Artículos de revistas
Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women
Registro en:
0163-8343
10.1016/j.genhosppsych.2015.04.014
General Hospital Psychiatry (Gen
Hosp Psychiatry)
Autor
Gelaye, Bizu
Barrios, Yasmin V.
Zhong, Qiu-Yue
Rondon, Marta B.
Borba, Christina P.C.
Sánchez, Sixto E.
Henderson, David C.
Williams, Michelle A.
Institución
Resumen
bgelaye@hsph.harvard.edu Article 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. Antepartumdepression and suicidal ideationwere assessed using the Patient Health Questionnaire-9
scale. Antepartumsubjective 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 qualitywas
more common among women endorsing suicidal ideation as compared to their counterpartswho did not (47.2%
vs. 24.8%, Pb.001). After adjustment for confounders including maternal depression, poor subjective sleep quality
(defined using the recommended criteria of PSQI global score of N5 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.