ArticleSleep medicine2020
Association of stress-related sleep disturbance with psychiatric symptoms among pregnant women.
Article in Sleep medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Adverse Maternal and Fetal Outcomes Associated with Insomnia During Pregnancy: a Systematic Review and Meta-Analysis.Reproductive sciences (Thousand Oaks, Calif.) · 2025Pooled it
- Sleep disturbance and its associated factors among pregnant women in Ethiopia: systematic review and meta-analysis.BMC psychiatry · 2024Pooled it
- Insomnia evaluation and treatment during peripartum: a joint position paper from the European Insomnia Network task force "Sleep and Women," the Italian Marcè Society and international experts task force for perinatal mental health.Archives of women's mental health · 2022Pooled it
- Sleep, evening light exposure and perceived stress in healthy nulliparous women in the third trimester of pregnancy.PloS one · 2021Trial
- The relationship of sleep problems between eight-year-old South African children and their mothers.Journal of global health · 2025Article
- Prevalence and associated factors of insomnia disorder among women attending antenatal care.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Associations between sleep and circadian rhythm disruption and perinatal anxiety.Npj biological timing and sleep · 2025Review
- Relationship between sleep pattern dysfunction with psychological stress, anxiety and depression among pregnant women.Pakistan journal of medical sciences · 2025Article
- Sleep Disturbances Among Pregnant Women Attending a Maternity Teaching Hospital in Erbil, Iraq.Cureus · 2024Article
- Prevalence of perinatal post-traumatic stress disorder (PTSD) in low-income and middle-income countries: a systematic review and meta-analysis.BMJ public health · 2024Article
- Dose-response associations of maternal prenatal noise exposure duration with antepartum depression status.BMC pregnancy and childbirth · 2024Article
- Postpartum Psychosis: A Review of Risk Factors, Clinical Picture, Management, Prevention, and Psychosocial Determinants.Medical science monitor : international medical journal of experimental and clinical research · 2023Review
- Prevalence and associated factors of insomnia symptoms among pregnant women in the third trimester in a moderately developing region of China.BMC public health · 2023Article
- Predictor role of marital conflict on maternal competency with mediating role of perceived stress and concerns during pregnancy: A structural equation model.Neuropsychopharmacology reports · 2023Article
- Self perceived health and stress in the pregnancy during the COVID-19 pandemic.Frontiers in psychiatry · 2023Article
- Review
- Associated factors of depression in pregnant women in Korea based on the 2019 Korean Community Health Survey: a cross-sectional study.Korean journal of women health nursing · 2022Article
- Interaction of Insomnia and Somatization with Post-Traumatic Stress Disorder in Pregnant Women During the COVID-19 Pandemic.Neuropsychiatric disease and treatment · 2021Article
- Anxiety and depressive symptoms among COVID-19 patients in Jianghan Fangcang Shelter Hospital in Wuhan, China.PloS one · 2020Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundPhysiological changes during pregnancy are often accompanied by reduced sleep quality, sleep disruptions, and insomnia. Studies conducted among men and non-pregnant women have documented psychiatric disorders as common comorbidities of insomnia and other sleep disorders. However, no previous study has examined the association between stress-related sleep disturbances and psychiatric disorders among pregnant women.
methodsThis cross-sectional study included a total of 2051 pregnant women in Peru. The Spanish-language version of the Ford Insomnia Response to Stress Test (FIRST-S) was used to assess sleep disruptions due to stressful situations. Symptoms of antepartum depression, generalized anxiety disorder, and posttraumatic stress disorder (PTSD) were examined using the Patient Health Questionnaire-9, Generalized Anxiety Disorder Scale-7 and PTSD Checklist - Civilian Version, respectively. High risk for psychosis was assessed using the Prodromal Questionnaire. Multivariable logistic regression procedures were used to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CI).
resultsStress-related sleep disturbance was reported by 33.2% of women. Of all women, 24.9% had antepartum depression, 32.2% had generalized anxiety disorder, 30.9% had PTSD, and 27.6% were assessed as having a high risk of psychosis. After adjusting for confounders, women with stress-related sleep disturbances were more likely to experience antepartum depression (OR = 2.74; 95%CI: 2.22-3.38), generalized anxiety disorder (OR = 2.48; 95%CI: 2.04-3.02), PTSD (OR = 2.36; 95%CI: 1.93-2.88), and high risk for psychosis (OR = 2.07; 95%CI: 1.69-2.54) as compared to women without stress-related sleep disturbances.
conclusionsStress-related sleep disturbances during pregnancy are associated with increased odds of psychiatric disorders. Inquiring about stress related sleep disturbances during antenatal care may be beneficial for identifying and caring for women at high risk of psychiatric disorders.
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