Insomnia, poor sleep quality and perinatal suicidal risk: A systematic review and meta-analysis.
insomnia
peripartum
poor sleep quality
pregnancy
suicidal risk
Journal
Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441
Informations de publication
Date de publication:
Apr 2024
Apr 2024
Historique:
revised:
27
06
2023
received:
15
05
2023
accepted:
28
06
2023
medline:
18
3
2024
pubmed:
14
7
2023
entrez:
14
7
2023
Statut:
ppublish
Résumé
Suicidal risk in mothers is a public health priority. Risk factors include biological, psychological and psychosocial factors. Among the biological factors, the role of sleep disturbances as potential contributors to increased suicidal risk during the peripartum period is becoming apparent. To explore this further, we conducted a systematic review following the PRISMA criteria. Currently, 10 studies have examined the role of insomnia and poor sleep quality in suicidal risk during the peripartum period and have involved 807,760 women. The data showed that disturbed sleep and poor sleep quality increase the risk of suicidal ideation in both pregnant women with and without perinatal depression. The results of the meta-analysis indicated that insomnia and poor sleep quality increase the odds of suicidal risk in pregnant women by more than threefold (OR = 3.47; 95% CI: 2.63-4.57). Specifically, the odds ratio (OR) for poor sleep quality was 3.72 (95% CI: 2.58-5.34; p < 0.001), and for insomnia symptoms, after taking into account perinatal depression, was 4.76 (95% CI: 1.83-12.34; p < 0.001). These findings emphasise the importance of assessing and addressing sleep disturbances during the peripartum period to mitigate their adverse effects on peripartum psychopathology and suicidal risk.
Types de publication
Meta-Analysis
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14000Informations de copyright
© 2023 European Sleep Research Society.
Références
Akaishi, T., Tarasawa, K., Fushimi, K., Hamada, H., Saito, M., Kobayashi, N., Kikuchi, S., Tomita, H., Ishii, T., Fujimori, K., & Yaegashi, N. (2023). Risk factors associated with peripartum suicide attempts in Japan. JAMA Network Open, 6(1), e2250661. https://doi.org/10.1001/jamanetworkopen.2022.50661
Anbesaw, T., Negash, A., Mamaru, A., Abebe, H., Belete, A., & Ayano, G. (2021). Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia. PloS One, 16(8), e0255746. https://doi.org/10.1371/journal.pone.0255746
Bao, C., Xu, L., Tang, W., Sun, S., Zhang, W., He, J., Zhao, K., Xu, D., & Ye, X. (2021). Poor sleep and decision-making disturbance are associated with suicidal ideation in pre-natal depression. Frontiers in Psychiatry, 12, 680890. https://doi.org/10.3389/fpsyt.2021.680890
Chin, K., Wendt, A., Bennett, I. M., & Bhat, A. (2022). Suicide and maternal mortality. Current Psychiatry Reports, 24(4), 239-275. https://doi.org/10.1007/s11920-022-01334-3
Coker, J. L., Tripathi, S. P., Knight, B. T., Pennell, P. B., Magann, E. F., Newport, D. J., & Stowe, Z. N. (2017). Rating scale item assessment of self-harm in postpartum women: A cross-sectional analysis. Archives of Women's Mental Health, 20(5), 687-694. https://doi.org/10.1007/s00737-017-0749
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109), 629-634. https://doi.org/10.1136/bmj.315.7109.629
Emamian, F., Khazaie, H., Okun, M. L., Tahmasian, M., & Sepehry, A. A. (2019). Link between insomnia and perinatal depressive symptoms: A meta-analysis. Journal of Sleep Research, 28(6), e12858. https://doi.org/10.1111/jsr.12858
Esscher, A., Essén, B., Innala, E., Papadopoulos, F. C., Skalkidou, A., Sundström-Poromaa, I., & Högberg, U. (2016). Suicides during pregnancy and 1 year postpartum in Sweden, 1980-2007. The British Journal of Psychiatry: The Journal of Mental Science, 208(5), 462-469. https://doi.org/10.1192/bjp.bp.114.161711
Gelaye, B., Addae, G., Neway, B., Larrabure-Torrealva, G. T., Qiu, C., Stoner, L., Luque Fernandez, M. A., Sanchez, S. E., & Williams, M. A. (2017). Poor sleep quality, antepartum depression and suicidal ideation among pregnant women. Journal of Affective Disorders, 209, 195-200. https://doi.org/10.1016/j.jad.2016.11.020
Gelaye, B., Barrios, Y. V., Zhong, Q.-Y., Rondon, M. B., Borba, C. P. C., Sánchez, S. E., Henderson, D. C., & Williams, M. A. (2015). Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women. General Hospital Psychiatry, 37(5), 441-447. https://doi.org/10.1016/j.genhosppsych.2015.04.014
Gelaye, B., Kajeepeta, S., & Williams, M. A. (2016). Suicidal ideation in pregnancy: An epidemiologic review. Archives of Women's Mental Health, 19(5), 741-751. https://doi.org/10.1007/s00737-016-0646-0
Geoffroy, P. A., Oquendo, M. A., Courtet, P., Blanco, C., Olfson, M., Peyre, H., Lejoyeux, M., Limosin, F., & Hoertel, N. (2021). Sleep complaints are associated with increased suicide risk independently of psychiatric disorders: Results from a national 3-year prospective study. Molecular Psychiatry, 26(6), 2126-2136. https://doi.org/10.1038/s41380-020-0735-3
Harmer, B., Lee, S., Duong, T. V. H., & Saadabadi, A. (2023). Suicidal ideation. StatPearls.
