Evidence map›Paper›PMID 26228760›Full record

ArticleArchives of women's mental health2016

Infant sleep and feeding patterns are associated with maternal sleep, stress, and depressed mood in women with a history of major depressive disorder (MDD).

Katherine M Sharkey, Ijeoma N Iko, Jason T Machan, Johanna Thompson-Westra, Teri B Pearlstein

Open access · greenAbstract read
In one paragraph

Article in Archives of women's mental health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  11. Cost-Effectiveness of Perinatal Depression Screening: A Scoping Review.Applied health economics and health policy · 2025
    Article
  12. Article
  13. Proposed domains of postpartum sleep: a concept elicitation study using qualitative interviews.Sleep advances : a journal of the Sleep Research Society · 2025
    Article
  14. Article
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  16. Article
  17. ABM Clinical Protocol #37: Physiological Infant Care-Managing Nighttime Breastfeeding in Young Infants.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Katherine M SharkeyDepartment of Medicine, Rhode Island Hospital and Alpert Medical School of Brown University, Providence, RI, USA. katherine_sharkey@brown.edu.
Ijeoma N IkoAlpert Medical School of Brown University, Providence, RI, USA.
Jason T MachanDepartments of Orthopaedics and Surgery, Rhode Island Hospital and Alpert Medical School of Brown University, Providence, RI, USA.
Johanna Thompson-WestraSleep for Science Research Laboratory, Providence, RI, USA.
Teri B PearlsteinDepartment of Psychiatry & Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
Brown University · USProvidence College · USRhode Island Hospital · US

Funding

Postpartum Depression: Role of Sleep & Genetic Risk in Postpartum Mood DisordersK23MH086689 · NIMH · RHODE ISLAND HOSPITAL · PI SHARKEY, KATHERINE M · 2011 to 2015
$831k
NIMH NIH HHS K23 MH086689NIMH NIH HHS K23-MH086689
6 · The paper itself

Abstract

Our goal was to examine associations of infant sleep and feeding patterns with maternal sleep and mood among women at risk for postpartum depression. Participants were 30 women (age ± SD = 28.3 ± 5.1 years) with a history of MDD (but not in a mood episode at enrollment) who completed daily sleep diaries, wore wrist actigraphs to estimate sleep, and had their mood assessed with the Hamilton Depression Rating Scale (HAM-D-17) during four separate weeks of the perinatal period (33 weeks pregnancy and weeks 2, 6, and 16 postpartum). They logged their infants' sleep and feeding behaviors daily and reported postnatal stress on the Childcare Stress Inventory (CSI) at week 16. Mothers' actigraphically estimated sleep showed associations with infant sleep and feeding patterns only at postpartum week 2. Shorter duration of the longest infant-sleep bout was associated with shorter maternal sleep duration (p = .02) and lower sleep efficiency (p = .04), and maternal sleep efficiency was negatively associated with the number of infant-sleep bouts (p = .008) and duration of infant feeding (p = .008). Neither infant sleep nor feeding was associated with maternal sleep at 6 or 16 weeks, but more disturbed infant sleep and more frequent feeding at 6 weeks were associated with higher HAM-D scores at 6 and 16 weeks and higher CSI scores. Sleep in the mother-infant dyad is most tightly linked in the early postpartum weeks, but mothers continue to experience disturbed sleep and infant sleep and feeding behaviors continue to be associated with mothers' depressive symptoms and stress ratings as long as 16 weeks postpartum. These data imply that interventions designed to improve maternal sleep and postpartum mood should include both mothers and infants because improving infant sleep alone is not likely to improve maternal sleep, and poor infant sleep is linked to postpartum depression and stress.

Indexed as

Feeding BehaviorAdultAffectBottle FeedingBreast FeedingDepressionDepression, PostpartumFemaleHumansInfantInfant, NewbornMother-Child RelationsMothersPregnancyPsychiatric Status Rating ScalesSleepDepressionInfantsPostpartumPregnancySleepStress

Identifiers

PMID26228760
PMCPMC4781668
OpenAlexW2233659632

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.