The impact of sleep quality on pregnancy stress in pregnant women at high-risk of suspected depression
Objective To understand the mental health status of pregnant women in Haidian District,Beijing,and to screen the sleep quality and pregnancy stress of high-risk suspected depression individuals,explore the impact of sleep quality on pregnancy stress,and provide reference for healthy sleep and emotional management of pregnant women,as well as guidance for healthcare work.Methods A total of 1869 pregnant women who underwent psychological health screening for suspected depression in Beijing Haidian District Maternal and Child Health Hospital from July 2020 to December 2021[patients with a total score of ≥5 on the Patient Health Questionnaire-9 depression scale(PHQ-9 depression scale for short)]and completed psychological reevaluation were selected as the research subjects.Questionnaires,including the pregnancy stress rating scale(PSRS)and the Pittsburgh sleep quality index(PSQI),were administered to assess pregnant women's stress levels across different dimensions of sleep.A multivariable logistic regression model was used to evaluate the risk of increased pregnancy stress associated with sleep quality during pregnancy.Results Among 1 869 pregnant women,574 experienced pregnancy stress,accounting for 30.7％of the total.The top four sources of pregnancy stress,ranked from high to low,were"fear of severe pain"(60.9％),"concerns about the baby's health"(60.0％),"worries about the safety of childbirth for the baby"(59.8％),and"concerns about the safety of childbirth"(55.6％).The first three dimensions with higher scores of pregnant women's sleep quality(indicating poorer sleep quality)were"daytime dysfunction"with an average score of(1.52±0.95),"sleep efficiency"with an average score of(1.26±1.38),and"time to fall asleep"with an average score of(0.91±0.86),among which poor sleep quality had the highest proportion(40.1％).Multivariable logistic regression analysis revealed that a higher PSQI total score(β=1.426)and subjective poor sleep quality(β=0.987),long time to fall asleep(β=0.938),insufficient sleep duration(β=1.017),presence of sleep disturbances(β=2.253),and daytime dysfunction(β=0.926)significantly influenced pregnancy stress in pregnant women(P＜0.05).Increasing age(OR=0.951,95％CI:0.922-0.982),gestational age(OR=1.025,95％CI:1.012-1.038),and PSQI total score(OR=4.127,95％CI:3.314-5.140)were associated with increased pregnancy stress in pregnant women(P＜0.05).Conclusion Pregnant women at high risk of suspected depression with poor sleep quality during pregnancy are at increased risk of pregnancy stress.
pregnancymental health screeningpregnancy stresssleep quality
万方数据
维普