Humphrey, M. D. (2016). Maternal mortality trends in Australia. The Medical Journal of Australia, 205(8), 344-346. https://doi.org/10.5694/mja16.00906
Kalmbach, D. A., Ahmedani, B. K., Gelaye, B., Cheng, P., & Drake, C. L. (2021). Nocturnal cognitive hyperarousal, perinatal-focused rumination, and insomnia are associated with suicidal ideation in perinatal women with mild to moderate depression. Sleep Medicine, 81, 439-442. https://doi.org/10.1016/j.sleep.2021.03.004
Kalmbach, D. A., Cheng, P., Ong, J. C., Ciesla, J. A., Kingsberg, S. A., Sangha, R., Swanson, L. M., O'Brien, L. M., Roth, T., & Drake, C. L. (2020). Depression and suicidal ideation in pregnancy: Exploring relationships with insomnia, short sleep, and nocturnal rumination. Sleep Medicine, 65, 62-73. https://doi.org/10.1016/j.sleep.2019.07.010
Kalmbach, D. A., Cheng, P., Roth, A., Roth, T., Swanson, L. M., O'Brien, L. M., Fresco, D. M., Harb, N. C., Cuamatzi-Castelan, A. S., Reffi, A. N., & Drake, C. L. (2022). DSM-5 insomnia disorder in pregnancy: Associations with depression, suicidal ideation, and cognitive and somatic arousal, and identifying clinical cutoffs for detection. Sleep Advances: A Journal of the Sleep Research Society, 3(1), zpac006. https://doi.org/10.1093/sleepadvances/zpac006
Knight, M., & Tuffnell, D. (2018). A view from the UK: The UK and Ireland confidential enquiry into maternal deaths and morbidity. Clinical Obstetrics and Gynecology, 61(2), 347-358. https://doi.org/10.1097/GRF.0000000000000352
Kugbey, N., Ayanore, M., Doegah, P., Chirwa, M., Bartels, S. A., Davison, C. M., & Purkey, E. (2021). Prevalence and correlates of prenatal depression, anxiety and suicidal behaviours in the volta region of Ghana. International Journal of Environmental Research and Public Health, 18(11), 5857. https://doi.org/10.3390/ijerph18115857
McCall, W. V., & Black, C. G. (2013). The link between suicide and insomnia: Theoretical mechanisms. Current Psychiatry Reports, 15(9), 389. https://doi.org/10.1007/s11920-013-0389-9
Meurk, C., Wittenhagen, L., Lucke, J., Barker, R., Roberts, S., Moss, K., Waterson, E., & Heffernan, E. (2021). Suicidal behaviours in the peripartum period: A systematic scoping review of data linkage studies. Archives of Women's Mental Health, 24(4), 579-593. https://doi.org/10.1007/s00737-021-01102-x
O'Connor, A., Geraghty, S., Doleman, G., & De Leo, A. (2018). Suicidal ideation in the perinatal period: A systematic review. Mental Health and Prevention, 12, 67-75. https://doi.org/10.1016/j.mhp.2018.10.002
Orri, M., Gunnell, D., Richard-Devantoy, S., Bolanis, D., Boruff, J., Turecki, G., & Geoffroy, M.-C. (2019). In-utero and perinatal influences on suicide risk: A systematic review and meta-analysis. The Lancet. Psychiatry, 6(6), 477-492. https://doi.org/10.1016/S2215-0366(19)30077-X
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ (Clinical Research Ed.), 372, n71. https://doi.org/10.1136/bmj.n71
Palagini, L., Bramante, A., Baglioni, C., Tang, N., Grassi, L., Altena, E., Johann, A. F., Geoffroy, P. A., Biggio, G., Mencacci, C., Sharma, V., & Riemann, D. (2022). Insomnia evaluation and treatment during peripartum: A joint position paper from the European Insomnia Network task force “Sleep And Women,” the Italian Marcè Society and international experts task force for perinatal mental health. Archives of Women's Mental Health, 25(3), 561-575. https://doi.org/10.1007/s00737-022-01226-8
Palagini, L., Cipollone, G., Masci, I., Novi, M., Caruso, D., Kalmbach, D. A., & Drake, C. L. (2019). Stress-related sleep reactivity is associated with insomnia, psychopathology and suicidality in pregnant women: Preliminary results. Sleep Medicine, 56, 145-150. https://doi.org/10.1016/j.sleep.2019.01.009
