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Disturbed Sleep and Postpartum Depression

Current Psychiatry Reports volume 18, Article number: 66 (2016) Cite this article

Abstract

The perinatal period introduces a myriad of changes. One important but often overlooked change is an increased reporting of sleep disturbance. Although casually regarded as a consequence of pregnancy or postpartum, there is emerging evidence implicating significant sleep disturbance, characterized by insomnia symptoms and/or poor sleep quality, with adverse outcomes, such as an increase in depressive symptomatology or the development postpartum depression (PPD). Significant consequences may arise as a result including issues with maternal-infant bonding, effective care for the infant, and behavioral or emotional difficulties in the infant. This review discusses the relevant literature as to how disturbed sleep during pregnancy as well as in the postpartum may increase the risk for PPD.

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References

Papers of particular interest, published recently have been highlighted as: • Of importance •• Of major importance

  1. Wisner KL, Perel JM, Peindl KS, Hanusa BH, Findling RL, Rapport D. Prevention of recurrent postpartum depression: a randomized clinical trial. J Clin Psychiatry. 2001;62:82–6.

    CAS  Article  PubMed  Google Scholar 

  2. Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, Brody S, Miller WC: Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evid.Rep.Technol.Assess.(Summ.) 2005,1-8.

  3. O’Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev Clin Psychol. 2013;9:379–407.

    Article  PubMed  Google Scholar 

  4. O’Hara MW, Wisner KL. Perinatal mental illness: definition, description and aetiology. Best Pract Res Clin Obstet Gynaecol. 2014;28:3–12.

    Article  PubMed  Google Scholar 

  5. Mayberry LJ, Horowitz JA, Declercq E. Depression symptom prevalence and demographic risk factors among U.S. women during the first 2 years postpartum. J Obstet Gynecol Neonatal Nurs. 2007;36:542–9.

    Article  PubMed  Google Scholar 

  6. Wisner KL, Perel JM, Peindl KS, Hanusa BH, Piontek CM, Findling RL. Prevention of postpartum depression: a pilot randomized clinical trial. Am J Psychiatry. 2004;161:1290–2.

    Article  PubMed  Google Scholar 

  7. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-V), edn Fifth Edition, Text Revision. Washington: American Psychiatric Association; 2013.

    Google Scholar 

  8. Stowe ZN, Hostetter AL, Newport DJ. The onset of postpartum depression: implications for clinical screening in obstetrical and primary care. Am J Obstet Gynecol. 2005;192:522–6.

    Article  PubMed  Google Scholar 

  9. Wisner KL, Perel JM, Peindl KS, Hanusa BH. Timing of depression recurrence in the first year after birth. J Affect Disord. 2004;78:249–52.

    Article  PubMed  Google Scholar 

  10. Wisner KL, Chambers C, Sit DK. Postpartum depression: a major public health problem. JAMA. 2006;296:2616–8.

    CAS  Article  PubMed  Google Scholar 

  11. Logsdon MC, Wisner KL, Pinto-Foltz MD. The impact of postpartum depression on mothering. J Obstet Gynecol Neonatal Nurs. 2006;35:652–8.

    Article  PubMed  Google Scholar 

  12. Field T, Diego M, Hernandez-Reif M. Prenatal depression effects on the fetus and newborn: a review. Infant Behav Dev. 2006;29:445–55.

    Article  PubMed  Google Scholar 

  13. Field T, Diego M, Hernandez-Reif M, Figueiredo B, Schanberg S, Kuhn C, et al. Chronic prenatal depression and neonatal outcome. Int J Neurosci. 2008;118:95–103.

    Article  PubMed  Google Scholar 

  14. Barkin JL, Wisner KL, Bromberger JT, Beach SR, Wisniewski SR: Factors associated with postpartum maternal functioning in women with positive screens for depression. J.Womens Health (Larchmt.) 2015.

  15. Barr JA. Postpartum depression, delayed maternal adaptation, and mechanical infant caring: a phenomenological hermeneutic study. Int J Nurs Stud. 2008;45:362–9.

    Article  PubMed  Google Scholar 

  16. Barr JA, Beck CT. Infanticide secrets: qualitative study on postpartum depression. Can Fam Physician. 2008;54:1716–7.

