围产期睡眠紊乱与妄想观念和抑郁有关。
Disordered sleep is related to delusional ideation and depression during the perinatal period.
机构信息
Department of Psychiatry, McGill University, Montreal, Quebec, Canada; Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec, Canada; Department of Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada.
Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec, Canada; Department of Psychology, University of Calgary, Calgary, Alberta, Canada.
出版信息
Sleep Health. 2020 Apr;6(2):179-184. doi: 10.1016/j.sleh.2020.01.001. Epub 2020 Feb 7.
OBJECTIVES
This study investigates the associations between sleep disturbances, delusional ideation (DI), and depressive symptomatology across the perinatal period.
METHODS
A community sample of 316 mothers completed the Sleep Symptom Checklist, Peters Delusional Inventory, and Edinburgh Postnatal Depression Scale at three time points: second trimester of pregnancy (12-14 weeks gestation), third trimester (32-34 weeks gestation), and two months postpartum.
RESULTS
Longitudinal path analysis revealed a bidirectional relationship between sleep disturbance and DI across pregnancy. Sleep disturbances in early pregnancy directly predicted symptoms of depression in late pregnancy and had an indirect effect on postpartum depression through DI in late pregnancy.
CONCLUSIONS
Our results suggest that disturbed sleep during pregnancy plays a role in increased levels of DI and depressive symptoms during pregnancy and postpartum.
目的
本研究调查了整个围产期睡眠障碍、妄想观念（DI）和抑郁症状之间的关联。
方法
一项社区样本研究共纳入了 316 名母亲，她们在三个时间点完成了睡眠症状清单、彼得斯妄想量表和爱丁堡产后抑郁量表：妊娠中期（12-14 周妊娠）、妊娠晚期（32-34 周妊娠）和产后两个月。
结果
纵向路径分析显示，妊娠期间睡眠障碍与 DI 之间存在双向关系。妊娠早期的睡眠障碍直接预测了妊娠晚期的抑郁症状，并且通过妊娠晚期的 DI 对产后抑郁产生了间接影响。
结论
我们的研究结果表明，妊娠期间的睡眠障碍与妊娠和产后期间 DI 水平升高和抑郁症状有关。
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