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Published on: April 26, 2024
The association between maternal postnatal depressive symptoms and offspring sleep problems in adolescence
A K Taylor1, E Netsi2, H O'Mahen3
1Centre for Child and Adolescent Health,School of Social and Community Medicine,University of Bristol,Oakfield House,Oakfield Grove,Bristol BS8 2BN,UK.
Insights
Maternal postnatal depression (PND) significantly increases the risk of adolescent sleep problems in offspring. Early screening and interventions for mothers with PND are recommended to mitigate these risks.
Area of Science:
- Reproductive Health
- Child and Adolescent Health
- Mental Health
Background:
- Sleep disturbances are linked to adverse physical and mental health outcomes.
- Identifying risk factors for sleep problems is crucial for public health.
- Maternal mental health during the postnatal period may impact offspring development.
Purpose of the Study:
- To investigate the association between maternal postnatal depression (PND) and sleep problems in offspring during adolescence.
- To quantify the risk of adolescent sleep issues linked to maternal PND.
Main Methods:
- Utilized data from the Avon Longitudinal Study of Parents and Children (ALSPAC).
- Analyzed a sample of 9633 participants with complete data.
- Conducted sensitivity analysis with imputation for missing data.
Main Results:
- Maternal PND was significantly associated with increased odds of sleep problems in offspring at ages 16 and 18 years.
- The strongest association was observed for sleep problems at age 18 (OR 1.26) and frequent waking (OR 1.14).
- These associations persisted after controlling for antenatal depression and infant sleep patterns.
Conclusions:
- Maternal postnatal depression is a risk factor for adolescent sleep problems in offspring.
- Interventions targeting mothers with PND should consider the heightened risk of sleep disturbances in their children.
- Implementing early sleep screening and interventions for children of mothers with PND is warranted.
Background:
Sleep problems are associated with increased risk of physical and mental illness. Identifying risk factors is an important method of reducing public health impact. We examined the association between maternal postnatal depression (PND) and offspring adolescent sleep problems.
Method:
The sample was derived from Avon Longitudinal Study of Parents and Children (ALSPAC) participants. A sample with complete data across all variables was used, with four outcome variables. A sensitivity analysis imputing for missing data was conducted (n = 9633).
Results:
PND was associated with increased risk of sleep problems in offspring at ages 16 and 18 years. The most robust effects were sleep problems at 18 years [adjusted odds ratio (OR) for a 1 s.d. increase in PND, 1.26, 95% confidence interval (CI) 1.15-1.39, p < 0.001] and waking more often (adjusted OR 1.14, 95% CI 1.05-1.25, p = 0.003). This remained after controlling for confounding variables including antenatal depression and early sleep problems in infancy.
Conclusions:
PND is associated with adolescent offspring sleep problems. Maternal interventions should consider the child's increased risk. Early sleep screening and interventions could be introduced within this group.
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