Palagini, L., Gemignani, A., Banti, S., Manconi, M., Mauri, M., & Riemann, D. (2014). Chronic sleep loss during pregnancy as a determinant of stress: Impact on pregnancy outcome. Sleep Medicine, 15(8), 853-859. https://doi.org/10.1016/j.sleep.2014.02.013
Rao, W.-W., Yang, Y., Ma, T.-J., Zhang, Q., Ungvari, G. S., Hall, B. J., & Xiang, Y.-T. (2021). Worldwide prevalence of suicide attempt in pregnant and postpartum women: A meta-analysis of observational studies. Social Psychiatry and Psychiatric Epidemiology, 56(5), 711-720. https://doi.org/10.1007/s00127-020-01975-w
Reid, H. E., Pratt, D., Edge, D., & Wittkowski, A. (2022). Maternal suicide ideation and behaviour during pregnancy and the first postpartum year: A systematic review of psychological and psychosocial risk factors. Frontiers in Psychiatry, 13, 765118. https://doi.org/10.3389/fpsyt.2022.765118
Riemann, D., Benz, F., Dressle, R. J., Espie, C. A., Johann, A. F., Blanken, T. F., Leerssen, J., Wassing, R., Henry, A. L., Kyle, S. D., Spiegelhalder, K., & Van Someren, E. J. W. (2022). Insomnia disorder: State of the science and challenges for the future. Journal of Sleep Research, 31(4), e13604. https://doi.org/10.1111/jsr.13604
Riemann, D., Nissen, C., Palagini, L., Otte, A., Perlis, M. L., & Spiegelhalder, K. (2015). The neurobiology, investigation, and treatment of chronic insomnia. The Lancet Neurology, 14(5), 547-558. https://doi.org/10.1016/S1474-4422(15)00021-6
Rodriguez-Cabezas, L., & Clark, C. (2018). Psychiatric emergencies in pregnancy and postpartum. Clinical Obstetrics and Gynecology, 61(3), 615-627. https://doi.org/10.1097/GRF.0000000000000377
Romier, A., Maruani, J., Lopez-Castroman, J., Palagini, L., Serafini, G., Lejoyeux, M., d'Ortho, M.-P., & Geoffroy, P. A. (2023). Objective sleep markers of suicidal behaviors in patients with psychiatric disorders: A systematic review and meta-analysis. Sleep Medicine Reviews, 68, 101760. https://doi.org/10.1016/j.smrv.2023.101760
Schardt, C., Adams, M. B., Owens, T., Keitz, S., & Fontelo, P. (2007). Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Medical Informatics and Decision Making, 7, 16. https://doi.org/10.1186/1472-6947-7-16
Sharma, V., & Mazmanian, D. (2003). Sleep loss and postpartum psychosis. Bipolar Disorders, 5(2), 98-105. https://doi.org/10.1034/j.1399-5618.2003.00015.x
Sit, D., Luther, J., Buysse, D., Dills, J. L., Eng, H., Okun, M., Wisniewski, S., & Wisner, K. L. (2015). Suicidal ideation in depressed postpartum women: Associations with childhood trauma, sleep disturbance and anxiety. Journal of Psychiatric Research, 66-67, 95-104. https://doi.org/10.1016/j.jpsychires.2015.04.021
Swanson, L. M., Kalmbach, D. A., Raglan, G. B., & O'Brien, L. M. (2020). Perinatal insomnia and mental health: A review of recent literature. Current Psychiatry Reports, 22(12), 73. https://doi.org/10.1007/s11920-020-01198-5
Thompson, S. G., & Sharp, S. J. (1999). Explaining heterogeneity in meta-analysis: A comparison of methods. Statistics in Medicine, 18(20), 2693-2708. https://doi.org/10.1002/(SICI)1097-0258(19991030)18:20<2693::AID-SIM235>3.0.CO;2-V
Viechtbauer, W. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36(3), 1-48. https://doi.org/10.18637/jss.v036.i03
Weng, S.-C., Huang, J.-P., Huang, Y.-L., Lee, T. S.-H., & Chen, Y.-H. (2016). Effects of tobacco exposure on perinatal suicidal ideation, depression, and anxiety. BMC Public Health, 16, 623. https://doi.org/10.1186/s12889-016-3254-z
Xiao, M., Hu, Y., Huang, S., Wang, G., Zhao, J., & Lei, J. (2022). Prevalence of suicidal ideation in pregnancy and the postpartum: A systematic review and meta-analysis. Journal of Affective Disorders, 296, 322-336. https://doi.org/10.1016/j.jad.2021.09.083