Prevalence and associated risk factors of insomnia among pregnant women in China
Insomnia is common during pregnancy but the prevalence and risk factors of insomnia in Chinese women during pregnancy is not well studied. This study aimed to examine the prevalence of insomnia and its risk factors in Chinese women during pregnancy. In this cross sectional study, 436 Chinese pregnan...
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| Veröffentlicht in: | Comprehensive psychiatry 2020-04, Vol.98, p.152168-152168, Article 152168 |
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| description | Insomnia is common during pregnancy but the prevalence and risk factors of insomnia in Chinese women during pregnancy is not well studied. This study aimed to examine the prevalence of insomnia and its risk factors in Chinese women during pregnancy.
In this cross sectional study, 436 Chinese pregnant women with Insomnia Severity Index (ISI) ≥ 8 were clinically assessed using the insomnia criteria based on the combination of DSM-IV (Diagnostic and Statistical Manual-4th Edition) and ICD-10 (International Classification of Dieases, 10th Edition). Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), Pregnancy Pressure Scale (PPS), Perceived physical discomfort level and number, Epworth Sleepiness Scale (ESS), and a general socio-demographic questionnaire were administered.
The results showed that about 20% of the pregnant women met the strict diagnosis criteria of insomnia. Independent-samples t-test revealed that several risk factors were correlated with the group with insomnia (N = 84) compared to the group without insomnia (N = 352). Binary Logistic regression analysis found that more significant bed partner influence (OR = 1.92, 95% CI: 1.03–3.60), depressive symptoms (OR = 1.07, 95% CI: 1.00–1.14), daytime sleepiness (OR = 1.07, 95% CI: 1.01–1.14), subjective somatic discomfort (OR = 2.27, 95% CI: 1.11–4.65), kinds of somatic discomfort (OR = 1.14, 95% CI: 1.03–1.27) and later gestation (OR = 1.05, 95% CI: 1.01–1.09) were significantly associated with insomnia.
In this cohort of Chinese pregnant women, about a fifth of women suffered from clinically significant insomnia. Measures to prevent the adverse effects of insomnia should be provided to pregnant women with depressive symptoms, Sleep disturbance of the bed partner, excessive daytime sleepiness and somatic discomfort, especially late in gestation.
•In Chinese pregnant women, about a fifth of women met strict clinical diagnosis of insomnia.•Insomnia were significantly associated with partner influence, depression, daytime sleepiness, somatic discomfort and the late gestation.•Further explorations are warranted to develop optimal psychosocial and physical interventions to reduce insomnia in pregnant women. |
| doi_str_mv | 10.1016/j.comppsych.2020.152168 |
| format | Article |
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In this cross sectional study, 436 Chinese pregnant women with Insomnia Severity Index (ISI) ≥ 8 were clinically assessed using the insomnia criteria based on the combination of DSM-IV (Diagnostic and Statistical Manual-4th Edition) and ICD-10 (International Classification of Dieases, 10th Edition). Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), Pregnancy Pressure Scale (PPS), Perceived physical discomfort level and number, Epworth Sleepiness Scale (ESS), and a general socio-demographic questionnaire were administered.
The results showed that about 20% of the pregnant women met the strict diagnosis criteria of insomnia. Independent-samples t-test revealed that several risk factors were correlated with the group with insomnia (N = 84) compared to the group without insomnia (N = 352). Binary Logistic regression analysis found that more significant bed partner influence (OR = 1.92, 95% CI: 1.03–3.60), depressive symptoms (OR = 1.07, 95% CI: 1.00–1.14), daytime sleepiness (OR = 1.07, 95% CI: 1.01–1.14), subjective somatic discomfort (OR = 2.27, 95% CI: 1.11–4.65), kinds of somatic discomfort (OR = 1.14, 95% CI: 1.03–1.27) and later gestation (OR = 1.05, 95% CI: 1.01–1.09) were significantly associated with insomnia.
In this cohort of Chinese pregnant women, about a fifth of women suffered from clinically significant insomnia. Measures to prevent the adverse effects of insomnia should be provided to pregnant women with depressive symptoms, Sleep disturbance of the bed partner, excessive daytime sleepiness and somatic discomfort, especially late in gestation.
