dc.date.accessioned | 2019-04-24T18:23:52Z | |
dc.date.available | 2019-04-24T18:23:52Z | |
dc.date.created | 2019-04-24T18:23:52Z | |
dc.date.issued | 2015 | |
dc.identifier | https://hdl.handle.net/20.500.12866/6467 | |
dc.identifier | https://doi.org/10.1016/j.genhosppsych.2015.04.014 | |
dc.description.abstract | 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. | |
dc.language | eng | |
dc.publisher | Elsevier | |
dc.relation | General Hospital Psychiatry | |
dc.relation | 1873-7714 | |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es | |
dc.rights | info:eu-repo/semantics/restrictedAccess | |
dc.subject | adult | |
dc.subject | Article | |
dc.subject | comorbidity | |
dc.subject | controlled study | |
dc.subject | cross-sectional study | |
dc.subject | female | |
dc.subject | human | |
dc.subject | Patient Health Questionnaire 9 | |
dc.subject | Peruvian | |
dc.subject | Pittsburgh Sleep Quality Index | |
dc.subject | pregnant woman | |
dc.subject | prevalence | |
dc.subject | puerperal depression | |
dc.subject | sleep disorder | |
dc.subject | sleep quality | |
dc.subject | suicidal ideation | |
dc.subject | young adult | |
dc.subject | adolescent | |
dc.subject | pregnancy | |
dc.subject | pregnancy complication | |
dc.subject | psychology | |
dc.subject | questionnaire | |
dc.subject | sleep deprivation | |
dc.subject | Adolescent | |
dc.subject | Adult | |
dc.subject | Cross-Sectional Studies | |
dc.subject | Female | |
dc.subject | Humans | |
dc.subject | Pregnancy | |
dc.subject | Pregnancy Complications | |
dc.subject | Sleep Deprivation | |
dc.subject | Suicidal Ideation | |
dc.subject | Surveys and Questionnaires | |
dc.subject | Young Adult | |
dc.title | Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women | |
dc.type | info:eu-repo/semantics/article | |