Volume 21 Issue 9
Sep.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(9): 1552-1555
JI Wenjia, RAO Lin, ZHOU Xuan, LIU Zhiwei, LI Hong. Longitudinal study of gestational psychological health and sleep quality[J]. Chinese Journal of General Practice, 2023, 21(9): 1552-1555. doi: 10.16766/j.cnki.issn.1674-4152.003168
Citation: JI Wenjia, RAO Lin, ZHOU Xuan, LIU Zhiwei, LI Hong. Longitudinal study of gestational psychological health and sleep quality[J]. Chinese Journal of General Practice, 2023, 21(9): 1552-1555. doi: 10.16766/j.cnki.issn.1674-4152.003168
shu

Longitudinal study of gestational psychological health and sleep quality

doi: 10.16766/j.cnki.issn.1674-4152.003168
  • 1.

    Nursing Department, Ruijin Hospital Affiliated to Jiaotong University School of Medicine, Shanghai 200025, China

Funds:

 2022YFC2702903

 2016YFC1000203

 沪交医[2021]21

 2022SD-B02

  • Received Date: 2022-12-07
    Available Online: 2023-10-19
    Abstract
  •   Objective  To explore changes of gestational psychological health and sleep quality in women, and to analyze influencing factors of sleep quality.  Methods  A total of 3 904 natural conception women undergoing antenatal examinations in the International Peace Maternity & Child Health Hospital, Shanghai Jiao Tong University School of Medicine were enrolled as the research objects from January 2020 to December 2021. The psychological health and sleep quality of women in early (10-14 gestational weeks), middle (20-24 gestational weeks) and late pregnancy (28-32 gestational weeks) were evaluated by self-rating anxiety scale (SAS), the center for epidemiological studies depression scale (CES-D), the perceived stress scale (PSS-10) and Pittsburgh sleep quality index (PSQI), and influencing factors of sleep quality were analyzed.  Results  In early pregnancy, proportions of anxiety, depression and stress were 11.83%, 42.32% and 71.47%, which were higher than those in middle and late pregnancy. The proportions of sleep disorders in early, middle and late pregnancy were 14.81%, 50.59% and 16.14%, respectively. Linear mixed model analysis showed that anxiety (B=0.548, P<0.001), depression (B=0.768, P<0.001), stress (B=0.649, P=0.002), age (B=0.646, P=0.023), education level of college degree or above (B=0.699, P=0.023), unemployment (B=0.429, P=0.004), family income (B=0.452, P=0.039), gravidity (B=0.608, P=0.044) and parity (B=0.606, P=0.017) were influencing factors of sleep disorders (all P<0.05). The random intercept model showed that with the increase of pregnant time, the change trend of sleep quality was the same in women with different gestational periods (B=9.621, P<0.001).  Conclusion  The incidence of psychological problems (anxiety, depression, stress) is high in women during pregnancy. Gestational psychological health is closely related to sleep quality. Professional staffs for women and children should pay attentions to psychological status in early pregnancy and sleep quality during pregnancy.

     

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    • References(24)
  • [1]
    ROHILLA M, JOSHI B, JAIN V, et al. Advanced abdominal pregnancy: a search for consensus. Review of literature along with case report[J]. Arch Gynecol Obstet, 2018, 298(1): 1-8. doi: 10.1007/s00404-018-4743-3
    [2]
    唐轶, 兰茜, 张亦奇, 等. 孕早期焦虑和抑郁对妊娠期糖尿病的影响[J]. 卫生研究, 2020, 49(2): 179-184. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ202002003.htm

    TANG Y, LAN X, ZHANG Y Q, et al. Anxiety and depression on gestational diabetes mellitus in early pregnancy[J]. Journal of Hygiene Research, 2020, 49(2): 179-184. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ202002003.htm
    [3]
    黄少华, 彭磊, 杜岩, 等. 徐州地区妊娠糖尿病孕妇体质量及体成分对妊娠结局的影响[J]. 营养学报, 2020, 42(1): 102-104. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXX202001025.htm

