Divedi Pragati, Dwivedi Deepti, Kaur Nimarpreet, Chaudhary Pragyashaa, Chamola Sunil
Department of Obstetrics and Gynecology, Uttar Pradesh University of Medical Sciences, Saifai, IND.
Department of Physiology, Faculty of Medicine and Health Sciences, Shree Guru Gobind Singh Tricentenary (SGT) University, Gurugram, IND.
Cureus. 2025 Jun 17;17(6):e86205. doi: 10.7759/cureus.86205. eCollection 2025 Jun.
Sleep is an essential component of well-being. It is defined as a reversible behavioral state of perception disengagement from unresponsiveness to the environment. Sleep deprivation leads to stress, leading to mental issues like mood disorders and depression. This study has a prime focus on how the psychological parameters, like anxiety and stress, are affected by sleep deprivation during pregnancy and differentiates these in nullipara and multipara women.
The aim of this study was to study the effect of sleep health on the psychological health of pregnant women. The objectives were (i) to assess the quality of sleep in pregnant women by using the Pittsburgh Sleep Quality Index (PSQI 21 items), (ii) to compare the quality of sleep in multipara and nullipara pregnant women by using the Pittsburgh Sleep Quality Index (PSQI), (iii) to compare the psychological health in multipara and nullipara pregnant women by using the Perceived Stress Scale (PSS-10) & Generalized Anxiety Disorder-7 (GAD-7), and (iv) to compare the strength of association between sleep health and psychological health in multipara and nullipara pregnant women.
This is a cross-sectional study, done on 346 naturally conceived singleton literate pregnant women of age 18-41 years at eight weeks to 28 weeks of pregnancy who visited FMHS SGT Hospital Obstetrics & Gynecology Department following our inclusion criteria and gave consent during the study period. The study was conducted for a duration of six months from July 2024 to December 24.
The study results show that out of 346 women, 200 (57.80%) were nulliparous and 146 (42.2%) were multiparous. Among 346 women, 186 (53.76%) had poor sleep with a mean ±SD of 6.28 2.56, out of which 73 (39.24%) were multipara and 113 (60.75%) pregnancies were nullipara. A positive correlation of 0.53 was present between PSS-10 and PSQI global score. Also, a strong correlation of r=0.57 was present between the PSQI global score and GAD-7.
Increased levels of stress and anxiety had a vicious direct effect related to the poor quality of sleep by acting over HPA axis activity. Poor sleep health is an important indicator of the mental health of women during pregnancy. Multiparous women have better coping strategies than nulliparous women as they are more experienced from their previous pregnancies.
睡眠是幸福安康的重要组成部分。它被定义为一种可逆的行为状态，即从与环境无反应的感知脱离状态。睡眠剥夺会导致压力，进而引发情绪障碍和抑郁症等心理问题。本研究主要关注孕期睡眠剥夺如何影响焦虑和压力等心理参数，并区分初产妇和经产妇。
本研究的目的是探讨睡眠健康对孕妇心理健康的影响。目标包括：（i）使用匹兹堡睡眠质量指数（PSQI，21项）评估孕妇的睡眠质量；（ii）使用匹兹堡睡眠质量指数（PSQI）比较经产妇和初产妇孕妇的睡眠质量；（iii）使用感知压力量表（PSS - 10）和广泛性焦虑障碍量表（GAD - 7）比较经产妇和初产妇孕妇的心理健康；（iv）比较经产妇和初产妇孕妇睡眠健康与心理健康之间的关联强度。
这是一项横断面研究，对346名年龄在18 - 41岁、自然受孕的单胎有文化的孕妇进行，她们在怀孕8周至28周期间因符合纳入标准而就诊于FMHS SGT医院妇产科，并在研究期间签署了知情同意书。该研究于2024年7月至12月进行，为期6个月。
研究结果显示，在346名女性中，200名（57.80%）为初产妇，146名（42.2%）为经产妇。在346名女性中，186名（53.76%）睡眠质量较差，平均±标准差为6.28 ± 2.56，其中73名（39.24%）为经产妇，113名（60.75%）为初产妇。PSS - 10与PSQI全球得分之间存在0.53的正相关。此外，PSQI全球得分与GAD - 7之间存在r = 0.57的强相关。
压力和焦虑水平的升高通过作用于下丘脑 - 垂体 - 肾上腺（HPA）轴活动，对睡眠质量差产生了恶性直接影响。睡眠健康不佳是孕期女性心理健康的一个重要指标。经产妇由于有过怀孕经历，比初产妇有更好的应对策略。
