Investigating the link between sleep and postpartum depression in fathers utilizing subjective and objective sleep measures.
Actigraphy
Fathers
Objective sleep
Postpartum depression
Sleep quality
Subjective sleep
Journal
Sleep medicine: X
ISSN: 2590-1427
Titre abrégé: Sleep Med X
Pays: Netherlands
ID NLM: 101774782
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
23
02
2021
revised:
07
04
2021
accepted:
29
04
2021
entrez:
25
6
2021
pubmed:
26
6
2021
medline:
26
6
2021
Statut:
epublish
Résumé
While fathers are at risk of developing poorer sleep and depressive symptoms in the postpartum period, they represent an understudied population in the literature. The present study aimed to explore the association between sleep and postpartum depressive symptoms in fathers using subjective and objective sleep measures. Fifty-four fathers reporting no history of depression took part in this cross-sectional study. At 6 months postpartum, paternal sleep was assessed for 2 weeks utilizing a self-report daily sleep diary, a self-report perceived sleep quality rating, and actigraphy. In the same period, depressive symptoms in fathers were assessed with the Center for Epidemiologic Studies-Depression Scale (CES-D). Regression analyses showed that paternal subjective sleep variables captured by the sleep diary (total nocturnal sleep time and number of night awakenings) were not related to postpartum depressive symptoms. However, self-reported perceived sleep quality was significantly associated with postpartum depressive symptom severity in fathers independently of demographic variables related to depression. Alternatively, the objective sleep variables (total nocturnal sleep time, number of night awakenings, sleep efficiency, and wake after sleep onset), measured by actigraphy, did not demonstrate a significant relationship with paternal depression scores. These findings highlight the importance of perceived sleep quality, along with better understanding its association with postpartum depressive symptoms. Implementing a multi-measure approach enabled us to expand our knowledge about how different facets of sleep relate to postpartum depression, specifically in fathers. The results have important implications for the development of clinical interventions targeting paternal sleep and mood in the postpartum period.
Sections du résumé
BACKGROUND
BACKGROUND
While fathers are at risk of developing poorer sleep and depressive symptoms in the postpartum period, they represent an understudied population in the literature. The present study aimed to explore the association between sleep and postpartum depressive symptoms in fathers using subjective and objective sleep measures.
METHODS
METHODS
Fifty-four fathers reporting no history of depression took part in this cross-sectional study. At 6 months postpartum, paternal sleep was assessed for 2 weeks utilizing a self-report daily sleep diary, a self-report perceived sleep quality rating, and actigraphy. In the same period, depressive symptoms in fathers were assessed with the Center for Epidemiologic Studies-Depression Scale (CES-D).
RESULTS
RESULTS
Regression analyses showed that paternal subjective sleep variables captured by the sleep diary (total nocturnal sleep time and number of night awakenings) were not related to postpartum depressive symptoms. However, self-reported perceived sleep quality was significantly associated with postpartum depressive symptom severity in fathers independently of demographic variables related to depression. Alternatively, the objective sleep variables (total nocturnal sleep time, number of night awakenings, sleep efficiency, and wake after sleep onset), measured by actigraphy, did not demonstrate a significant relationship with paternal depression scores.
CONCLUSIONS
CONCLUSIONS
These findings highlight the importance of perceived sleep quality, along with better understanding its association with postpartum depressive symptoms. Implementing a multi-measure approach enabled us to expand our knowledge about how different facets of sleep relate to postpartum depression, specifically in fathers. The results have important implications for the development of clinical interventions targeting paternal sleep and mood in the postpartum period.
Identifiants
pubmed: 34169272
doi: 10.1016/j.sleepx.2021.100036
pii: S2590-1427(21)00005-7
pmc: PMC8144731
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100036Informations de copyright
© 2021 The Authors.
Déclaration de conflit d'intérêts
There are no conflicts of interest relevant to this article to disclose. The ICMJE Uniform Disclosure Form for Potential Conflicts of Interest associated with this article can be viewed by clicking on the following link: https://doi.org/10.1016/j.sleepx.2021.100036.
Références
J Affect Disord. 2011 May;130(3):378-84
pubmed: 20708275
Sleep. 2009 Jul;32(7):847-55
pubmed: 19639747
Ann Behav Med. 2016 Dec;50(6):862-875
pubmed: 27492636
J Adv Nurs. 2004 Jan;45(1):26-35
pubmed: 14675298
J Affect Disord. 2017 Apr 15;213:180-186
pubmed: 28254608
J Affect Disord. 2016 Dec;206:189-203
pubmed: 27475890
J Affect Disord. 2008 May;108(1-2):147-57
pubmed: 18067974
Sleep. 2005 Dec;28(12):1568-77
pubmed: 16408417
Sleep. 2008 Apr;31(4):473-80
pubmed: 18457234
Sleep. 2010 Apr;33(4):531-8
pubmed: 20394323
J Affect Disord. 2019 Apr 15;249:371-377
pubmed: 30818245
Sleep Med Rev. 2011 Aug;15(4):211-20
pubmed: 21051245
Acta Psychiatr Scand. 2009 Feb;119(2):128-36
pubmed: 18822089
Arch Gynecol Obstet. 2014 Apr;289(4):755-63
pubmed: 24121691
J Obstet Gynecol Neonatal Nurs. 2008 Nov-Dec;37(6):722-35; quiz 735-7
pubmed: 19012723
Dev Psychobiol. 2013 May;55(4):361-72
pubmed: 22553114
J Perinat Neonatal Nurs. 2007 Apr-Jun;21(2):123-9
pubmed: 17505232
J Fam Psychol. 2012 Dec;26(6):886-95
pubmed: 23244456
Sleep. 2004 Feb 1;27(1):158-65
pubmed: 14998254
Biol Res Nurs. 2004 Apr;5(4):311-8
pubmed: 15068660
J Behav Med. 2018 Oct;41(5):703-710
pubmed: 30030650
Lancet. 2005 Jun 25-Jul 1;365(9478):2201-5
pubmed: 15978928
J Psychiatry Neurosci. 2008 Jul;33(4):331-43
pubmed: 18592034
Pediatrics. 2018 Dec;142(6):
pubmed: 30420470
Sleep. 2003 May 1;26(3):342-92
pubmed: 12749557
Sleep. 2018 Feb 1;41(2):
pubmed: 29267979
BMC Pregnancy Childbirth. 2017 Apr 4;17(1):104
pubmed: 28376726
J Affect Disord. 2021 Mar 15;283:441-471
pubmed: 33272686
Am J Obstet Gynecol. 2010 Nov;203(5):465.e1-7
pubmed: 20719289
Curr Opin Psychiatry. 2015 Nov;28(6):490-6
pubmed: 26382160
Am J Mens Health. 2017 Sep;11(5):1376-1384
pubmed: 26385988
Curr Psychiatry Rep. 2016 Jul;18(7):66
pubmed: 27222140
Int J Psychiatry Clin Pract. 2006;10(1):2-16
pubmed: 24926763