Maternal depressive symptoms during and after pregnancy are associated with poorer sleep quantity and quality and sleep disorders in 3.5-year-old offspring

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Toffol , E , Lahti-Pulkkinen , M , Lahti , J , Lipsanen , J , Heinonen , K , Pesonen , A-K , Hämäläinen , E , Kajantie , E , Laivuori , H , Villa , P M & Räikkönen , K 2019 , ' Maternal depressive symptoms during and after pregnancy are associated with poorer sleep quantity and quality and sleep disorders in 3.5-year-old offspring ' , Sleep Medicine , vol. 56 , pp. 201-210 . https://doi.org/10.1016/j.sleep.2018.10.042

Title: Maternal depressive symptoms during and after pregnancy are associated with poorer sleep quantity and quality and sleep disorders in 3.5-year-old offspring
Author: Toffol, Elena; Lahti-Pulkkinen, Marius; Lahti, Jari; Lipsanen, Jari; Heinonen, Kati; Pesonen, Anu-Katriina; Hämäläinen, Esa; Kajantie, Eero; Laivuori, Hannele; Villa, Pia M.; Räikkönen, Katri
Contributor: University of Helsinki, Department of Psychology and Logopedics
University of Helsinki, Department of Psychology and Logopedics
University of Helsinki, Department of Psychology and Logopedics
University of Helsinki, Department of Psychology and Logopedics
University of Helsinki, Department of Psychology and Logopedics
University of Helsinki, Department of Psychology and Logopedics
University of Helsinki, Medicum
University of Helsinki, Lastentautien yksikkö
University of Helsinki, Institute for Molecular Medicine Finland
University of Helsinki, Department of Obstetrics and Gynecology
University of Helsinki, Department of Psychology and Logopedics
Date: 2019-04
Language: eng
Number of pages: 10
Belongs to series: Sleep Medicine
ISSN: 1389-9457
URI: http://hdl.handle.net/10138/308318
Abstract: Objective: Maternal depressive symptoms during pregnancy have been associated with poor offspring sleep. Yet, it remains unknown whether depressive symptoms throughout pregnancy are more harmful to the child than depressive symptoms only during certain time periods in pregnancy, whether associations are specific to pregnancy stage, whether maternal symptomatology after pregnancy mediates or adds to the prenatal effects, and whether any effects are specific to some child sleep characteristics. Methods: A total of 2321 mothers from the Prediction and Prevention of Pre-eclampsia and Intrauterine Growth Restriction (PREDO) study completed the Center for Epidemiological Studies Depression Scale biweekly between gestational weeks thorn days 12 + 0/13 + 6 and 38 + 0/39 + 6. At child's mean age of 3.5 (standard deviation = 0.7) years, mothers completed the Beck Depression Inventory-II and answered questions on child sleep quantity and quality using the Brief Infant Sleep Questionnaire (BISQ) and sleep disorders using the Sleep Disturbance Scale for Children. Results: Maternal depressive symptoms showed high stability throughout pregnancy. Children of mothers with clinically significant symptomatology throughout pregnancy had shorter mother-rated sleep duration, longer sleep latency, higher odds for waking up two or more times during the night and for total and several specific sleep disorders. These associations were robust to covariates. However, maternal depressive symptoms at the child follow-up fully mediated the associations with sleep duration and awakenings, partially mediated those with sleep latency and disorders, and added to the effects on sleep disorders. Conclusion: Maternal depressive symptoms throughout pregnancy are associated with mother-rated child sleep quantity, quality, and disorders. Maternal depressive symptoms at child follow-up mediate and add to the prenatal adverse effects on child sleep characteristics. (C) 2018 Elsevier B.V. All rights reserved.
Subject: CHILDREN
DISTURBANCE SCALE
DNA METHYLATION
DURATION
EARLY-CHILDHOOD
Early childhood
INFANT
Longitudinal study
Maternal antenatal depression
OUTCOMES
PITUITARY-ADRENAL AXIS
PSYCHOSOCIAL STRESS
Sleep disorders
Sleep quality
Sleep quantity
TRAJECTORIES
515 Psychology
3123 Gynaecology and paediatrics
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