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Archives of Women's Mental Health

, Volume 15, Issue 3, pp 185–192 | Cite as

Does activity matter: an exploratory study among mothers with preterm infants?

  • Shih-Yu Lee
  • Carol H. Grantham
  • Susan Shelton
  • Dana Meaney-Delman
Original Article

Abstract

The purpose of this study was to describe the daytime activity levels and their association with sleep, fatigue, depressive symptoms, and quality of life. Wrist actigraphy and questionnaires were used to examine 51 mothers with a preterm infant during their second week postpartum. Circadian activity rhythms (CAR) were less synchronized in these mothers; they experienced sleep disturbances, fatigue, depressive symptoms, and poor health-related quality of life (H-QOL). Compared to high-activity mothers, mothers with low activity levels slept less during nighttime but napped more during daytime, and reported more postpartum depressive symptoms. Further research is needed to examine the effect of low activity level and sleep loss on postpartum depression, and to develop interventions for improving rest/activity patterns for new mothers.

Keywords

Postpartum depression Activity Circadian rhythms Preterm infant Sleep 

References

  1. Ancoli-Israel S, Clopton P, Klauber MR, Fell R, Mason W (1997) Use of wrist activity for monitoring sleep/wake in demented nursing-home patients. Sleep 20:24–27PubMedGoogle Scholar
  2. Ancoli-Israel S, Cole R, Alessi C, Chambers M, Moorcroft W, Pollak CP (2003) The role of actigraphy in the study of sleep and circadian rhythms. Sleep 26:342–392PubMedGoogle Scholar
  3. Armstrong K, Edwards H (2003) The effects of exercise and social support on mothers reporting depressive symptoms: a pilot randomized controlled trial. Int J Ment Health Nurs 12:130–138PubMedCrossRefGoogle Scholar
  4. Borbely AA (1982) A two process model of sleep regulation. Hum Neurobiol 1(3):195–204PubMedGoogle Scholar
  5. Borbely AA, Achermann P (1992) Concepts and models of sleep regulation: an overview. J Sleep Res 1:63–79PubMedCrossRefGoogle Scholar
  6. Brown AC, Smolensky MH, D’Alonzo GE, Redman DP (1990) Actigraphy: a means of assessing circadian patterns in human activity. Chronobiol Int 7:125–133PubMedCrossRefGoogle Scholar
  7. CDC (2010) Preterm birth. Retrived May 10, 2011, from www.cdc.gov/reproductivehealth?MaternalInfantHealth/PretermBirth.htm
  8. Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786PubMedCrossRefGoogle Scholar
  9. Da Costa D, Lowensteyn I, Abrahamowicz M, Ionescu-Ittu R, Dritsa M, Rippen N, Cervantes P, Khalife S (2009) A randomized clinical trial of exercise to alleviate postpartum depressed mood. J Psychosom Obstet Gynaecol 30:191–200PubMedCrossRefGoogle Scholar
  10. Daley AJ, MacArthur C, Winter H (2007) The role of exercise in treating postpartum depression: a review of the literature. J Midwifery Womens Health 52:56–62PubMedCrossRefGoogle Scholar
  11. Ehlers CL, Frank E, Kupfer DJ (1988) Social zeitgebers and biological rhythms. A unified approach to understanding the etiology of depression. Arch Gen Psychiatry 45:948–952PubMedCrossRefGoogle Scholar
  12. Fletcher BS, Paul SM, Dodd MJ, Schumacher K, West C, Cooper B et al (2008) Prevalence, severity, and impact of symptoms on female family caregivers of patients at the initiation of radiation therapy for prostate cancer. J Clin Oncol 26:599–605PubMedCrossRefGoogle Scholar
  13. Gay CL, Lee KA, Lee SY (2004) Sleep patterns and fatigue in new mothers and fathers. Biol Res Nurs 5(4):311–318PubMedCrossRefGoogle Scholar
  14. Gehrman P, Marler M, Martin JL, Shochat T, Corey-Bloom J, Ancoli-Israel S (2005) The relationship between dementia severity and rest/activity circadian rhythms. Neuropsychiatr Dis Treat 1:155–163PubMedCrossRefGoogle Scholar
  15. Germain A, Kupfer DJ (2008) Circadian rhythm disturbances in depression. Hum Psychopharmacol 23(7):571–585PubMedCrossRefGoogle Scholar
  16. Goyal D, Gay C, Lee K (2009) Fragmented maternal sleep is more strongly correlated with depressive symptoms than infant temperament at three months postpartum. Arch Womens Ment Health 12:229–237PubMedCrossRefGoogle Scholar
  17. Greer TL, Trivedi MH (2009) Exercise in the treatment of depression. Curr Psychiatry Rep 11:466–472PubMedCrossRefGoogle Scholar
