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Link between insomnia and perinatal depressive symptoms: A meta-analysis
Farnoosh Emamian1,2, Habibolah Khazaie1, Michele L Okun3
1Sleep Disorders Research Center, Kermanshah University of Medical Sciences(KUMS), Kermanshah, Iran.
Journal of Sleep Research
|April 16, 2019
Summary
Insomnia is linked to perinatal depression symptoms in women. This meta-analysis confirms a significant association, suggesting routine screening for both conditions during pregnancy.
Area of Science:
- Perinatal Mental Health
- Sleep Medicine
- Psychiatry
Background:
- Insomnia is a common sleep disturbance.
- Perinatal depressive symptoms affect maternal well-being.
- A clear quantitative link between insomnia and perinatal depression requires investigation.
Purpose of the Study:
- To quantitatively assess the relationship between insomnia and perinatal depressive symptoms.
- To identify potential moderating factors influencing this association.
- To provide evidence for clinical screening recommendations.
Main Methods:
- Systematic literature search of Medline, EMBASE, and reference tracking.
- Meta-analysis of nine studies with 1,922 women.
- Random effects model and meta-regression to analyze effect size and heterogeneity.
Main Results:
- A significant, medium-sized positive correlation (r=0.366) was found between insomnia and perinatal depressive symptoms.
- The association was significant in studies without a history of depression.
- The depression assessment scale used explained significant heterogeneity.
Conclusions:
- Insomnia is significantly associated with perinatal depressive symptoms.
- Screening pregnant mothers for both insomnia and depression is warranted.
- Further research may explore specific depression assessment tools' impact.
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