Maternal antenatal daytime sleepiness and child neuropsychiatric and neurocognitive development

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http://hdl.handle.net/10138/306893

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Lahti-Pulkkinen , M , Mina , T H , Riha , R L , Raikkonen , K , Pesonen , A K , Drake , A J , Denison , F C & Reynolds , R M 2019 , ' Maternal antenatal daytime sleepiness and child neuropsychiatric and neurocognitive development ' , Psychological Medicine , vol. 49 , no. 12 , 003329171800291 , pp. 2081-2090 . https://doi.org/10.1017/S003329171800291X

Title: Maternal antenatal daytime sleepiness and child neuropsychiatric and neurocognitive development
Author: Lahti-Pulkkinen, M.; Mina, Theresia H.; Riha, Renata L.; Raikkonen, K.; Pesonen, A. K.; Drake, A. J.; Denison, Fiona C.; Reynolds, Rebecca M.
Contributor organization: Department of Psychology and Logopedics
Developmental Psychology Research Group
Date: 2019-09
Language: eng
Number of pages: 10
Belongs to series: Psychological Medicine
ISSN: 0033-2917
DOI: https://doi.org/10.1017/S003329171800291X
URI: http://hdl.handle.net/10138/306893
Abstract: Background The prevalence of sleep problems among pregnant women is over 50%, and daytime sleepiness is among the most common sleep problems. Previous studies have associated antenatal sleep problems with adverse maternal health and neonatal outcomes, but the consequences of antenatal sleep problems and particularly daytime sleepiness on child psychological development have not been assessed prospectively. Methods In this prospective cohort study including 111 mother-child dyads, we examined the associations of maternal daytime sleepiness during pregnancy, assessed at 17 and 28 weeks of gestation using the Epworth Sleepiness Scale, with child neuropsychiatric problems and neuropsychological development, assessed with mother-rated questionnaires and individually administered neuropsychological tests, at child age 2.6-5.7 years (mean = 4.3 years). Results Independently of sociodemographic and perinatal covariates and maternal depressive and anxiety symptoms during and/or after pregnancy, maternal antenatal daytime sleepiness was associated with increased total [unstandardized regression coefficient (B) = 0.25 standard deviation (s.d.) units; 95% confidence interval (CI) 0.01-0.48] and internalizing (B = 0.25 s.d.s: 95% CI 0.01-0.49) psychiatric problems and ADHD symptoms (B = 0.27 s.d.s: 95% CI 0.04-0.50) in children, and with poorer executive function, particularly in the areas of attention, working memory and inhibitory control (B = -0.39 s.d.s: 95% CI -0.69 to -0.10). Conclusions Maternal antenatal daytime sleepiness carries adverse consequences for offspring psychological development. The assessment of sleep problems may be an important addition to standard antenatal care.
Subject: ADHD
executive function
pregnancy
psychiatric
sleepiness
RECEPTOR GENE PROMOTER
PRENATAL DEPRESSIVE SYMPTOMS
DIFFICULTIES QUESTIONNAIRE
PSYCHOMETRIC PROPERTIES
HABITS QUESTIONNAIRE
BEHAVIOR PROBLEMS
STRESS SYMPTOMS
LATE PREGNANCY
SCALE
POPULATION
515 Psychology
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: acceptedVersion


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