Sleep Disordered Breathing Measures in Early Pregnancy Are Associated with Depressive Symptoms in Late Pregnancy

被引:6
作者
Bublitz, Margaret H. [1 ,2 ,3 ]
Sharp, Meghan [1 ,3 ]
Freeburg, Taylor [3 ,4 ]
Sanapo, Laura [2 ,3 ]
Nugent, Nicole R. [1 ,5 ]
Sharkey, Katherine [1 ,2 ,6 ]
Bourjeily, Ghada [2 ,3 ]
机构
[1] Brown Univ, Dept Psychiat & Human Behav, Warren Alpert Med Sch, Providence, RI 02903 USA
[2] Brown Univ, Warren Alpert Med Sch, Dept Med, Providence, RI 02903 USA
[3] Miriam Hosp, Womens Med Collaborat, Providence, RI 02906 USA
[4] Brown Univ, Warren Alpert Med Sch, Providence, RI 02903 USA
[5] Brown Univ, Warren Alpert Med Sch, Dept Emergency Med, Providence, RI 02903 USA
[6] Rhode Isl Hosp, Providence, RI 02905 USA
关键词
pregnancy; perinatal sleep; depression; sleep disordered breathing; obstructive sleep apnea; APNEA; RISK; PREVALENCE; DURATION; OUTCOMES; ANXIETY; WOMEN;
D O I
10.3390/diagnostics11050858
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sleep disordered breathing (SDB) and depression are both common complications of pregnancy and increase risk for adverse maternal and neonatal outcomes. SDB precedes onset of depression in non-pregnant adults; however, the longitudinal relationship has not been studied in pregnancy. The present research examined temporal associations between SDB and depressive symptoms in 175 pregnant women at risk for SDB (based on frequent snoring and obesity), but without an apnea hypopnea index of >= 5 events per hour at enrollment. Women completed a self-report assessments of depressive symptoms using PHQ-9 and in-home level III sleep apnea monitoring at approximately 12- and 32-weeks' gestation. We also assessed the risk for SDB using the Berlin Questionnaire in early pregnancy. Results revealed that measures of SDB in early pregnancy as assessed by in-home sleep study, but not by self-reported SDB, predicted elevated depressive symptoms in late pregnancy. SDB in late pregnancy was not associated with depressive symptoms. To conclude, these findings suggest that SDB may increase the risk for elevated depressive symptoms as pregnancy progresses.
引用
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页数:10
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