    HUNAG S H, PENG L, DU Y, et al. Effects of body weight and body composition on pregnancy outcomes in pregnant women with gestational diabetes mellitus in Xuzhou[J]. Acta Nutrimenta Sinica, 2020, 42(1): 102-104. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXX202001025.htm
    [4]
    NAKIĆ RADOŠ S, TADINAC M, HERMAN R. Anxiety during pregnancy and postpartum: course, predictors and comorbidity with postpartum depression[J]. Acta Clin Croat, 2018, 57(1): 39-51. doi: 10.20471/acc.2018.57.01.05
    [5]
    SEDOV I D, CAMERON E E, MADIGAN S, et al. Sleep quality during pregnancy: a meta-analysis[J]. Sleep Med Rev, 2018, 38: 168-176. doi: 10.1016/j.smrv.2017.06.005
    [6]
    MCLAFFERTY L P, SPADA M, GOPALAN P. Pharmacologic treatment of sleep disorders in pregnancy[J]. Sleep Med Clin, 2018, 13(2): 243-250. doi: 10.1016/j.jsmc.2018.02.004
    [7]
    常燕燕, 唐吉友. 睡眠障碍对妊娠的影响//中国睡眠研究会第十一届全国学术年会论文汇编[C]. 济南, 2019.

    CHANG Y Y, TANG J Y. The impact of sleep disorders on pregnancy: proceedings of the 11th national academic annual conference of the Chinese Sleep Research Society[C]. Jinan, 2019.
    [8]
    夏兰, 余银, 黄宏伟, 等. 妊娠期女性睡眠质量的横断面调查[J]. 中国妇幼健康研究, 2021, 32(3): 338-343. https://www.cnki.com.cn/Article/CJFDTOTAL-SANE202103005.htm

    XIA L, YU Y, HUANG H W, et al. A cross-sectional study on sleep quality of pregnant women[J]. Chinese Journal of Woman and Child Health Research, 2021, 32(3): 338-343. https://www.cnki.com.cn/Article/CJFDTOTAL-SANE202103005.htm
    [9]
    钱舒华, 朱新丽, 沈蓓蓓, 等. 孕早期和孕晚期焦虑状态对产妇分娩方式的影响[J]. 中华护理杂志, 2021, 56(2): 245-249. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202102020.htm

    QIAN S H, ZHU X L, SHEN B B, et al. Effects of anxiety about pregnant women in the first and third trimesters on the delivery modes[J]. Chin J Nurs, 2021, 56(2): 245-249. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202102020.htm
    [10]
    段泉泉, 胜利. 焦虑及抑郁自评量表的临床效度[J]. 中国心理卫生杂志, 2012, 26(9): 676-679. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201209007.htm

    DUAN Q Q, SHENG L. Differential validity of SAS and SDS among psychiatric non-psychotic outpatients and their partners[J]. Chinese Mental Health Journal, 2012, 26(9): 676-679. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201209007.htm
    [11]
    COHEN S, WILLIAMSON G M. Perceived stress in a probability sample of the United States[M]. Newbury ParkCA: Sage Publications, 1988: 31-67.
    [12]
    章婕, 吴振云, 方格, 等. 流调中心抑郁量表全国城市常模的建立[J]. 中国心理卫生杂志, 2010, 24(2): 139-143. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201002019.htm

    ZHANG J, WU Z Y, FANG G. Development of the Chinese age norms of CES-D in urban area[J]. Chinese Mental Health Journal, 2010, 24(2): 139-143. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201002019.htm
    [13]
    刘贤臣, 唐茂芹, 胡蕾, 等. 匹兹堡睡眠质量指数的信度和效度研究[J]. 中华精神科杂志, 1996, 5(2): 103-107. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHMA199602018.htm