    PubMed  PubMed Central  Google Scholar 

  17. Alder J, Fink N, Bitzer J, Hosli I, Holzgreve W. Depression and anxiety during pregnancy: a risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. J Matern Fetal Neonatal Med. 2007;20:189–209.

    Article  PubMed  Google Scholar 

  18. Moehler E, Brunner R, Wiebel A, Reck C, Resch F. Maternal depressive symptoms in the postnatal period are associated with long-term impairment of mother-child bonding. Arch Womens Ment Health. 2006;9:273–8.

    CAS  Article  PubMed  Google Scholar 

  19. Beck CT. Predictors of postpartum depression: an update. Nurs Res. 2001;50:275–85.

    CAS  Article  PubMed  Google Scholar 

  20. Bloch M, Daly RC, Rubinow DR. Endocrine factors in the etiology of postpartum depression. Compr Psychiatry. 2003;44:234–46.

    Article  PubMed  Google Scholar 

  21. O’Hara MW, Schlechte JA, Lewis DA, Varner MW. Controlled prospective study of postpartum mood disorders: psychological, environmental, and hormonal variables. J Abnorm Psychol. 1991;100:63–73.

    Article  PubMed  Google Scholar 

  22. Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol. 2005;106:1071–83.

    Article  PubMed  Google Scholar 

  23. Bloch M, Rotenberg N, Koren D, Klein E. Risk factors for early postpartum depressive symptoms. Gen Hosp Psychiatry. 2006;28:3–8.

    Article  PubMed  Google Scholar 

  24. Ross LE, Campbell VL, Dennis CL, Blackmore ER. Demographic characteristics of participants in studies of risk factors, prevention, and treatment of postpartum depression. Can J Psychiatry. 2006;51:704–10.

    PubMed  Google Scholar 

  25. Ford DE, Kamerow DB. Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention? JAMA. 1989;262:1479–84.

    CAS  Article  PubMed  Google Scholar 

  26. Perlis ML, Giles DE, Buysse DJ, Tu X, Kupfer DJ. Self-reported sleep disturbance as a prodromal symptom in recurrent depression. J Affect Disord. 1997;42:209–12.

    CAS  Article  PubMed  Google Scholar 

  27. Tsuno N, Besset A, Ritchie K. Sleep and depression. J Clin Psychiatry. 2005;66:1254–69.

    Article  PubMed  Google Scholar 

  28. Perlman CA, Johnson SL, Mellman TA. The prospective impact of sleep duration on depression and mania. Bipolar Disord. 2006;8:271–4.

    Article  PubMed  Google Scholar 

  29. Bei B, Milgrom J, Ericksen J, Trinder J. Subjective perception of sleep, but not its objective quality, is associated with immediate postpartum mood disturbances in healthy women. Sleep. 2010;33:531–8.

    PubMed  PubMed Central  Google Scholar 

  30. Coble PA, Reynolds CF, Kupfer DJ, Houck PR, Day NL, Giles DE. Childbearing in women with and without a history of affective disorder. II. Electroencephalographic sleep. Compr Psychiatry. 1994;35:215–24.

    CAS  Article  PubMed  Google Scholar 

  31. Dorheim SK, Bjorvatn B, Eberhard-Gran M. Insomnia and depressive symptoms in late pregnancy: a population-based study. Behav Sleep Med. 2012;10:152–66.

    Article  PubMed  Google Scholar 

  32. Dorheim SK, Bjorvatn B, Eberhard-Gran M. Can insomnia in pregnancy predict postpartum depression? A longitudinal, population-based study. PLoS ONE. 2014;9, e94674. In this paper, the authors utilize the bidirectional relationship between sleep and depression to try and evaluate whether insomnia can predict postpartum depression. Similar to other reports, women with a history of depression were more likely to have recurrent depression if they also had significant insomnia.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Marques M, Bos S, Soares MJ, Maia B, Pereira AT, Valente J, et al. Is insomnia in late pregnancy a risk factor for postpartum depression/depressive symptomatology? Psychiatry Res. 2011;186:272–80.

