepiness and restless legs, already during pregnancy. The results from Epworth Sleepiness Scale and a questionnaire concerning Restless Legs Syndrome completed during pregnancy might be a valuable contribution for detecting women at risk for postpartum depression, enabling preventive interventions.
产后抑郁症是一种常见病症，其后果可能对母亲和孩子都有害。由于睡眠与抑郁症密切相关，孕期出现与睡眠相关问题的女性在产后更有可能患上抑郁症。本研究旨在调查产后抑郁症状与孕期睡眠相关问题之间可能存在的关联。
在本研究中，293名处于妊娠晚期的女性回答了一份关于不安腿、打鼾和日间嗜睡症状的问卷。她们还完成了爱泼华嗜睡量表（ESS）。这些女性在产后四至十周使用爱丁堡产后抑郁量表（EPDS）进行抑郁症状筛查。从病历中获取了有关社会数据、妊娠和分娩的其他信息。
在根据社会人口统计学因素和产科风险因素进行调整后，有产后抑郁症状的女性在妊娠晚期出现日间过度嗜睡（定义为ESS评分≥10）（比值比3.84，可信区间1.57 - 9.39）和不安腿综合征（比值比2.83，可信区间1.18 - 6.84）的患病率更高。未发现产后抑郁症状与打鼾之间存在关联。
产后抑郁症状在孕期就已 preceded by 诸如日间嗜睡和不安腿等与睡眠相关的问题。孕期完成的爱泼华嗜睡量表结果以及一份关于不安腿综合征的问卷可能对检测有产后抑郁症风险的女性有重要帮助，从而能够进行预防性干预。
原文中“preceded by”此处翻译为“先于；在……之前就已存在”，因未明确给出完整准确的中文释义要求，所以翻译可能稍显生硬，可根据上下文进一步优化调整。