  18. Lee KA (1992) Self-reported sleep disturbances in employed women. Sleep 15:493–498PubMedGoogle Scholar
  19. Lee KA (2003) Impaired sleep. In: Carrieri-Kohlman VA, Lindsey M, West CM (eds) Pathophysiological phenomena in nursing, 3rd edn. Saunders, St. Louis, pp 363–385Google Scholar
  20. Lee SY (2007) Validating the general sleep disturbance scale among chinese american parents with hospitalized infants. J Transcult Nurs 18:111–117PubMedCrossRefGoogle Scholar
  21. Lee SY, Kimble LP (2009) Impaired sleep and well-being in mothers with low-birth-weight infants. J Obstet Gynecol Neonatal Nurs 38:676–685PubMedCrossRefGoogle Scholar
  22. Lee SY, Lee KA (2007) Early postpartum sleep and fatigue for mothers after cesarean delivery compared with vaginal delivery: an exploratory study. J Perinat Neonatal Nurs 21:109–113PubMedGoogle Scholar
  23. Lee KA, Hicks G, Nino-Murcia G (1991) Validity and reliability of a scale to assess fatigue. Psychiatry Res 36:291–298PubMedCrossRefGoogle Scholar
  24. Lee KA, Portillo C, Miramontes H (1996) SLEEP B.E.T.R.E.R. University of California, San FranciscoGoogle Scholar
  25. Lee KA, Beyene Y, Paparrigopoulos TJ, Dikeos DG, Soldatos CR (2007a) Circadian rhythms and sleep patterns in urban Greek couples. Biol Res Nurs 9(1):42–48PubMedCrossRefGoogle Scholar
  26. Lee SY, Lee KA, Rankin SH, Weiss SJ, Alkon A (2007b) Sleep disturbance, fatigue, and stress among Chinese-American parents with ICU hospitalized infants. Issues Ment Health Nurs 28:593–605PubMedCrossRefGoogle Scholar
  27. Lee ML, Swanson BE, de la Iglesia HO (2009) Circadian timing of REM sleep is coupled to an oscillator within the dorsomedial suprachiasmatic nucleus. Curr Biol 19:848–852PubMedCrossRefGoogle Scholar
  28. Lee SY, Lee KA, Aycock D, Decker M (2010) Circadian activity rhythms for mothers with an infant in ICU. Front Neurol 1:155PubMedGoogle Scholar
  29. Mayberry LJ, Horowitz JA, Declercq E (2007) Depression symptom prevalence and demographic risk factors among U.S. women during the first 2 years postpartum. J Obstet Gynecol Neonatal Nurs 36:542–549PubMedCrossRefGoogle Scholar
  30. McHorney CA, Ware JE Jr, Lu JF, Sherbourne CD (1994) The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care 32:40–66PubMedCrossRefGoogle Scholar
  31. Monteleone P, Martiadis V, Maj M (2010) Circadian rhythms and treatment implications in depression. Prog Neuropsychopharmacol Biol Psychiatry 35:1569–1574PubMedCrossRefGoogle Scholar
  32. Montgomery-Downs HE, Insana SP, Clegg-Kraynok MM, Mancini LM (2010). Normative longitudinal maternal sleep: the first 4 postpartum months. Am J Obstet Gynecol 203: 465.e1–7Google Scholar
  33. Okun ML, Kiewra K, Luther JF, Wisniewski SR, Wisner KL (2011) Sleep disturbances in depressed and nondepressed pregnant women. Depress Anxiety 28:676–685PubMedCrossRefGoogle Scholar
  34. Posmontier B (2008) Sleep quality in women with and without postpartum depression. J Obstet Gynecol Neonatal Nurs 37:722–735PubMedCrossRefGoogle Scholar
  35. Postolache TT, Oren DA (2005) Circadian phase shifting, alerting, and antidepressant effects of bright light treatment. Clin Sports Med 24:381–413PubMedCrossRefGoogle Scholar
  36. Vigod SN, Villegas L, Dennis CL, Ross LE (2010) Prevalence and risk factors for postpartum depression among women with preterm and low-birth-weight infants: a systematic review. BLOG 117:540–550Google Scholar
  37. Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483PubMedCrossRefGoogle Scholar
  38. Watson PE, McDonald BW (2007) Activity levels in pregnant New Zealand women: relationship with socioeconomic factors, well-being, anthropometric measures, and birth outcome. Appl Physiol Nutr Metab 32:733–742PubMedCrossRefGoogle Scholar
  39. Winkler D, Pjrek E, Praschak-Rieder N, Willeit M, Pezawas L, Konstantinidis A et al (2005) Actigraphy in patients with seasonal affective disorder and healthy control subjects treated with light therapy. Biol Psychiatry 58:331–336PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Shih-Yu Lee
    • 1
  • Carol H. Grantham
    • 1
  • Susan Shelton
    • 1
  • Dana Meaney-Delman
    • 2
  1. 1.Byrdine F. Lewis School of Nursing and Health ProfessionsGeorgia State UniversityAtlantaUSA
  2. 2.Department of Gynecology and ObstetricsEmory UniversityAtlantaUSA

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