Sleep, light exposure at night, and psychological wellbeing during pregnancy
Abstract Background Psychological wellbeing during pregnancy is imperative for optimal maternal outcomes. The present study aimed to determine the association between sleep quality, light exposure at night, and psychological wellbeing in the 2nd and 3rd trimesters of pregnancy. Methods This prospect...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-16655-y |
| _version_ | 1827707893189705728 |
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| author | Choon Ming Ng Satvinder Kaur Ee Yin Kok Wan Ling Chew Masaki Takahashi Shigenobu Shibata |
| author_facet | Choon Ming Ng Satvinder Kaur Ee Yin Kok Wan Ling Chew Masaki Takahashi Shigenobu Shibata |
| author_sort | Choon Ming Ng |
| collection | DOAJ |
| description | Abstract Background Psychological wellbeing during pregnancy is imperative for optimal maternal outcomes. The present study aimed to determine the association between sleep quality, light exposure at night, and psychological wellbeing in the 2nd and 3rd trimesters of pregnancy. Methods This prospective study was conducted in 9 randomly selected government maternity clinics in Kuala Lumpur, Malaysia. Healthy women aged 20–48 years old with single pregnancy were recruited using convenience sampling (n = 169). Sleep quality, light exposure at night, and psychological wellbeing were self-reported using the Pittsburgh Sleep Quality Index (PSQI), Harvard Light Exposure Assessment (H-LEA), and Depression, Anxiety, and Stress Scale (DASS-21) in the 2nd trimester and followed-up at the 3rd trimester. Results During the 2nd and 3rd trimesters of pregnancy, mild to severe symptoms of stress (10.7 and 11.3%), anxiety (42 and 44.3%), and depression (9.6 and 16.6%) were observed among the participants. Adjusted multiple linear regression revealed that poor sleep quality and higher light exposure at night were attributed to greater stress and depression symptoms in the 3rd trimester. Higher lux level exposed from 10 pm to < 1 am was associated with increased stress (β = 0.212, p = 0.037) and depression (β = 0.228, p = 0.024). Only poor sleep quality was observed to adversely affect anxiety (β = 0.243, p = 0.002) and depression levels (β = 0.259, p = 0.001) in the 2nd trimester. Conclusions Present study provided preliminary findings on the association between sleep quality, light at night, and psychological wellbeing of pregnant women. As a recommendation, future research could investigate whether public health interventions aimed at decreasing artificial light at night can benefit sleep quality and the psychological health of pregnant women. |
| first_indexed | 2024-03-10T16:55:07Z |
| format | Article |
| id | doaj.art-94ac27de8d614b06b193e1878b151637 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-10T16:55:07Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-94ac27de8d614b06b193e1878b1516372023-11-20T11:11:05ZengBMCBMC Public Health1471-24582023-09-0123111010.1186/s12889-023-16655-ySleep, light exposure at night, and psychological wellbeing during pregnancyChoon Ming Ng0Satvinder Kaur1Ee Yin Kok2Wan Ling Chew3Masaki Takahashi4Shigenobu Shibata5School of Pharmacy, Monash University MalaysiaFaculty of Applied Sciences, UCSI University, 1, Jalan Puncak Menara Gading, Taman ConnaughtFaculty of Applied Sciences, UCSI University, 1, Jalan Puncak Menara Gading, Taman ConnaughtFaculty of Applied Sciences, UCSI University, 1, Jalan Puncak Menara Gading, Taman ConnaughtInstitute for Liberal Arts, Tokyo Institute of TechnologyGraduate School of Biomedical and Health Sciences, Hiroshima UniversityAbstract Background Psychological wellbeing during pregnancy is imperative for optimal maternal outcomes. The present study aimed to determine the association between sleep quality, light exposure at night, and psychological wellbeing in the 2nd and 3rd trimesters of pregnancy. Methods This prospective study was conducted in 9 randomly selected government maternity clinics in Kuala Lumpur, Malaysia. Healthy women aged 20–48 years old with single pregnancy were recruited using convenience sampling (n = 169). Sleep quality, light exposure at night, and psychological wellbeing were self-reported using the Pittsburgh Sleep Quality Index (PSQI), Harvard Light Exposure Assessment (H-LEA), and Depression, Anxiety, and Stress Scale (DASS-21) in the 2nd trimester and followed-up at the 3rd trimester. Results During the 2nd and 3rd trimesters of pregnancy, mild to severe symptoms of stress (10.7 and 11.3%), anxiety (42 and 44.3%), and depression (9.6 and 16.6%) were observed among the participants. Adjusted multiple linear regression revealed that poor sleep quality and higher light exposure at night were attributed to greater stress and depression symptoms in the 3rd trimester. Higher lux level exposed from 10 pm to < 1 am was associated with increased stress (β = 0.212, p = 0.037) and depression (β = 0.228, p = 0.024). Only poor sleep quality was observed to adversely affect anxiety (β = 0.243, p = 0.002) and depression levels (β = 0.259, p = 0.001) in the 2nd trimester. Conclusions Present study provided preliminary findings on the association between sleep quality, light at night, and psychological wellbeing of pregnant women. As a recommendation, future research could investigate whether public health interventions aimed at decreasing artificial light at night can benefit sleep quality and the psychological health of pregnant women.https://doi.org/10.1186/s12889-023-16655-ySleepLightStressAnxietyDepressionPregnancy |
| spellingShingle | Choon Ming Ng Satvinder Kaur Ee Yin Kok Wan Ling Chew Masaki Takahashi Shigenobu Shibata Sleep, light exposure at night, and psychological wellbeing during pregnancy BMC Public Health Sleep Light Stress Anxiety Depression Pregnancy |
| title | Sleep, light exposure at night, and psychological wellbeing during pregnancy |
| title_full | Sleep, light exposure at night, and psychological wellbeing during pregnancy |
| title_fullStr | Sleep, light exposure at night, and psychological wellbeing during pregnancy |
| title_full_unstemmed | Sleep, light exposure at night, and psychological wellbeing during pregnancy |
| title_short | Sleep, light exposure at night, and psychological wellbeing during pregnancy |
| title_sort | sleep light exposure at night and psychological wellbeing during pregnancy |
| topic | Sleep Light Stress Anxiety Depression Pregnancy |
| url | https://doi.org/10.1186/s12889-023-16655-y |
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