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Delayed sleep timing and circadian rhythms in pregnancy and transdiagnostic symptoms associated with postpartum depression.
Obeysekare, Jessica L; Cohen, Zachary L; Coles, Meredith E; Pearlstein, Teri B; Monzon, Carmen; Flynn, E Ellen; Sharkey, Katherine M.
Afiliación
  • Obeysekare JL; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, 700 Butler Drive, Providence, RI, 02906, USA.
  • Cohen ZL; Butler Hospital, 345 Blackstone Boulevard, Providence, RI, 02906, USA.
  • Coles ME; Department of Psychiatry, University of North Carolina at Chapel Hill, 101 Manning Drive, Chapel Hill, NC, 27514, USA.
  • Pearlstein TB; Department of Psychology, Binghamton University (SUNY), Binghamton, NY, 13902, USA.
  • Monzon C; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, 700 Butler Drive, Providence, RI, 02906, USA.
  • Flynn EE; The Women's Medicine Collaborative, Lifespan, 146 West River Street, Providence, RI, 02904, USA.
  • Sharkey KM; Department of Medicine, Alpert Medical School of Brown University, 110 Elm Street, Providence, RI, 02903, USA.
Transl Psychiatry ; 10(1): 14, 2020 01 21.
Article en En | MEDLINE | ID: mdl-32066689
Later sleep timing, circadian preference, and circadian rhythm timing predict worse outcomes across multiple domains, including mood disorders, substance use, impulse control, and cognitive function. Disturbed sleep is common among pregnant and postpartum women. We examined whether sleep timing during third trimester of pregnancy predicted postpartum symptoms of mania, depression, and obsessive-compulsive disorder (OCD). Fifty-one women with a previous, but not active, episode of unipolar or bipolar depression had symptoms evaluated and sleep recorded with wrist actigraphy at 33 weeks of gestation and 2, 6, and 16 weeks postpartum. Circadian phase was measured in a subset of women using salivary dim light melatonin onset (DLMO). We divided the sample into "early sleep" and "late sleep" groups using average sleep onset time at 33 weeks of gestation, defined by the median-split time of 11:27 p.m. The "late sleep" group reported significantly more manic and depressive symptoms at postpartum week 2. Longer phase angle between DLMO and sleep onset at 33 weeks was associated with more manic symptoms at postpartum week 2 and more obsessive-compulsive symptoms at week 6. Delayed sleep timing in this sample of at-risk women was associated with more symptoms of mania, depression, and OCD in the postpartum period. Sleep timing may be a modifiable risk factor for postpartum depression.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Depresión Posparto / Melatonina Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Transl Psychiatry Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Depresión Posparto / Melatonina Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Transl Psychiatry Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos