Evidence map›Paper›PMID 41199991›Full record

ArticleThe South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa2025

Prevalence and associated factors of insomnia disorder among women attending antenatal care.

Kennedy Kachingwe, Chimwemwe Munthali, Sylivester Malunga, Catherine Mselema, Geldine Chironda

Abstract read
In one paragraph

Article in The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Kennedy KachingweDepartment of Nursing and Midwifery, Faculty of Health Sciences, Saint John of God University, Mzuzu, Malawi.ORCID https://orcid.org/0009-0000-0881-5990
Chimwemwe MunthaliDepartment of Nursing and Midwifery, Faculty of Health Sciences, Saint John of God University, Mzuzu, Malawi.ORCID https://orcid.org/0000-0001-8033-493X
Sylivester MalungaDepartment of Clinical Medicine, Faculty of Health Sciences, Saint John of God University, Mzuzu, Malawi.ORCID https://orcid.org/0009-0002-8251-5894
Catherine MselemaDepartment of Nursing and Midwifery, Faculty of Health Sciences, Saint John of God University, Mzuzu, Malawi.ORCID https://orcid.org/0009-0004-6681-9841
Geldine ChirondaDepartment of Nursing and Midwifery, Faculty of Health Sciences, Saint John of God University, Mzuzu, Malawi.ORCID https://orcid.org/0000-0003-1361-1495

Funding

Malawi HIV Implementation Research Scientist Training Program (MHIRST)D43TW010060 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MINA CHRISTINE HOSSEINIPOUR, Victor Mwapasa · 2015 to 2026
$3.8M
FIC NIH HHS D43 TW010060
6 · The paper itself

Abstract

Background: Insomnia disorder is a modifiable risk factor for maternal and offspring psychopathology, yet it remains overlooked in low-resource settings like Malawi, where maternal mental health services are underprioritised. Aim: To assess the prevalence and associated psychiatric factors for insomnia disorder among pregnant women at Kamuzu Central Hospital (KCH). Setting: Antenatal care unit (ANC) at KCH, Lilongwe. Methods: A cross-sectional design was employed. Systematic random sampling was used to select 110 pregnant women. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate insomnia. Descriptive and logistic regression established the association between socio-demographic, obstetric, sleep arrangement and biometric factors and sleep quality. Results: The prevalence of insomnia disorder was found to be 79.1% (mean PSQI = 8.77 ± 3.79), indicating significant sleep disturbances. Logistic regression revealed a significant association with gestation, participants in the second trimester (adjusted odds ratio [AOR] = 5.21, 95% confidence interval [CI]: 1.49-18.26, Conclusion: Poor sleep quality is common among pregnant women in Malawi, with trimester-specific and psychosocial predictors elevating psychiatric risks. Contribution: Integration of sleep screening and perinatal mental health interventions into antenatal care is urgently needed in the second trimester to mitigate adverse maternal and offspring outcomes.

Indexed as

antenatal careinsomnia disorderMalawimental health disorderpregnant womensleep quality

Identifiers

PMID41199991
PMCPMC12587213

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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.