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The impacts of insufficient sleep and its change during pregnancy on postpartum depression: A prospective cohort study of Korean women

DC FieldValueLanguage
dc.contributor.author정인경-
dc.date.accessioned2021-11-19T01:41:53Z-
dc.date.available2021-11-19T01:41:53Z-
dc.date.issued2021-10-
dc.identifier.issn0020-7292-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/185985-
dc.description.abstractObjective: To determine the association between insufficient sleep in the prenatal period and postpartum depression (PPD), and whether changes in sleep patterns during pregnancy increase the risk of PPD. Methods: A prospective cohort study was conducted between March 2013 and November 2017. Participants completed a sleep questionnaire pre-pregnancy and at 12, 24 and 36 gestational weeks (GW). Depressive symptoms were assessed by the Edinburgh Postnatal Depression Scale (EPDS) at 4 weeks postpartum, and the cut-off score for PPD was 10 or more. Results: Of 2512 participants, 410 (16.3%) were identified as having PPD. Only insufficient sleep at 36 GW was significantly associated with PPD after adjusting for confounding factors (odds ratio 1.79, 95% confidence interval 1.40-2.27, P < 0.001). Both Group 1 (change from sufficient to insufficient) and Group 3 (sustained insufficient) demonstrated a significant risk of PPD at all starting time-points in the multivariate analysis, but no significant association was evident between Group 2 (change from insufficient to sufficient) and PPD. Conclusion: Insufficient sleep at 36 GW was associated with a significant risk of developing PPD. Additionally, regardless of whether women had sufficient sleep, a shift towards worsening sleep at 36 GW was highly associated with PPD.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfINTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHDepression, Postpartum* / epidemiology-
dc.subject.MESHDepression, Postpartum* / etiology-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHPregnancy-
dc.subject.MESHProspective Studies-
dc.subject.MESHRepublic of Korea / epidemiology-
dc.subject.MESHRisk Factors-
dc.subject.MESHSleep Deprivation-
dc.titleThe impacts of insufficient sleep and its change during pregnancy on postpartum depression: A prospective cohort study of Korean women-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Biomedical Systems Informatics (의생명시스템정보학교실)-
dc.contributor.googleauthorBo Seong Yun-
dc.contributor.googleauthorSo Hyun Shim-
dc.contributor.googleauthorHee Young Cho-
dc.contributor.googleauthorSeok-Jae Heo-
dc.contributor.googleauthorInkyung Jung-
dc.contributor.googleauthorHaeng Jun Jeon-
dc.contributor.googleauthorYou Jung Han-
dc.contributor.googleauthorDong Wook Kwak-
dc.contributor.googleauthorMin Hyung Kim-
dc.contributor.googleauthorHee Jin Park-
dc.contributor.googleauthorJin Hoon Chung-
dc.contributor.googleauthorDong Hyun Cha-
dc.contributor.googleauthorMoon Young Kim-
dc.contributor.googleauthorHyun Mee Ryu-
dc.contributor.googleauthorSung Shin Shim-
dc.contributor.googleauthorSu Young Lee-
dc.identifier.doi10.1002/ijgo.13602-
dc.contributor.localIdA03693-
dc.relation.journalcodeJ01117-
dc.identifier.eissn1879-3479-
dc.identifier.pmid33454978-
dc.identifier.urlhttps://obgyn.onlinelibrary.wiley.com/doi/10.1002/ijgo.13602-
dc.subject.keyworddepression-
dc.subject.keywordlongitudinal studies-
dc.subject.keywordpostpartum period-
dc.subject.keywordpregnancy-
dc.subject.keywordsleep-
dc.contributor.alternativeNameJung, In Kyung-
dc.contributor.affiliatedAuthor정인경-
dc.citation.volume155-
dc.citation.number1-
dc.citation.startPage125-
dc.citation.endPage131-
dc.identifier.bibliographicCitationINTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, Vol.155(1) : 125-131, 2021-10-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) > 1. Journal Papers

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