Evidence map›Paper›PMID 40466951›Full record

ArticleJournal of affective disorders2025

Concurrent and prospective associations between sleep duration and timing and postpartum anxiety symptoms.

Rebecca C Cox, Brandon S Aylward, Isabella Macarelli, Michele L Okun

Abstract read
In one paragraph

Article in Journal of affective disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Rebecca C CoxSleep, Circadian Rhythms, and Psychopathology Laboratory, Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA; Sleep and Chronobiology Laboratory, Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA.
Brandon S AylwardHappiest Baby, Inc., USA.
Isabella MacarelliSleep and Chronobiology Laboratory, Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA.
Michele L OkunSleep and Biobehavioral Health Research Laboratory, BioFrontiers Center, University of Colorado Colorado Springs, Colorado Springs, CO, USA. Electronic address: mokun@uccs.edu.

Funding

Transdisciplinary Training in Sleep and Circadian RhythmsT32HL149646 · NHLBI · UNIVERSITY OF COLORADO · PI Kenneth P Wright · 2020 to 2026
$1.6M
NHLBI NIH HHS T32 HL149646
6 · The paper itself

Abstract

objectivesPostpartum anxiety is understudied and underdiagnosed. Given associations between postpartum anxiety and adverse maternal and infant outcomes, it is crucial to identify patterns and predictors of postpartum anxiety. We examined the associations between sleep duration and timing and postpartum anxiety over 6 months following delivery.

methodsA convenience sample of pregnant women with a history of depression (n = 162; 30-39 weeks) completed self-report measures of sleep, anxiety, and depression in the third trimester and once/month for 6 months following delivery. Concurrent and prospective associations between sleep duration, sleep timing, and postpartum anxiety symptoms were tested via 2-level multilevel models. Depression symptoms and insomnia status were included as covariates.

resultsClinically significant anxiety symptoms were more common than clinically significant depression symptoms at 3 out of 6 postpartum months (p's < .05). Anxiety symptoms increased over time (p < .001). Shorter month-level sleep duration was associated with higher concurrent anxiety symptoms, particularly in early postpartum months. Sleep timing was not significantly associated with concurrent anxiety symptoms (p > .05). Neither prior month sleep duration nor timing significantly predicted subsequent month anxiety symptoms (p's > .05).

conclusionsAcute reduction in sleep duration may signal the presence of elevated postpartum anxiety, particularly in the early postpartum months, but may not provide predictive utility for prospective increases in anxiety from month to month. Treatments for postpartum anxiety may benefit from targeting sleep duration. Future research should replicate these findings with objective sleep measures.

Indexed as

AnxietyDepression, PostpartumPostpartum PeriodSleepAdultFemaleHumansPregnancyPregnancy Trimester, ThirdProspective StudiesSleep DurationSleep Initiation and Maintenance DisordersTime FactorsYoung AdultAnxietyDepressionPerinatalPostpartumSleep durationSleep timing

Identifiers

PMID40466951
PMCPMC13638213

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.