Sleep disturbances and depressive symptoms in healthy postpartum women: A pilot study

Research in Nursing and Health

Volumn 35, Issue 3, 2012, Pages 314-323

  Tsai, Shao Yu ^a   Thomas, Karen A ^b  

^a NATIONAL TAIWAN UNIVERSITY   (Taiwan)

^b UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Depressive symptoms; Healthcare providers; Postpartum; Sleep; Women

Indexed keywords

ACTIMETRY; ADOLESCENT; ADULT; ARTICLE; DEPRESSION; FEMALE; HUMAN; PHYSIOLOGY; PILOT STUDY; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL RATING SCALE; PUERPERIUM; SLEEP; SLEEP DISORDER;

ACTIGRAPHY; ADOLESCENT; ADULT; DEPRESSION; FEMALE; HUMANS; PILOT PROJECTS; POSTPARTUM PERIOD; PSYCHIATRIC STATUS RATING SCALES; SLEEP; SLEEP DISORDERS; YOUNG ADULT;

EID: 84860614572     PISSN: 01606891     EISSN: 1098240X     Source Type: Journal    
DOI: 10.1002/nur.21469     Document Type: Article

References (42)

1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders: DSM-IV ( 4th ed.). Washington, DC: Author.
2. Armitage, R., Flynn, H., Hoffmann, R., Vazquez, D., Lopez, J., & Marcus, S. (2009). Early developmental changes in sleep in infants: The impact of maternal depression. Sleep, 32, 693- 696.
3. Armstrong, K. L., Van Haeringen, A. R., Dadds, M. R., & Cash, R. (1998). Sleep deprivation or postnatal depression in later infancy: Separating the chicken from the egg. Journal of Paediatrics and Child Health, 34, 260- 262.
4. Banks, S., & Dinges, D. F. (2007). Behavioral and physiological consequences of sleep restriction. Journal of Clinical Sleep Medicine, 3, 519- 528.
5. Bei, B., Milgrom, J., Ericksen, J., & Trinder, J. (2010). Subjective perception of sleep, but not its objective quality, is associated with immediate postpartum mood disturbances in healthy women. Sleep, 33, 531- 538.
6. Benson, K., Friedman, L., Noda, A., Wicks, D., Wakabayashi, E., & Yesavage, J. (2004). The measurement of sleep by actigraphy: Direct comparison of 2 commercially available actigraphs in a nonclinical population. Sleep, 27, 986- 989.
7. Bersani, G., Liberati, D., Rasa, A., Polli, E., Ciuffa, M., Limpido, L., ... Pacitti, F. (2010). Premorbid sleep, appetite, energy, and cognitive circadian profile in patients with depressive disorders. European Psychiatry, 25, 461- 464. DOI: 10.1016/j.eurpsy.2010.01.002
8. Boyce, P., Stubbs, J., & Todd, A. (1993). The Edinburgh Postnatal Depression Scale: Validation for an Australian sample. Australian and New Zealand Journal of Psychiatry, 27, 472- 476.
9. Cottrell, L., & Karraker, K. H. (2002). Correlates of nap taking in mothers of young infants. Journal of Sleep Research, 11, 209- 212.
10. Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782- 786.
11. de Souza, L., Benedito-Silva, A. A., Pires, M. L., Poyares, D., Tufik, S., & Calil, H. M. (2003). Further validation of actigraphy for sleep studies. Sleep, 26, 81- 85.
12. Dennis, C. L., & McQueen, K. (2009). The relationship between infant-feeding outcomes and postpartum depression: A qualitative systematic review. Pediatrics, 123, e736- e751.
13. Dennis, C. L., & Ross, L. (2005). Relationships among infant sleep patterns, maternal fatigue, and development of depressive symptomatology. Birth, 32, 187- 193.
14. Diego, M. A., Field, T., Hernandez-Reif, M., Cullen, C., Schanberg, S., & Kuhn, C. (2004). Prepartum, postpartum, and chronic depression effects on newborns. Psychiatry, 67, 63- 80.
15. Dorheim, S. K., Bondevik, G. T., Eberhard-Gran, M., & Bjorvatn, B. (2009a). Sleep and depression in postpartum women: A population-based study. Sleep, 32, 847- 855.
16. Dorheim, S. K., Bondevik, G. T., Eberhard-Gran, M., & Bjorvatn, B. (2009b). Subjective and objective sleep among depressed and non-depressed postnatal women. Acta Psychiatrica Scandinavica, 119, 128- 136.
17. Franzen, P. L., Siegle, G. J., & Buysse, D. J. (2008). Relationships between affect, vigilance, and sleepiness following sleep deprivation. Journal of Sleep Research, 17, 34- 41. DOI: 10.1111/j.1365-2869.2008.00635.x
18. Gay, C. L., Lee, K. A., & Lee, S. Y. (2004). Sleep patterns and fatigue in new mothers and fathers. Biological Research for Nursing, 5, 311- 318.
19. Goyal, D., Gay, C. L., & Lee, K. A. (2007). Patterns of sleep disruption and depressive symptoms in new mothers. Journal of Perinatal and Neonatal Nursing, 21, 123- 129.
20. Goyal, D., Gay, C., & Lee, K. (2009). Fragmented maternal sleep is more strongly correlated with depressive symptoms than infant temperament at three months postpartum. Archives of Women's Mental Health, 12, 229- 237.
