Maternal perinatal depression and infant sleep problems at 1 year of age: Subjective and actigraphy data from a population-based birth cohort study
Corresponding Author
Camila S. Halal
PhD Program of Medicine and Health Sciences, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Brazil
Conceição Hospital Group, Hospital Criança Conceição, Porto Alegre, Brazil
Correspondence
Camila dos Santos El Halal, Gerência de Internação, Hospital Criança Conceição, Avenida Francisco Trein, 596, CEP 91350-200, Porto Alegre, RS, Brazil.
Email: [email protected]
Search for more papers by this authorDiego G. Bassani
Centre for Global Child Health, The Hospital for Sick Children and Department of Paediatrics, University of Toronto, Toronto, ON, Canada
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Search for more papers by this authorIná S. Santos
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Search for more papers by this authorLuciana Tovo-Rodrigues
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Search for more papers by this authorBianca Del-Ponte
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Search for more papers by this authorMariangela F. Silveira
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Search for more papers by this authorAndréa D. Bertoldi
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Search for more papers by this authorFernando C. Barros
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Graduate Studies Program in Health and Behaviour, Universidade Católica de Pelotas, Pelotas, Brazil
Search for more papers by this authorMagda L. Nunes
Division of Neurology, Pontifícia Universidade Católica do Rio Grande do Sul School of Medicine, Brain Institute (BRAIns), Porto Alegre, Brazil
Search for more papers by this authorCorresponding Author
Camila S. Halal
PhD Program of Medicine and Health Sciences, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Brazil
Conceição Hospital Group, Hospital Criança Conceição, Porto Alegre, Brazil
Correspondence
Camila dos Santos El Halal, Gerência de Internação, Hospital Criança Conceição, Avenida Francisco Trein, 596, CEP 91350-200, Porto Alegre, RS, Brazil.
Email: [email protected]
Search for more papers by this authorDiego G. Bassani
Centre for Global Child Health, The Hospital for Sick Children and Department of Paediatrics, University of Toronto, Toronto, ON, Canada
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Search for more papers by this authorIná S. Santos
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Search for more papers by this authorLuciana Tovo-Rodrigues
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Search for more papers by this authorBianca Del-Ponte
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Search for more papers by this authorMariangela F. Silveira
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Search for more papers by this authorAndréa D. Bertoldi
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Search for more papers by this authorFernando C. Barros
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Graduate Studies Program in Health and Behaviour, Universidade Católica de Pelotas, Pelotas, Brazil
Search for more papers by this authorMagda L. Nunes
Division of Neurology, Pontifícia Universidade Católica do Rio Grande do Sul School of Medicine, Brain Institute (BRAIns), Porto Alegre, Brazil
Search for more papers by this authorAbstract
This study used data from 2,222 mothers and infants participating in a population-based birth cohort to verify whether maternal depression in the perinatal period was associated with poor infant sleep. Mothers who scored ≥13 points on the Edinburgh Postnatal Depression Scale at 16–24 weeks of gestation and/or 3 months after delivery were considered perinatally depressed. The main outcome variable was poor infant sleep at 12 months of age, defined as >3 night wakings, nocturnal wakefulness >1 hr or total sleep duration <9 hr. Infant sleep data were obtained with the Brief Infant Sleep Questionnaire (BISQ) and 24-hr actigraphy monitoring. Prevalence of perinatal depression in the sample was 22.3% (95% confidence interval [CI], 20.5–24.0). After Poisson regression, infants of depressed mothers showed an adjusted relative risk (RR) of 1.44 (95% CI, 1.00–2.08; p = .04) for >3 night wakings with questionnaire-derived data. When actigraphy data were analysed, no association was found between perinatal depression and poor infant sleep (adjusted RR, 1.20; 95% CI, 0.82–1.74; p = .35). In conclusion, although mothers in the depressed group were more likely to report more night wakings, objective data from actigraphy did not replicate this finding. Dysfunctional cognition, maternal behavioural factors and sleep impairment associated with perinatal depression may affect the mother's impression of her infant's sleep.
CONFLICT OF INTEREST
The authors have indicated that they have no potential conflicts of interest to disclose.
Supporting Information
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| jsr13047-sup-0001-TableS1.docxWord document, 14.4 KB | Table S1 |
| jsr13047-sup-0002-TableS2.docxWord document, 14.4 KB | Table S2 |
| jsr13047-sup-0003-TableS3.docxWord document, 13.6 KB | Table S3 |
| jsr13047-sup-0004-TableS4.docxWord document, 14.4 KB | Table S4 |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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