•In Chinese pregnant women, about a fifth of women met strict clinical diagnosis of insomnia.•Insomnia were significantly associated with partner influence, depression, daytime sleepiness, somatic discomfort and the late gestation.•Further explorations are warranted to develop optimal psychosocial and physical interventions to reduce insomnia in pregnant women.</description><identifier>ISSN: 0010-440X</identifier><identifier>EISSN: 1532-8384</identifier><identifier>DOI: 10.1016/j.comppsych.2020.152168</identifier><identifier>PMID: 32105909</identifier><language>eng</language><publisher>PHILADELPHIA: Elsevier Inc</publisher><subject>Anxiety ; Body mass index ; Cesarean section ; Clinical significance ; Hospitals ; Insomnia ; Life Sciences & Biomedicine ; Mental depression ; Pain ; Pregnancy ; Prevalence ; Psychiatry ; Restless legs syndrome ; Risk factors ; Science & Technology ; Sleep ; Sleepiness ; Sociodemographics ; Somatic discomfort ; Stress ; Womens health</subject><ispartof>Comprehensive psychiatry, 2020-04, Vol.98, p.152168-152168, Article 152168</ispartof><rights>2020 The Authors</rights><rights>Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.</rights><rights>2020. The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>28</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000525758300007</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c514t-5acdf4a55be7a249ae6d0f40f4d37f13114b53b89404c6af0acb8eb4f2efbb043</citedby><cites>FETCH-LOGICAL-c514t-5acdf4a55be7a249ae6d0f40f4d37f13114b53b89404c6af0acb8eb4f2efbb043</cites><orcidid>0000-0002-3811-2732</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0010440X20300109$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,860,2096,2108,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32105909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Wen-Jing</creatorcontrib><creatorcontrib>Hou, Cai-Lan</creatorcontrib><creatorcontrib>Jiang, Yan-Ping</creatorcontrib><creatorcontrib>Han, Feng-zhen</creatorcontrib><creatorcontrib>Wang, Xiao-Yun</creatorcontrib><creatorcontrib>Wang, Shi-Bin</creatorcontrib><creatorcontrib>Ng, C.H.</creatorcontrib><creatorcontrib>Jia, Fu-Jun</creatorcontrib><title>Prevalence and associated risk factors of insomnia among pregnant women in China</title><title>Comprehensive psychiatry</title><addtitle>COMPR PSYCHIAT</addtitle><addtitle>Compr Psychiatry</addtitle><description>Insomnia is common during pregnancy but the prevalence and risk factors of insomnia in Chinese women during pregnancy is not well studied. This study aimed to examine the prevalence of insomnia and its risk factors in Chinese women during pregnancy.
In this cross sectional study, 436 Chinese pregnant women with Insomnia Severity Index (ISI) ≥ 8 were clinically assessed using the insomnia criteria based on the combination of DSM-IV (Diagnostic and Statistical Manual-4th Edition) and ICD-10 (International Classification of Dieases, 10th Edition). Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), Pregnancy Pressure Scale (PPS), Perceived physical discomfort level and number, Epworth Sleepiness Scale (ESS), and a general socio-demographic questionnaire were administered.
The results showed that about 20% of the pregnant women met the strict diagnosis criteria of insomnia. Independent-samples t-test revealed that several risk factors were correlated with the group with insomnia (N = 84) compared to the group without insomnia (N = 352). Binary Logistic regression analysis found that more significant bed partner influence (OR = 1.92, 95% CI: 1.03–3.60), depressive symptoms (OR = 1.07, 95% CI: 1.00–1.14), daytime sleepiness (OR = 1.07, 95% CI: 1.01–1.14), subjective somatic discomfort (OR = 2.27, 95% CI: 1.11–4.65), kinds of somatic discomfort (OR = 1.14, 95% CI: 1.03–1.27) and later gestation (OR = 1.05, 95% CI: 1.01–1.09) were significantly associated with insomnia.
In this cohort of Chinese pregnant women, about a fifth of women suffered from clinically significant insomnia. Measures to prevent the adverse effects of insomnia should be provided to pregnant women with depressive symptoms, Sleep disturbance of the bed partner, excessive daytime sleepiness and somatic discomfort, especially late in gestation.
