Evidence map›Paper›PMID 33961078›Full record

ArticleSocial psychiatry and psychiatric epidemiology2021

Estimating the cumulative risk of postnatal depressive symptoms: the role of insomnia symptoms across pregnancy.

Johanna T Pietikäinen, Tommi Härkänen, Päivi Polo-Kantola, Hasse Karlsson, Tiina Paunio, Linnea Karlsson, E Juulia Paavonen

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
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

7 authors at 3 institutions in 1 country.

Johanna T PietikäinenDepartment of Psychiatry, Helsinki University Hospital and University of Helsinki, Helsinki, Finland. johanna.t.pietikainen@helsinki.fi.ORCID http://orcid.org/0000-0001-8124-5242
Tommi HärkänenDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Mannerheimintie 166, P. O. Box 30, 00271, Helsinki, Finland.
Päivi Polo-KantolaDepartment of Obstetrics and Gynaecology, Turku University Hospital, Turku University, Turku, Finland.
Hasse KarlssonDepartment of Clinical Medicine, The FinnBrain Birth Cohort Study, Turku Brain and Mind Center, University of Turku, Turku, Finland.
Tiina PaunioDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Mannerheimintie 166, P. O. Box 30, 00271, Helsinki, Finland.
Linnea KarlssonDepartment of Clinical Medicine, The FinnBrain Birth Cohort Study, Turku Brain and Mind Center, University of Turku, Turku, Finland.
E Juulia PaavonenDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Mannerheimintie 166, P. O. Box 30, 00271, Helsinki, Finland.
University of Helsinki · FIUniversity of Turku · FIFinnish Institute for Health and Welfare · FI

Funding

Academy of Finland 134950Academy of Finland 253270Academy of Finland 308588Academy of Finland 308589
6 · The paper itself

Abstract

purposeInsomnia symptoms during late pregnancy are a known risk for postnatal depressive symptoms (PDS). However, the cumulative effect of various risk factors throughout pregnancy has not been explored. Our aim was to test how various insomnia symptoms (sleep latency, duration, quality, frequent night awakenings, early morning awakenings) and other risk factors (e.g., history of depression, symptoms of depression and anxiety, as well as sociodemographic factors) in early, mid-, and late pregnancy predict PDS.

methodsUsing data from the FinnBrain Birth Cohort Study and logistic regression analyses, we investigated the associations of distinct insomnia symptoms at gw 14, 24, and 34 with depressive symptoms (Edinburgh Postnatal Depression Scale score ≥ 11) 3 months postnatally. We also calculated separate and combined predictive models of PDS for each pregnancy time point and reported the odds ratios for each risk group.

resultsOf the 2224 women included in the study, 7.1% scored EPDS ≥ 11 3 months postnatally. Our predictive models indicated that sleep latency of ≥ 20 min, anxiety in early pregnancy, and insufficient sleep during late pregnancy predicted the risk of PDS. Furthermore, we found highly elevated odds ratios in early, mid-, and late pregnancy for women with multiple PDS risk factors.

conclusionScreening of long sleep latency and anxiety during early pregnancy, in addition to depression screening, could be advisable. Odds ratios of risk factor combinations demonstrate the magnitude of cumulating risk of PDS when multiple risk factors are present.

Indexed as

Depression, PostpartumPregnancy ComplicationsSleep Initiation and Maintenance DisordersAnxietyCohort StudiesDepressionFemaleHumansPregnancyRisk FactorsCohort studiesHeat mapInsomniaPerinatalPostpartum depressionProspective

Identifiers

PMID33961078
PMCPMC8558280
OpenAlexW3159243661

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.