21. Horowitz, J. A., & Damato, E. G. (1999). Mother's perceptions of postpartum stress and satisfaction. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 28, 595- 605.
22. Huang, C. M., Carter, P. A., & Guo, J. L. (2004). A comparison of sleep and daytime sleepiness in depressed and non-depressed mothers during the early postpartum period. Journal of Nursing Research, 12, 287- 296.
23. Hunter, L. P., Rychnovsky, J. D., & Yount, S. M. (2009). A selective review of maternal sleep characteristics in the postpartum period. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38, 60- 68.
24. Lanes, A., Kuk, J. L., & Tamim, H. (2011). Prevalence and characteristics of postpartum depression symptomatology among Canadian women: A cross-sectional study. BMC Public Health, 11, 302. DOI: 10.1186/1471-2458-11-302
25. Lee, K. A. (1992). Self-reported sleep disturbances in employed women. Sleep, 15, 493- 498.
26. Lee, K. A., Beyene, Y., Paparrigopoulos, T. J., Dikeos, D. G., & Soldatos, C. R. (2007). Circadian rhythms and sleep patterns in urban Greek couples. Biological Research for Nursing, 9, 42- 48.
27. Lee, K. A., & Gay, C. L. (2011). Can modifications to the bedroom environment improve the sleep of new parents? Two randomized controlled trials. Research in Nursing & Health, 34, 7- 19. DOI: 10.1002/nur.20413
28. Lee, K. A., Zaffke, M. E., & McEnany, G. (2000). Parity and sleep patterns during and after pregnancy. Obstetrics and Gynecology, 95, 14- 18.
29. Matsumoto, K., Shinkoda, H., Kang, M. J., & Seo, Y. J. (2003). Longitudinal study of mother's sleep-wake behaviors and circadian time patterns from late pregnancy to postpartum-Monitoring of wrist actigraphy and sleep logs. Biological Rhythm Research, 34, 265- 278.
30. Mezick, E. J., Matthews, K. A., Hall, M., Kamarck, T. W., Buysse, D. J., Owens, J. F., & Reis, S. E. (2009). Intra-individual variability in sleep duration and fragmentation: Associations with stress. Psychoneuroendocrinology, 34, 1346- 1354. DOI: 10.1016/j.psyneuen.2009.04.005
31. Montazeri, A., Torkan, B., & Omidvari, S. (2007). The Edinburgh Postnatal Depression Scale (EPDS): Translation and validation study of the Iranian version. BMC Psychiatry, 7, 11. DOI: 10.1186/1471-244X-7-11
32. Montgomery-Downs, H. E., Insana, S. P., Clegg-Kraynok, M. M., & Mancini, L. M. (2010). Normative longitudinal maternal sleep: The first 4 postpartum months. American Journal of Obstetrics and Gynecology, 203, 465 e1- 465 e7. DOI: 10.1016/j.ajog.2010.06.057
33. National Sleep Foundation. (2007). Women and sleep: Sleep in America poll. Retrieved from
34. Nishihara, K., & Horiuchi, S. (1998). Changes in sleep patterns of young women from late pregnancy to postpartum: Relationships to their infants' movements. Perceptual and Motor Skills, 87, 1043- 1056.
35. Oakley, N. R. (1997). Validation with polysomnography of the Sleepwatch sleep/wake scoring algorithm used by the Actiwatch activity monitoring system. Bend, OR: Mini Mitter Co. Inc.
36. Posmontier, B. (2008). Sleep quality in women with and without postpartum depression. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 37, 722- 735.
37. Shankar, A., Charumathi, S., & Kalidindi, S. (2011). Sleep duration and self-rated health: The national health interview survey 2008. Sleep, 34, 1173- 1177. DOI: 10.5665/SLEEP.1232
38. Signal, T. L., Gander, P. H., Sangalli, M. R., Travier, N., Firestone, R. T., & Tuohy, J. F. (2007). Sleep duration and quality in healthy nulliparous and multiparous women across pregnancy and post-partum. Australian & New Zealand Journal of Obstetrics and Gynaecology, 47, 16- 22. DOI: 10.1111/j.1479-828X.2006.00672.x
39. Stremler, R., Hodnett, E., Lee, K., MacMillan, S., Mill, C., Ongcangco, L., & Willan, A. (2006). A behavioral-educational intervention to promote maternal and infant sleep: A pilot randomized, controlled trial. Sleep, 29, 1609- 1615.
40. Swain, A. M., O'Hara, M. W., Starr, K. R., & Gorman, L. L. (1997). A prospective study of sleep, mood, and cognitive function in postpartum and nonpostpartum women. Obstetrics and Gynecology, 90, 381- 386. DOI: S0029-7844(97)89252-6
41. Weinberg, M. K., Tronick, E. Z., Beeghly, M., Olson, K. L., Kernan, H., & Riley, J. M. (2001). Subsyndromal depressive symptoms and major depression in postpartum women. American Journal of Orthopsychiatry, 71, 87- 97.
42. Yamazaki, A., Lee, K. A., Kennedy, H. P., & Weiss, S. J. (2005). Sleep-wake cycles, social rhythms, and sleeping arrangement during Japanese childbearing family transition. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 34, 342- 348.