    LIU X C, TANG M Q, HU L, et al. Reliability and validity of the Pittsburgh sleep quality index[J]. Chinese Journal of Psychiatry, 1996, 5(2): 103-107. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHMA199602018.htm
    [14]
    BRANDT T, DIETERICH M. 'Excess anxiety' and 'less anxiety' : both depend on vestibular function[J]. Curr Opin Neurol, 2020, 33(1): 136-141.
    [15]
    GU J, GUAN H B. Maternal psychological stress during pregnancy and risk of congenital heart disease in offspring: a systematic review and meta-analysis[J]. J Affect Disord, 2021, 291: 32-38.
    [16]
    DEKKERS G W F, BROEREN M A C, TRUIJENS S E M, et al. Hormonal and psychological factors in nausea and vomiting during pregnancy[J]. Psychol Med, 2020, 50(2): 229-236.
    [17]
    MOGHADDAM HOSSEINI V, NAZARZADEH M, JAHANFAR S. Interventions for reducing fear of childbirth: a systematic review and meta-analysis of clinical trials[J]. Women Birth, 2018, 31(4): 254-262.
    [18]
    陈宝西, 王媛. 孕妇孕早期、孕中期、孕晚期妊娠压力对比研究[J]. 实用妇科内分泌电子杂志, 2019, 6(26): 25, 175. https://www.cnki.com.cn/Article/CJFDTOTAL-FKDZ201926013.htm

    CHEN B X, WANG Y. Comparative study of pregnancy stress in the first trimester, second trimester and third trimester[J]. Electronic Journal of Practical Gynecologic Endocrinology, 2019, 6(26): 25, 175. https://www.cnki.com.cn/Article/CJFDTOTAL-FKDZ201926013.htm
    [19]
    魏荣, 刘鹏, 田甜, 等. 孕晚期孕妇睡眠质量及抑郁现状调查研究[J]. 陕西医学杂志, 2020, 49(2): 247-249, 253. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYZ202002032.htm

    WEI R, LIU P, TIAN T, et al. Survey of sleep quality and depression of late pregnancy[J]. Shaanxi Medical Journal, 2020, 49(2): 247-249, 253. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYZ202002032.htm
    [20]
    李萍, 任珍珍. 高龄二胎孕妇心理压力现状及其影响因素[J]. 中国健康心理学杂志, 2020, 28(3): 356-359.

    LI P, REN Z Z. Analysis of status quo and influencing factors of psychological pressure in advanced pregnant women with second pregnancy[J]. China Journal of Health Psychology, 2020, 49(2): 247-249, 253.
    [21]
    马新雅, 杨单单, 徐耀明, 等. 简阳市322名妊娠期妇女焦虑抑郁现状及影响因素[J]. 中华疾病控制杂志, 2020, 24(1): 109-113. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ202001023.htm

    MA X Y, YANG D D, XU Y M, et al. Prevalence and influencing factors of depression and anxiety among 322 pregnant women in Jianyang City[J]. Chinese Journal of Disease Control & Prevention, 2020, 28(3): 356-359. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ202001023.htm
    [22]
    严丹丹, 袁静萍, 阎红琳, 等. 新型冠状病毒肺炎疫情对孕妇孕期焦虑情绪的影响及研究[J]. 国际妇产科学杂志, 2021, 48(1): 110-114. https://www.cnki.com.cn/Article/CJFDTOTAL-GWVC202101024.htm

    YAN D D, YUAN J P, YAN H L, et al. Effect of COVID-19 epidemic on pregnant women's anxiety during rregnancy[J]. Chinese Journal of Disease Control, 2020, 24(1): 109-113. https://www.cnki.com.cn/Article/CJFDTOTAL-GWVC202101024.htm
    [23]
    成艳丽, 陈东, 肖菊姣, 等. 新冠肺炎疫情期间参与疫情防控全科医生心理及睡眠状态分析[J]. 中华全科医学, 2020, 18(11): 1879-1883. doi: 10.16766/j.cnki.issn.1674-4152.001644

    CHENG Y L, CHEN D, XIAO J J, et al. Analysis on psychological and sleep state of general practitioners involved in epidemic prevention and control during the novel coronavirus pneumonia epidemic[J]. Chinese Journal of General Practice, 2020, 18(11): 1879-1883. doi: 10.16766/j.cnki.issn.1674-4152.001644
    [24]
    RAHMANI M, RAHMANI F, REZAEI N. The brain-derived neurotrophic factor: missing link between sleep deprivation, insomnia, and depression[J]. Neurochem Res, 2020, 45(2): 221-231.
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