Evidence map›Paper›PMID 30030650›Full record

ArticleJournal of behavioral medicine2018

Poor sleep quality increases symptoms of depression and anxiety in postpartum women.

Michele L Okun, Roberta A Mancuso, Calvin J Hobel, Christine Dunkel Schetter, Mary Coussons-Read

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of behavioral medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06851286 (The Effect of Laughter Therapy Given to Mothers in The Postpartum Period on Their Perceived Stress, Sleep Quality and Breastfeeding Self-Efficacy Level; Randomized Controlled Trial), which is not on this map. Cited by 157 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
157citing papers in PubMed, 5 pooled it
13.8field-weighted citation impact, top 1% 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.

NCT06851286 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

The Effect of Laughter Therapy Given to Mothers in The Postpartum Period on Their Perceived Stress, Sleep Quality and Breastfeeding Self-Efficacy Level; Randomized Controlled Trial

TypeinterventionalSponsorSelcuk UniversityRan2025 to 2025Enrolled120ConditionsPostnatal Care, LactationArmsLaughter Therapy
3 · Its place in the literature

Who cites it

157 citing papers in PubMed, 5 syntheses or guidelines pooled it, 279 citations in OpenAlex.

  1. Pooled it
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  5. Effects of High-Intensity Interval Training on Sleep: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021
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  15. Letter to the article by Hirai et al.Journal of anesthesia · 2026
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97 more citing papers are in PubMed but not listed here.

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 4 institutions in 1 country.

Michele L OkunUniversity of Colorado Colorado Springs, Colorado Springs, USA. mokun@uccs.edu.
Roberta A MancusoUniversity of Colorado Colorado Springs, Colorado Springs, USA.
Calvin J HobelUniversity of California Los Angeles, Los Angeles, USA.
Christine Dunkel SchetterUniversity of California Los Angeles, Los Angeles, USA.
Mary Coussons-ReadUniversity of Colorado Colorado Springs, Colorado Springs, USA.
University of Colorado Colorado Springs · USCedars-Sinai Medical Center · USRegis University · USUniversity of California, Los Angeles · US

Funding

PREVENTION RESEARCH TRAINING:URBAN CHILDREN'S MENT HLTHT32MH015750 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHRISTINE DUNKEL SCHETTER · 1985 to 2026
$6.2M
Mechanisms & Effects of Prenatal Maternal Affect on Pregnancy & Infant DevelopmentR01HD073491 · NICHD · UNIVERSITY OF COLORADO · PI COUSSONS-READ, MARY E, DUNKEL SCHETTER, CHRISTINE · 2013 to 2017
$3.1M
NICHD NIH HHS R01 HD073491NIMH NIH HHS T32 MH015750
6 · The paper itself

Abstract

This study evaluated the relationship between sleep quality and symptoms of depression and anxiety in women studied in pregnancy and postpartum. Scores on standardized measures of sleep (PSQI) at 6 months postpartum, and symptoms of anxiety and depression (OASIS, the PHQ9, and EPDS) were assessed by structured interviews in 116 women in pregnancy and/or postpartum. Poor sleep quality was significantly associated with greater symptoms of depression and anxiety. Women who had significantly higher OASIS (anxiety) scores (β = .530, p < .001), PHQ9 (depression) scores (β = .496, p < .001), and EPDS (postpartum depression and anxiety) scores (β = .585, p < .001) also had elevated total PSQI scores after adjustment for covariates, including prenatal depression and anxiety scores. Though inferences about causality are not feasible, these results support emerging research showing sleep quality is a risk factor for negative maternal affect in the postpartum period. Assessment of maternal sleep hygiene is worth consideration as a component of identifying women at risk for postpartum depression and anxiety.

Indexed as

AdultAnxietyDepressionDepression, PostpartumDepressive DisorderFemaleHumansLongitudinal StudiesPostpartum PeriodPregnancyPsychiatric Status Rating ScalesSleep Initiation and Maintenance DisordersYoung AdultAnxietyDepressionEPDSPostpartumPSQISleep quality

Identifiers

PMID30030650
PMCPMC6192841
OpenAlexW2884497423

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.