Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women

被引:52
作者
Gelaye, Bizu [1 ]
Barrios, Yasmin V. [1 ]
Zhong, Qiu-Yue [1 ]
Rondon, Marta B. [2 ]
Borba, Christina P. C. [3 ,4 ]
Sanchez, Sixto E. [5 ,6 ]
Henderson, David C. [1 ,3 ,4 ]
Williams, Michelle A. [1 ]
机构
[1] Harvard Univ, TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
[2] Cayetano Heredia Peruvian Univ, Dept Med, Lima, Peru
[3] Harvard Univ, Sch Med, Boston, MA 02115 USA
[4] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA
[5] Univ Peruana Ciencias Aplicadas, Lima, Peru
[6] Asociac Civil PROESA, Lima, Peru
基金
美国国家卫生研究院;
关键词
Sleep quality; Suicide ideation; Suicide; Depression; Pregnancy; ANXIETY DISORDERS; POSTPARTUM WOMEN; RISK-FACTORS; DEPRESSION; COHORT; BEHAVIOR; PERIOD; DEATH; PREVALENCE; VALIDATION;
D O I
10.1016/j.genhosppsych.2015.04.014
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: To examine the independent and joint relationships of poor subjective sleep quality and antepartum depression with suicidal ideation among pregnant women. Methods: A cross-sectional study was conducted among 641 pregnant women attending prenatal care clinics in Lima, Peru. Antepartum depression and suicidal ideation were assessed using the Patient Health Questionnaire-9 scale. Antepartum subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Logistic regression procedures were performed to estimate odds ratios (aOR) and 95% confidence intervals (95% CI) adjusted for confounders. Results: Overall, the prevalence of suicidal ideation in this cohort was 16.8% and poor subjective sleep quality was more common among women endorsing suicidal ideation as compared to their counterparts who did not (47.2% vs. 24.8%, P<.001). After adjustment for confounders including maternal depression, poor subjective sleep quality (defined using the recommended criteria of PSQI global score of >5 vs. <= 5) was associated with a 1.7-fold increased odds of suicidal ideation (aOR=1.67; 95% CI 1.02-2.71). When assessed as a continuous variable, each 1-unit increase in the global PSQI score resulted in an 18% increase in odds for suicidal ideation, even after adjusting for depression (aOR=1.18; 95% CI 1.08-1.28). Women with both poor subjective sleep quality and depression had a 3.5-fold increased odds of suicidal ideation (aOR=3.48; 95% CI 1.96-6.18) as compared with those who had neither risk factor. Conclusion: Poor subjective sleep quality was associated with increased odds of suicidal ideation. Replication of these findings may promote investments in studies designed to examine the efficacy of sleep-focused interventions to treat pregnant women with sleep disorders and suicidal ideation. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:441 / 447
页数:7
相关论文
共 74 条
[61]   Validation and utility of a self-report version of PRIME-MD - The PHQ primary care study [J].
Spitzer, RL ;
Kroenke, K ;
Williams, JBW .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (18) :1737-1744
[62]   Comorbidity of insomnia and depression [J].
Staner, Luc .
SLEEP MEDICINE REVIEWS, 2010, 14 (01) :35-46
[63]  
Strange LB, 2009, CLIN EXP OBSTET GYN, V36, P166
[64]   Prospective Associations of Insomnia Markers and Symptoms With Depression [J].
Szklo-Coxe, Mariana ;
Young, Terry ;
Peppard, Paul E. ;
Finn, Laurel A. ;
Benca, Ruth M. .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2010, 171 (06) :709-720
[65]  
Tomfohr L.M., 2015, Sleep
[66]  
Turvey CL, 2002, AM J GERIAT PSYCHIAT, V10, P398
[67]   Serotonin and sleep [J].
Ursin, R .
SLEEP MEDICINE REVIEWS, 2002, 6 (01) :57-69
[68]   REM Sleep Depotentiates Amygdala Activity to Previous Emotional Experiences [J].
van der Helm, Els ;
Yao, Justin ;
Dutt, Shubir ;
Rao, Vikram ;
Saletin, Jared M. ;
Walker, Matthew P. .
CURRENT BIOLOGY, 2011, 21 (23) :2029-2032
[69]   The Role of Sleep in Cognition and Emotion [J].
Walker, Matthew P. .
YEAR IN COGNITIVE NEUROSCIENCE 2009, 2009, 1156 :168-197
[70]  
WHO, Preventing Suicide: A Global Imperative