    Article  PubMed  Google Scholar 

  34. Okun ML, Hanusa BH, Hall M, Wisner KL. Sleep complaints in late pregnancy and the recurrence of postpartum depression. Behav Sleep Med. 2009;7:106–17.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Okun ML, Kiewra K, Luther JF, Wisniewski SR, Wisner KL. Sleep disturbances in depressed and nondepressed pregnant women. Depress Anxiety. 2011;28:676–85.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Okun ML, Kline CE, Roberts JM, Wettlaufer B, Glover K, Hall M. Prevalence of sleep deficiency in early gestation and its associations with stress and depressive symptoms. J Womens Health (Larchmt). 2013;22:1028–37.

    Article  Google Scholar 

  37. Skouteris H, Wertheim EH, Germano C, Paxton SJ, Milgrom J. Assessing sleep during pregnancy: a study across two time points examining the Pittsburgh Sleep Quality Index and associations with depressive symptoms. Womens Health Issues. 2009;19:45–51.

    Article  PubMed  Google Scholar 

  38. Skouteris H, Germano C, Wertheim EH, Paxton SJ, Milgrom J. Sleep quality and depression during pregnancy: a prospective study. J Sleep Res. 2008;17:217–20.

    Article  PubMed  Google Scholar 

  39. Tikotzky L: Postpartum maternal sleep, maternal depressive symptoms and self-perceived mother-infant emotional relationship. Behav.Sleep Med. 2014,1-19.

  40. Tomfohr LM, Buliga E, Letourneau NL, Campbell TS, Giesbrecht GF. Trajectories of sleep quality and associations with mood during the perinatal period. Sleep. 2015;38:1237–45.

    PubMed  PubMed Central  Google Scholar 

  41. Wolfson AR, Crowley SJ, Anwer U, Bassett JL. Changes in sleep patterns and depressive symptoms in first-time mothers: last trimester to 1-year postpartum. Behav Sleep Med. 2003;1:54–67.

    Article  PubMed  Google Scholar 

  42. Driver HS, Shapiro CM. A longitudinal study of sleep stages in young women during pregnancy and postpartum. Sleep. 1992;15:449–53.

    CAS  PubMed  Google Scholar 

  43. Evans ML, Dick MJ, Clark AS. Sleep during the week before labor: relationships to labor outcomes. Clin Nurs Res. 1995;4:238–49.

    CAS  Article  PubMed  Google Scholar 

  44. Hedman C, Pohjasvaara T, Tolonen U, Suhonen-Malm AS, Myllyla VV. Effects of pregnancy on mothers’ sleep. Sleep Med. 2002;3:37–42.

    CAS  Article  PubMed  Google Scholar 

  45. Leung PL, Hui DS, Leung TN, Yuen PM, Lau TK. Sleep disturbances in Chinese pregnant women. BJOG. 2005;112:1568–71.

    Article  PubMed  Google Scholar 

  46. Mindell JA, Jacobson BJ. Sleep disturbances during pregnancy. J Obstet Gynecol Neonatal Nurs. 2000;29:590–7.

    CAS  Article  PubMed  Google Scholar 

  47. Okun ML, Coussons-Read ME. Sleep disruption during pregnancy: how does it influence serum cytokines? J Reprod Immunol. 2007;73:158–65.

    CAS  Article  PubMed  Google Scholar 

  48. Branchey M, Petre-Quadens O. A comparative study of sleep parameters during pregnancy. Acta Neurol Psychiatr Belg. 1968;68:453–9.

    CAS  PubMed  Google Scholar 

  49. Brunner DP, Munch M, Biedermann K, Huch R, Huch A, Borbély AA. Changes in sleep and sleep electroencephalogram during pregnancy. Sleep. 1994;17:576–82.

    CAS  PubMed  Google Scholar 

  50. Wilson DL, Barnes M, Ellett L, Permezel M, Jackson M, Crowe SF. Decreased sleep efficiency, increased wake after sleep onset and increased cortical arousals in late pregnancy. Aust NZ J Obstet Gynaecol. 2011;51:38–46.

    Article  Google Scholar 

  51. Wilson DL, Fung A, Walker SP, Barnes M. Subjective reports versus objective measurement of sleep latency and sleep duration in pregnancy. Behav Sleep Med. 2013;11:207–21.

    Article  PubMed  Google Scholar 

  52. Buysse DJ, Frank E, Lowe KK, Cherry CR, Kupfer DJ. Electroencephalographic sleep correlates of episode and vulnerability to recurrence in depression. Biol Psychiatry. 1997;41:406–18.

