Perinatal depression as a risk-factor for infant sleep disturbances: Subjective data from a case-control study

Introduction Perinatal period is characterized by a broad range of physical, psychological and relational changes. Maternal perinatal depression (PD) is defined as an episode of major depression with the onset from pregnancy to the first year after delivery. Depressive symptoms influence the earli...

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Main Authors: M. Caccialupi O. P., C. Pucci, M. Colaiori, N. Giacchetti, F. Aceti, C. Sogos
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821014772/type/journal_article
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author M. Caccialupi O. P.
C. Pucci
M. Colaiori
N. Giacchetti
F. Aceti
C. Sogos
author_facet M. Caccialupi O. P.
C. Pucci
M. Colaiori
N. Giacchetti
F. Aceti
C. Sogos
author_sort M. Caccialupi O. P.
collection DOAJ
description Introduction Perinatal period is characterized by a broad range of physical, psychological and relational changes. Maternal perinatal depression (PD) is defined as an episode of major depression with the onset from pregnancy to the first year after delivery. Depressive symptoms influence the earlier mother-child interaction and impact on child cognitive, affective and behavioral development. Objectives Purpose of our study was to evaluate the consequences of PD on sleep-wake patterns in the early stages of infant development. We aim to investigate the presence of poor sleep in infants/ toddlers and also to identify differences in sleep ecology variables. Methods We enrolled, from December 2019 to September 2020, a clinical sample of children born from women with PD (N=19, m.a.=13,7, SD= 7,6) and a healthy control group (N=21, m.a.=15,5, SD=5,43). Infant sleep data were obtained from the Brief Infant Sleep Questionnaire (BISQ). Poor sleepers were defined by the following criteria: >3 night wakings, nocturnal wakefulness >1 hr or total sleep duration <9 hr. Maternal depression was assessed with clinical and psychometric evaluation. T-test was used for comparison between the two samples. Results Statistical analysis indicates that there were not significant differences between the two groups concerning night wakings (p= .678), nocturnal wakefulness (p= .815), total sleep duration (p= .209) and nocturnal sleep onset time (p= .475). Conclusions Our findings suggest that PD is not a risk-factor in the onset of infant sleep problems. Probably negative parentig, affective disengagement, delegation in maternal care and sedative effects of pharmacotherapy may affect mother’s perception of her infant’s sleep.
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spelling doaj.art-c3facc28805e449abf8adf22c728cd6e2023-11-17T05:08:55ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S554S55410.1192/j.eurpsy.2021.1477Perinatal depression as a risk-factor for infant sleep disturbances: Subjective data from a case-control studyM. Caccialupi O. P.0C. Pucci1M. Colaiori2N. Giacchetti3F. Aceti4C. Sogos5Human Neuroscience, University of Rome - La Sapienza, Rome, ItalyHuman Neuroscience, University of Rome - La Sapienza, Rome, ItalyHuman Neuroscience, University of Rome - La Sapienza, Rome, ItalyHuman Neuroscience, University of Rome - La Sapienza, Rome, ItalyHuman Neuroscience, University of Rome - La Sapienza, Rome, ItalyHuman Neuroscience, University of Rome - La Sapienza, Rome, Italy Introduction Perinatal period is characterized by a broad range of physical, psychological and relational changes. Maternal perinatal depression (PD) is defined as an episode of major depression with the onset from pregnancy to the first year after delivery. Depressive symptoms influence the earlier mother-child interaction and impact on child cognitive, affective and behavioral development. Objectives Purpose of our study was to evaluate the consequences of PD on sleep-wake patterns in the early stages of infant development. We aim to investigate the presence of poor sleep in infants/ toddlers and also to identify differences in sleep ecology variables. Methods We enrolled, from December 2019 to September 2020, a clinical sample of children born from women with PD (N=19, m.a.=13,7, SD= 7,6) and a healthy control group (N=21, m.a.=15,5, SD=5,43). Infant sleep data were obtained from the Brief Infant Sleep Questionnaire (BISQ). Poor sleepers were defined by the following criteria: >3 night wakings, nocturnal wakefulness >1 hr or total sleep duration <9 hr. Maternal depression was assessed with clinical and psychometric evaluation. T-test was used for comparison between the two samples. Results Statistical analysis indicates that there were not significant differences between the two groups concerning night wakings (p= .678), nocturnal wakefulness (p= .815), total sleep duration (p= .209) and nocturnal sleep onset time (p= .475). Conclusions Our findings suggest that PD is not a risk-factor in the onset of infant sleep problems. Probably negative parentig, affective disengagement, delegation in maternal care and sedative effects of pharmacotherapy may affect mother’s perception of her infant’s sleep. https://www.cambridge.org/core/product/identifier/S0924933821014772/type/journal_articlePerinatal depressionsleep disordersMother-child interactionRelational changes
spellingShingle M. Caccialupi O. P.
C. Pucci
M. Colaiori
N. Giacchetti
F. Aceti
C. Sogos
Perinatal depression as a risk-factor for infant sleep disturbances: Subjective data from a case-control study
European Psychiatry
Perinatal depression
sleep disorders
Mother-child interaction
Relational changes
title Perinatal depression as a risk-factor for infant sleep disturbances: Subjective data from a case-control study
title_full Perinatal depression as a risk-factor for infant sleep disturbances: Subjective data from a case-control study
title_fullStr Perinatal depression as a risk-factor for infant sleep disturbances: Subjective data from a case-control study
title_full_unstemmed Perinatal depression as a risk-factor for infant sleep disturbances: Subjective data from a case-control study
title_short Perinatal depression as a risk-factor for infant sleep disturbances: Subjective data from a case-control study
title_sort perinatal depression as a risk factor for infant sleep disturbances subjective data from a case control study
topic Perinatal depression
sleep disorders
Mother-child interaction
Relational changes
url https://www.cambridge.org/core/product/identifier/S0924933821014772/type/journal_article
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