Dagla Maria, Dagla Calliope, Mrvoljak-Theodoropoulou Irina, Kavakou Aikaterini-Taxiarchoula, Rigoutsou Eleni, Antoniou Evangelia
Day Center for the Care of the Mental Health of Women (Perinatal Mental Health Disorders), Non-Profit Organization "FAINARETI", Athens, Greece.
Department of Midwifery, Faculty of Health and Caring Sciences, University of West Attica, Athens, Greece.
Mater Sociomed. 2021 Mar;33(1):21-25. doi: 10.5455/msm.2021.33.21-25.
Infant sleep difficulties are often a challenge for new parents and may be related to maternal mood.
The aim of this study was to investigate whether the presence of reported infant sleep difficulties at the 6 week and at the 12 month postpartum is associated with maternal psychological well-being and the presence of a mental health disorder in the perinatal period or with other perinatal factors.
It is a retrospective longitudinal study, examining a sample of 622 women who attended a 12-month innovative psychosocial intervention. Data were obtained through the EPDS and PHQ-9 psychometric tools, and the completion of a health history. Statistical analyses included Spearman rank correlation coefficients and C.
Reported infant sleep difficulties at the 6 week postpartum were associated with a) increased maternal scores on psychometric tools (EPDS and PHQ-9) during pregnancy and at the 6 week postpartum, b) the presence of pathological maternal mental health symptoms in the perinatal period ( =.034), c) high maternal educational level ( <.001), and d) reported maternal breastfeeding difficulties at the 6 week postpartum ( =.031). Reported infant sleep difficulties at the 12 month postpartum were associated with a) increased maternal scores on the EPDS at the 6 week after birth ( =.030), and at the 6 ( =.031) and the 12 month ( =.006) postpartum, b) reported infant sleep difficulties ( <.001) and frequent infant awakenings in the puperperium ( <.001), d) maternal fatigue at the 6 week postpartum ( <.001), e) infant gastro-esophageal reflux problems ( <.001), and f) high maternal educational level ( =.001).
This study demonstrates a positive relationship between infant sleep difficulties at the 6 week and at the 12 months postpartum, with poor maternal mental health in the perinatal period.
婴儿睡眠困难对初为人父母者来说常常是一项挑战，且可能与母亲的情绪有关。
本研究旨在调查产后6周和12个月时报告的婴儿睡眠困难是否与母亲的心理健康、围产期精神健康障碍的存在或其他围产期因素相关。
这是一项回顾性纵向研究，对622名参加为期12个月创新心理社会干预的女性样本进行了检查。数据通过爱丁堡产后抑郁量表（EPDS）和患者健康问卷-9（PHQ-9）心理测量工具以及健康史的填写获得。统计分析包括斯皮尔曼等级相关系数和C。
产后6周报告的婴儿睡眠困难与以下因素相关：a）孕期和产后6周时母亲在心理测量工具（EPDS和PHQ-9）上的得分增加；b）围产期存在病理性母亲心理健康症状（P =.034）；c）母亲教育水平高（P <.001）；d）产后6周报告的母亲母乳喂养困难（P =.031）。产后12个月报告的婴儿睡眠困难与以下因素相关：a）出生后6周（P =.030）、产后6周（P =.031）和产后12个月（P =.006）时母亲在EPDS上的得分增加；b）报告的婴儿睡眠困难（P <.001）和产褥期婴儿频繁醒来（P <.001）；d）产后6周母亲疲劳（P <.001）；e）婴儿胃食管反流问题（P <.001）；f）母亲教育水平高（P =.001）。
本研究表明产后6周和12个月时婴儿睡眠困难与围产期母亲心理健康不佳之间存在正相关关系。