•In Chinese pregnant women, about a fifth of women met strict clinical diagnosis of insomnia.•Insomnia were significantly associated with partner influence, depression, daytime sleepiness, somatic discomfort and the late gestation.•Further explorations are warranted to develop optimal psychosocial and physical interventions to reduce insomnia in pregnant women.</description><subject>Anxiety</subject><subject>Body mass index</subject><subject>Cesarean section</subject><subject>Clinical significance</subject><subject>Hospitals</subject><subject>Insomnia</subject><subject>Life Sciences & Biomedicine</subject><subject>Mental depression</subject><subject>Pain</subject><subject>Pregnancy</subject><subject>Prevalence</subject><subject>Psychiatry</subject><subject>Restless legs syndrome</subject><subject>Risk factors</subject><subject>Science & Technology</subject><subject>Sleep</subject><subject>Sleepiness</subject><subject>Sociodemographics</subject><subject>Somatic 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and associated risk factors of insomnia among pregnant women in China</title><author>Wang, Wen-Jing ; Hou, Cai-Lan ; Jiang, Yan-Ping ; Han, Feng-zhen ; Wang, Xiao-Yun ; Wang, Shi-Bin ; Ng, C.H. ; Jia, Fu-Jun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-5acdf4a55be7a249ae6d0f40f4d37f13114b53b89404c6af0acb8eb4f2efbb043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anxiety</topic><topic>Body mass index</topic><topic>Cesarean section</topic><topic>Clinical significance</topic><topic>Hospitals</topic><topic>Insomnia</topic><topic>Life Sciences & Biomedicine</topic><topic>Mental depression</topic><topic>Pain</topic><topic>Pregnancy</topic><topic>Prevalence</topic><topic>Psychiatry</topic><topic>Restless legs syndrome</topic><topic>Risk factors</topic><topic>Science & Technology</topic><topic>Sleep</topic><topic>Sleepiness</topic><topic>Sociodemographics</topic><topic>Somatic discomfort</topic><topic>Stress</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Wen-Jing</creatorcontrib><creatorcontrib>Hou, Cai-Lan</creatorcontrib><creatorcontrib>Jiang, Yan-Ping</creatorcontrib><creatorcontrib>Han, Feng-zhen</creatorcontrib><creatorcontrib>Wang, Xiao-Yun</creatorcontrib><creatorcontrib>Wang, Shi-Bin</creatorcontrib><creatorcontrib>Ng, C.H.</creatorcontrib><creatorcontrib>Jia, Fu-Jun</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Web of Knowledge</collection><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science - Social Sciences Citation Index – 2020</collection><collection>Web of Science Core 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Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Comprehensive psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Wen-Jing</au><au>Hou, Cai-Lan</au><au>Jiang, Yan-Ping</au><au>Han, Feng-zhen</au><au>Wang, Xiao-Yun</au><au>Wang, Shi-Bin</au><au>Ng, C.H.</au><au>Jia, Fu-Jun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and associated risk factors of insomnia among pregnant women in China</atitle><jtitle>Comprehensive psychiatry</jtitle><stitle>COMPR PSYCHIAT</stitle><addtitle>Compr Psychiatry</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>98</volume><spage>152168</spage><epage>152168</epage><pages>152168-152168</pages><artnum>152168</artnum><issn>0010-440X</issn><eissn>1532-8384</eissn><abstract>Insomnia is common during pregnancy but the prevalence and risk factors of insomnia in Chinese women during pregnancy is not well studied. This study aimed to examine the prevalence of insomnia and its risk factors in Chinese women during pregnancy.
In this cross sectional study, 436 Chinese pregnant women with Insomnia Severity Index (ISI) ≥ 8 were clinically assessed using the insomnia criteria based on the combination of DSM-IV (Diagnostic and Statistical Manual-4th Edition) and ICD-10 (International Classification of Dieases, 10th Edition). Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), Pregnancy Pressure Scale (PPS), Perceived physical discomfort level and number, Epworth Sleepiness Scale (ESS), and a general socio-demographic questionnaire were administered.
The results showed that about 20% of the pregnant women met the strict diagnosis criteria of insomnia. Independent-samples t-test revealed that several risk factors were correlated with the group with insomnia (N = 84) compared to the group without insomnia (N = 352). Binary Logistic regression analysis found that more significant bed partner influence (OR = 1.92, 95% CI: 1.03–3.60), depressive symptoms (OR = 1.07, 95% CI: 1.00–1.14), daytime sleepiness (OR = 1.07, 95% CI: 1.01–1.14), subjective somatic discomfort (OR = 2.27, 95% CI: 1.11–4.65), kinds of somatic discomfort (OR = 1.14, 95% CI: 1.03–1.27) and later gestation (OR = 1.05, 95% CI: 1.01–1.09) were significantly associated with insomnia.
In this cohort of Chinese pregnant women, about a fifth of women suffered from clinically significant insomnia. Measures to prevent the adverse effects of insomnia should be provided to pregnant women with depressive symptoms, Sleep disturbance of the bed partner, excessive daytime sleepiness and somatic discomfort, especially late in gestation.
•In Chinese pregnant women, about a fifth of women met strict clinical diagnosis of insomnia.•Insomnia were significantly associated with partner influence, depression, daytime sleepiness, somatic discomfort and the late gestation.•Further explorations are warranted to develop optimal psychosocial and physical interventions to reduce insomnia in pregnant women.</abstract><cop>PHILADELPHIA</cop><pub>Elsevier Inc</pub><pmid>32105909</pmid><doi>10.1016/j.comppsych.2020.152168</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-3811-2732</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Anxiety Body mass index Cesarean section Clinical significance Hospitals Insomnia Life Sciences & Biomedicine Mental depression Pain Pregnancy Prevalence Psychiatry Restless legs syndrome Risk factors Science & Technology Sleep Sleepiness Sociodemographics Somatic discomfort Stress Womens health |
| title | Prevalence and associated risk factors of insomnia among pregnant women in China |
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