    CAS  Article  PubMed  Google Scholar 

  53. Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR. Prevalence of depression during pregnancy: systematic review. Obstet Gynecol. 2004;103:698–709.

    Article  PubMed  Google Scholar 

  54. Brummelte S, Galea LA: Depression during pregnancy and postpartum: contribution of stress and ovarian hormones. Prog.Neuropsychopharmacol.Biol.Psychiatry 2009.

  55. Jomeen J, Martin CR. Assessment and relationship of sleep quality to depression in early pregnancy. J Reprod Infant Psychol. 2007;25:97–9.

    Article  Google Scholar 

  56. Okun ML, Luther JF, Wisniewski SR, Wisner KL. Disturbed sleep and inflammatory cytokines in depressed and nondepressed pregnant women: an exploratory analysis of pregnancy outcomes. Psychosom Med. 2013;75:670–81.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  57. Ruiz-Robledillo N, Canario C, Dias CC, Moya-Albiol L, Figueiredo B: Sleep during the third trimester of pregnancy: the role of depression and anxiety. Psychol.Health Med. 2015,1-6. This report assesses the effect of depression on sleep during the third trimester after controlling for the comorbid effect of anxiety. Similar to other reports, they found that depression augmented sleep disturbances in the third trimester, even after controlling for other contributing factors.

  58. Huang CM, Carter PA, Guo JL. A comparison of sleep and daytime sleepiness in depressed and non-depressed mothers during the early postpartum period. J Nurs Res. 2004;12:287–96.

    Article  PubMed  Google Scholar 

  59. Posmontier B. Sleep quality in women with and without postpartum depression. J Obstet Gynecol Neonatal Nurs. 2008;37:722–35.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Clout D, Brown R. Sociodemographic, pregnancy, obstetric, and postnatal predictors of postpartum stress, anxiety and depression in new mothers. J Affect Disord. 2015;188:60–7.

    Article  PubMed  Google Scholar 

  61. Goyal D, Gay CL, Lee KA. Patterns of sleep disruption and depressive symptoms in new mothers. J Perinat Neonatal Nurs. 2007;21:123–9.

    Article  PubMed  Google Scholar 

  62. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213.

    CAS  Article  PubMed  Google Scholar 

  63. Park EM, Meltzer-Brody S, Stickgold R. Poor sleep maintenance and subjective sleep quality are associated with postpartum maternal depression symptom severity. Arch Womens Ment Health. 2013;16:539–47.

    Article  PubMed  Google Scholar 

  64. Krawczak EM, Minuzzi L, Hidalgo MP, Frey BN: Do changes in subjective sleep and biological rhythms predict worsening in postpartum depressive symptoms? A prospective study across the perinatal period. Arch.Womens Ment.Health 2016. In this paper, the authors prospectively evaluated the relationship between subjective changes in both sleep and biological rhythms and worsening of depressive symptoms from pregnancy to the postpartum period in women with and without mood disorders. They reported that changes in biological rhythms across the perinatal period, but not sleep quality, predicted worsening of depressive symptoms in both groups.

  65. Sharkey KM, Pearlstein TB, Carskadon MA. Circadian phase shifts and mood across the perinatal period in women with a history of major depressive disorder: a preliminary communication. J Affect Disord. 2013;150:1103–8. In this groundbreaking pilot study, the investigators measured changes in circadian phase and phase angle between salivary dim light melatonin onset (DLMO) and sleep onset across the perinatal period, and prospectively examined associations between circadian measures and depressed mood in women with a history of major depressive disorder (MDD). They found new mothers had changes in circadian phase position and phase angle between DLMO and bedtime from 3rd trimester of pregnancy to 6 weeks postpartum. They suggest that circadian timing during pregnancy and in the early postpartum weeks may be associated with depressive symptoms.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Okun ML. Sleep in pregnancy and the postpartum. In: Kushida CA, editor. Encyclopedia of Sleep. Waltham: Academic; 2013. p. 674–9.

    Chapter  Google Scholar 

  67. Thomas KA, Spieker S. Sleep, depression, and fatigue in late postpartum. MCN Am J Matern Child Nurs. 2016;41:104–9.

    Article  PubMed  Google Scholar 

  68. Okun ML, Luther J, Prather AA, Perel JM, Wisniewski S, Wisner KL. Changes in sleep quality, but not hormones predict time to postpartum depression recurrence. J Affect Disord. 2011;130:378–84.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  69. McBean AL, Montgomery-Downs HE. Diurnal fatigue patterns, sleep timing, and mental health outcomes among healthy postpartum women. Biol Res Nurs. 2015;17:29–39.

