ArticleBMC pregnancy and childbirth2019
Association of sleep quality during pregnancy with stress and depression: a prospective birth cohort study in China.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 4 of them syntheses that pooled it.
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Who cites it
73 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Prevalence of poor sleep quality and associated factors among women in Ethiopia: systematic review and meta -analysis.BMC public health · 2025Pooled it
- Magnitude and level of association between poor sleep quality and common mental disorders among reproductive age women in Ethiopia: systematic review and meta-analysis.BMC psychiatry · 2025Pooled it
- Sleep disturbance and its associated factors among pregnant women in Ethiopia: systematic review and meta-analysis.BMC psychiatry · 2024Pooled it
- Skin-to-skin contact to improve premature mothers' anxiety and stress state: A meta-analysis.Maternal & child nutrition · 2021Pooled it
- Effects of Digital Mindfulness Training for Couples on Psychological Distress and Infant Neuropsychological Development: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Effectiveness of Digital Guided Self-help Mindfulness Training During Pregnancy on Maternal Psychological Distress and Infant Neuropsychological Development: Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Sleep quality and health among pregnant smokers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Trial
- Sleep, evening light exposure and perceived stress in healthy nulliparous women in the third trimester of pregnancy.PloS one · 2021Trial
- Association between sleep impairment and gestational diabetes mellitus subtypes: A prospective cohort study.Sleep & breathing = Schlaf & Atmung · 2026Article
- Sleep quality and its determinants among pregnant women in Northwest India: A cross-sectional study.Indian journal of psychiatry · 2026Article
- The association between sleep trajectories throughout pregnancy and postpartum pain in individuals with overweight or obesity: A prospective cohort study.Journal of psychosomatic research · 2026Article
- Barriers to treatment-seeking behaviors among pregnant women with depression: a national cross-sectional study in Indonesia.Korean journal of family medicine · 2026Article
- Association between mental health and sleep quality among Forcibly Displaced Rohingya pregnant women living in Cox's Bazar, Bangladesh: a cross-sectional observation.BMC psychiatry · 2026Observational
- Repeated device-based measures of daily movement, sedentary behavior, and sleep at 6 months postpartum: the Pregnancy Environment and Lifestyle Study-2 cohort.Sleep advances : a journal of the Sleep Research Society · 2026Article
- Factors associated with poor sleep quality on the Pittsburgh Sleep Quality Index among hospitalized Ghanaian obstetrical patients.AJOG global reports · 2025Article
- Relationship between multidimensional sleep health and depression during late pregnancy: a cross-sectional study.BMC psychiatry · 2025Article
- A Comparative Study of the Effect of Anxiety, Stress and Poor Sleep on Multipara and Nullipara Pregnant Women.Cureus · 2025Article
- Pregnant women's sleep quality and its associated factors among antenatal care attendants in Bahir Dar City, Northwest Ethiopia.Scientific reports · 2025Article
- Analysis of potential categories of quality of life of transcatheter aortic valve replacement patients and discussion of their influencing factors.BMC cardiovascular disorders · 2025Article
- Effects of the Energy-Adjusted Dietary Inflammation Index During Pregnancy on Prenatal Depression: The Mediating Effect of Sleep Quality.Nutrients · 2025Article
13 more citing papers are in PubMed but not listed here.
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9 authors.
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Abstract
backgroundThe sleep quality of pregnant women in the third trimester is related to mental health. However, there is still a lack of large-scale cohort research exploring this relationship in the second trimester. Thus, we assessed the associations of sleep quality during the second trimester with antenatal stress and antenatal and postnatal depression.
methodsWe examined 1152 pregnant women from a prospective cohort study in China to assess the associations of sleep quality in the second trimester with antenatal stress, antenatal depression, and postnatal depression. We used linear regression models and logistic regression models to examine the associations of sleep quality (Pittsburgh Sleep Quality Index [PSQI]) during pregnancy with perinatal stress (Pregnancy Pressure Scale [PPS]) and depression (Edinburgh Postnatal Depression Scale [EPDS]) status. We further assessed the relationship in groups divided according to maternal age.
resultsPSQI scores were positively associated with antenatal PPS scores (β: 1.52, 95% confidence interval [CI]: 1.28, 1.76), antenatal EPDS scores (β: 0.68, 95% CI: 0.58, 0.78), and postpartum EPDS scores (β: 0.51, 95% CI: 0.38, 0.64). Poor sleep quality (PSQI scores ≥5) was associated with antenatal stress status (odds ratio [OR]: 2.60, 95% CI: 1.79, 3.77), antenatal depression status (OR: 3.42, 95% CI: 2.48, 4.72), and postpartum depression status (OR: 2.40, 95% CI: 1.58, 3.64) after adjusting maternal age, BMI, gestational age, smoking, educational level, annual household income and social support. The association of poor sleep quality (PSQI scores ≥5) in the second trimester with postnatal depression status was significant among women more than or equal to 30 years old (OR: 4.12, 95% CI: 2.18, 7.78) but not among women less than 30 years old after adjusting covariates above.
conclusionPoor sleep quality in the second trimester among Chinese pregnant women is associated with stress and depression symptoms. Strategies to boost sleep quality should be considered during prenatal health care to improve women's mental health status.
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