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孟加拉国北部农村地区孕妇抑郁症状与睡眠质量差之间的关联:一项基于社区的横断面研究。

Association between depressive symptoms and poor sleep quality among pregnant women in Northern Rural Bangladesh: a community-based cross-sectional study.

作者信息

Shaun Md Mahbubul Alam, Nizum Md Wahidur Rahman, Shuvo Md Asaduzzaman, Fayeza Fahmida, Faruk Md Omar, Alam Md Fakrul, Ahmed Md Sabbir, Zaman Sanjana, Mali Sujan Kanti, Hawlader Mohammad Delwer Hossain

机构信息

Department of Biochemistry and Food Analysis, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Dumki 8602, Patuakhali, Bangladesh.

Department of Public Health, School of Health and Life Sciences, North South University, Dhaka, 1229, Bangladesh.

出版信息

BMC Psychiatry. 2022 Mar 19;22(1):201. doi: 10.1186/s12888-022-03839-w.

DOI:10.1186/s12888-022-03839-w
PMID:35303810
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8933943/
Abstract

BACKGROUND

Adequate good quality of sleep is essential for physical fitness during pregnancy as well as being a depressive symptoms-free mind. However, there is little evidence of the relationship between depressive symptoms and poor sleep quality among pregnant women in Bangladesh. This study aimed to find the association between depressive symptoms and poor sleep quality among pregnant women in northern rural Bangladesh.

METHODS

A community-based cross-sectional study was carried out from May 2021 to June 2021 among 481 pregnant women tested positive in the pregnancy test of Jaldhaka and Dimla Upazila of Nilphamari district, Rangpur Division. Data were collected with a structured questionnaire including socio-demographic conditions, sleep quality, and depressive symptoms, comprising the Pittsburgh Sleep Quality Index (PSQI) and the Patient Health Questionnaire- 9 (PHQ-9).

RESULTS

8.94% of the women had depressive symptoms, whereas 38.88% of the participants were bad sleepers. However, women who had depressive symptoms [Adjusted odds ratio (AOR) = 2.55; 95% CI 1.33-4.9] and educational qualifications above 10 years [AOR = 0.60; 95% CI: 0.39-0.92] were associated with poor sleep quality.

CONCLUSIONS

A higher percentage of pregnant women had poor sleep quality, whereas depressive symptoms and academic background of the participants were significantly associated with poor sleep quality. Ensuring adequate sleep time and better quality could be helpful to prevent depressive symptoms.

摘要

背景

充足的高质量睡眠对于孕期的身体健康以及保持无抑郁症状的心态至关重要。然而,在孟加拉国,几乎没有证据表明孕妇的抑郁症状与睡眠质量差之间存在关联。本研究旨在探寻孟加拉国北部农村地区孕妇的抑郁症状与睡眠质量差之间的关联。

方法

2021年5月至2021年6月,在朗布尔专区尼尔帕马里县贾尔达卡和迪姆拉乌帕齐拉的481名妊娠试验呈阳性的孕妇中开展了一项基于社区的横断面研究。通过一份结构化问卷收集数据,内容包括社会人口学状况、睡眠质量和抑郁症状,其中包括匹兹堡睡眠质量指数(PSQI)和患者健康问卷-9(PHQ-9)。

结果

8.94%的女性有抑郁症状,而38.88%的参与者睡眠质量差。然而,有抑郁症状的女性[调整后的优势比(AOR)=2.55;95%置信区间1.33-4.9]以及教育年限超过10年的女性[AOR = 0.60;95%置信区间:0.39-0.92]与睡眠质量差有关。

结论

较高比例的孕妇睡眠质量差,而参与者的抑郁症状和学术背景与睡眠质量差显著相关。确保充足的睡眠时间和更好的睡眠质量可能有助于预防抑郁症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a0/8933943/32188ae650ab/12888_2022_3839_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a0/8933943/32188ae650ab/12888_2022_3839_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a0/8933943/32188ae650ab/12888_2022_3839_Fig1_HTML.jpg

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