    Article  PubMed  Google Scholar 

  70. Da Costa D, Dritsa M, Rippen N, Lowensteyn I, Khalife S. Health-related quality of life in postpartum depressed women. Arch Womens Ment Health. 2006;9:95–102.

    Article  PubMed  Google Scholar 

  71. Dorheim SK, Garthus-Niegel S, Bjorvatn B, Eberhard-Gran M: Personality and perinatal maternal insomnia: a study across childbirth. Behav.Sleep Med. 2014,1-15.

  72. Nylen KJ, Williamson JA, O’Hara MW, Watson D, Engeldinger J: Validity of somatic symptoms as indicators of depression in pregnancy. Arch.Womens Ment.Health 2013.

  73. Swanson LM, Pickett SM, Flynn H, Armitage R. Relationships among depression, anxiety, and insomnia symptoms in perinatal women seeking mental health treatment. J Womens Health (Larchmt). 2011;20:553–8.

    Article  Google Scholar 

  74. Lee KA: Sleep during pregnancy and postpartum. In Encyclopedia of Sleep Medicine. Edited by Lee-Chiong T. John Wiley & Sons, Inc; 2006:629–635.

  75. Goyal D, Gay C, Lee K. Fragmented maternal sleep is more strongly correlated with depressive symptoms than infant temperament at three months postpartum. Arch Womens Ment Health. 2009;12:229–37.

    Article  PubMed  PubMed Central  Google Scholar 

  76. Jackowska M, Dockray S, Hendrickx H, Steptoe A. Psychosocial factors and sleep efficiency: discrepancies between subjective and objective evaluations of sleep. Psychosom Med. 2011;73:810–6.

    Article  PubMed  Google Scholar 

  77. Coo S, Milgrom J, Trinder J. Mood and objective and subjective measures of sleep during late pregnancy and the postpartum period. Behav Sleep Med. 2014;12:317–30. This paper explores the psychological impact of sleep during the perinatal period on a woman’s ability to cope with motherhood. It addresses not only emotional mood, but the functional aspect of pregnancy. They found that self-reports of habitual poor sleep quality, and specifically, impaired daytime dysfunction due to poor sleep were associated with a low perceived ability to cope practically and emotionally with motherhood-related issues as well as with negative expectations about the future.

    Article  PubMed  Google Scholar 

  78. Posmontier B. Functional status outcomes in mothers with and without postpartum depression. J Midwifery Womens Health. 2008;53:310–8.

    Article  PubMed  PubMed Central  Google Scholar 

  79. Lee KA, Zaffke ME, McEnany G. Parity and sleep patterns during and after pregnancy. Obstet Gynecol. 2000;95:14–8.

    CAS  PubMed  Google Scholar 

  80. Ross LE, Sellers EM, Gilbert Evans SE, Romach MK. Mood changes during pregnancy and the postpartum period: development of a biopsychosocial model. Acta Psychiatr Scand. 2004;109:457–66.

    CAS  Article  PubMed  Google Scholar 

  81. Ross LE, Murray BJ, Steiner M. Sleep and perinatal mood disorders: a critical review. J Psychiatry Neurosci. 2005;30:247–56.

    PubMed  PubMed Central  Google Scholar 

  82. Manber R, Armitage R. Sex, steroids, and sleep: a review. Sleep. 1999;22:540–55.

    CAS  PubMed  Google Scholar 

  83. Okun ML, Ebert R, Saini B. A review of sleep-promoting medications used in pregnancy. Am J Obstet Gynecol. 2015;212:428–41.

    CAS  Article  PubMed  Google Scholar 

  84. Chang SM, Chen CH. Effects of an intervention with drinking chamomile tea on sleep quality and depression in sleep disturbed postnatal women: a randomized controlled trial. J Adv Nurs. 2016;72:306–15.

    Article  PubMed  Google Scholar 

  85. Elliott SA, Leverton TJ, Sanjack M, Turner H, Cowmeadow P, Hopkins J, et al. Promoting mental health after childbirth: a controlled trial of primary prevention of postnatal depression. Br J Clin Psychol. 2000;39(Pt 3):223–41.

    Article  PubMed  Google Scholar 

  86. Matthey S, Kavanagh DJ, Howie P, Barnett B, Charles M. Prevention of postnatal distress or depression: an evaluation of an intervention at preparation for parenthood classes. J Affect Disord. 2004;79:113–26.

    Article  PubMed  Google Scholar 

  87. Dimidjian S, Goodman SH, Felder JN, Gallop R, Brown AP, Beck A. An open trial of mindfulness-based cognitive therapy for the prevention of perinatal depressive relapse/recurrence. Arch Womens Ment Health. 2015;18:85–94.

    Article  PubMed  Google Scholar 

  88. Hou Y, Hu P, Zhang Y, Lu Q, Wang D, Yin L, et al. Cognitive behavioral therapy in combination with systemic family therapy improves mild to moderate postpartum depression. Rev Bras Psiquiatr. 2014;36:47–52.

    Article  PubMed  Google Scholar 

  89. Werner EA, Gustafsson HC, Lee S, Feng T, Jiang N, Desai P, Monk C: PREPP: postpartum depression prevention through the mother-infant dyad. Arch.Womens Ment.Health 2015.

  90. Kingston D, Austin MP, Hegadoren K, McDonald S, Lasiuk G, McDonald S, et al. Study protocol for a randomized, controlled, superiority trial comparing the clinical and cost-effectiveness of integrated online mental health assessment-referral-care in pregnancy to usual prenatal care on prenatal and postnatal mental health and infant health and development: the Integrated Maternal Psychosocial Assessment to Care Trial (IMPACT). Trials. 2014;15:72.

    Article  PubMed  PubMed Central  Google Scholar 

  91. Rezaei E, Behboodi MZ, Hagani H. The effect of sleep health behavioral education on the depression of pregnant women with sleep disorders: a randomized control trial. Iran Red Crescent Med J. 2015;17, e11420.

    PubMed  PubMed Central  Google Scholar 

  92. Rychnovsky J, Hunter LP. The relationship between sleep characteristics and fatigue in healthy postpartum women. Womens Health Issues. 2009;19:38–44.

    Article  PubMed  Google Scholar 

  93. Letourneau NL, Tramonte L, Willms JD. Maternal depression, family functioning and children’s longitudinal development. J Pediatr Nurs. 2013;28:223–34.

    Article  PubMed  Google Scholar 

  94. Letourneau NL, Dennis CL, Benzies K, Duffett-Leger L, Stewart M, Tryphonopoulos PD, et al. Postpartum depression is a family affair: addressing the impact on mothers, fathers, and children. Issues Ment Health Nurs. 2012;33:445–57.

    Article  PubMed  Google Scholar 

  95. Sit D, Luther J, Buysse D, Dills JL, Eng H, Okun M, Wisniewski S, Wisner KL: Suicidal ideation in depressed postpartum women: associations with childhood trauma, sleep disturbance and anxiety. J.Psychiatr.Res. 2015. In this recent publication, the authors examine contributors to suicidal ideation in the postpartum. This is important, because suicide is one of the leading causes of death in postpartum women. Identifying modifiable factors related to suicide risk in mothers after delivery is a public health priority. In addition to the usual suspects, physical abuse and anxiety, they found that sleep disturbance was a significant contributor to increased suicidal ideation in depressed postpartum women.

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  1. University of Colorado Colorado Springs, 1420 Austin Bluffs Parkway Osborne Center A-408, Colorado Springs, CO, 80918, USA

    Michele L. Okun

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  1. Michele L. Okun
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Michele L. Okun declares that she has no conflict of interest.

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This article is part of the Topical Collection on Sleep Disorders

Key Points:

• Sleep disturbance in the perinatal period is associated with risk for mood disorders.

• Mood disorders can negatively impact mother-infant bonding and effective caretaking.

• Various psychosocial and biological factors can mitigate or augment the sleep-depression relationship.

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Okun, M.L. Disturbed Sleep and Postpartum Depression. Curr Psychiatry Rep 18, 66 (2016). https://doi.org/10.1007/s11920-016-0705-2

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Keywords

  • Insomnia
  • Sleep quality
  • Pregnancy
  • Postpartum
  • Depression
  • Mood