Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women

2.50
Hdl Handle:
http://hdl.handle.net/10757/555873
Title:
Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women
Authors:
Gelaye, Bizu; Barrios, Yasmin V.; Zhong, Qiu-Yue; Rondon, Marta B.; Borba, Christina P.C.; Sánchez, Sixto E.; Henderson, David C.; Williams, Michelle A.
Citation:
Gelaye B., et al, Association of poor subjective sleep qualitywith suicidal ideation among pregnant Peruvianwomen, Gen Hosp Psychiatry (2015), http://dx.doi.org/10.1016/j.genhosppsych.2015.04.014
Publisher:
Elsevier B.V.
Journal:
General Hospital Psychiatry (Gen Hosp Psychiatry)
Issue Date:
27-May-2015
URI:
http://hdl.handle.net/10757/555873
DOI:
10.1016/j.genhosppsych.2015.04.014
Additional Links:
http://www.sciencedirect.com/science/article/pii/S0163834315001012
Abstract:
Objective: To examine the independent and joint relationships of poor subjective sleep quality and antepartum depression with suicidal ideation among pregnant women. Methods: A cross-sectional study was conducted among 641 pregnant women attending prenatal care clinics in Lima, Peru. Antepartumdepression and suicidal ideationwere assessed using the Patient Health Questionnaire-9 scale. Antepartumsubjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Logistic regression procedures were performed to estimate odds ratios (aOR) and 95% confidence intervals (95% CI) adjusted for confounders. Results: Overall, the prevalence of suicidal ideation in this cohort was 16.8% and poor subjective sleep qualitywas more common among women endorsing suicidal ideation as compared to their counterpartswho did not (47.2% vs. 24.8%, Pb.001). After adjustment for confounders including maternal depression, poor subjective sleep quality (defined using the recommended criteria of PSQI global score of N5 vs. ≤5) was associated with a 1.7-fold increased odds of suicidal ideation (aOR=1.67; 95% CI 1.02–2.71). When assessed as a continuous variable, each 1-unit increase in the global PSQI score resulted in an 18% increase in odds for suicidal ideation, even after adjusting for depression (aOR=1.18; 95% CI 1.08–1.28). Women with both poor subjective sleep quality and depression had a 3.5-fold increased odds of suicidal ideation (aOR=3.48; 95% CI 1.96–6.18) as compared with those who had neither risk factor. Conclusion: Poor subjective sleep quality was associated with increased odds of suicidal ideation. Replication of these findings may promote investments in studies designed to examine the efficacy of sleep-focused interventions to treat pregnant women with sleep disorders and suicidal ideation.
Type:
info:eu-repo/semantics/article; Article
Rights:
info:eu-repo/semantics/openAccess
Language:
eng
Description:
bgelaye@hsph.harvard.edu; Article
Keywords:
Sleep quality; Suicide ideation; Suicide; Depression; Pregnancy
ISSN:
0163-8343

Full metadata record

DC FieldValue Language
dc.contributor.authorGelaye, Bizues_PE
dc.contributor.authorBarrios, Yasmin V.es_PE
dc.contributor.authorZhong, Qiu-Yuees_PE
dc.contributor.authorRondon, Marta B.es_PE
dc.contributor.authorBorba, Christina P.C.es_PE
dc.contributor.authorSánchez, Sixto E.es_PE
dc.contributor.authorHenderson, David C.es_PE
dc.contributor.authorWilliams, Michelle A.es_PE
dc.date.accessioned2015-05-27T12:13:23Zes_PE
dc.date.available2015-05-27T12:13:23Zes_PE
dc.date.issued2015-05-27es_PE
dc.identifier.citationGelaye B., et al, Association of poor subjective sleep qualitywith suicidal ideation among pregnant Peruvianwomen, Gen Hosp Psychiatry (2015), http://dx.doi.org/10.1016/j.genhosppsych.2015.04.014es_PE
dc.identifier.issn0163-8343es_PE
dc.identifier.doi10.1016/j.genhosppsych.2015.04.014es_PE
dc.identifier.urihttp://hdl.handle.net/10757/555873es_PE
dc.descriptionbgelaye@hsph.harvard.edues_PE
dc.descriptionArticlees_PE
dc.description.abstractObjective: To examine the independent and joint relationships of poor subjective sleep quality and antepartum depression with suicidal ideation among pregnant women. Methods: A cross-sectional study was conducted among 641 pregnant women attending prenatal care clinics in Lima, Peru. Antepartumdepression and suicidal ideationwere assessed using the Patient Health Questionnaire-9 scale. Antepartumsubjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Logistic regression procedures were performed to estimate odds ratios (aOR) and 95% confidence intervals (95% CI) adjusted for confounders. Results: Overall, the prevalence of suicidal ideation in this cohort was 16.8% and poor subjective sleep qualitywas more common among women endorsing suicidal ideation as compared to their counterpartswho did not (47.2% vs. 24.8%, Pb.001). After adjustment for confounders including maternal depression, poor subjective sleep quality (defined using the recommended criteria of PSQI global score of N5 vs. ≤5) was associated with a 1.7-fold increased odds of suicidal ideation (aOR=1.67; 95% CI 1.02–2.71). When assessed as a continuous variable, each 1-unit increase in the global PSQI score resulted in an 18% increase in odds for suicidal ideation, even after adjusting for depression (aOR=1.18; 95% CI 1.08–1.28). Women with both poor subjective sleep quality and depression had a 3.5-fold increased odds of suicidal ideation (aOR=3.48; 95% CI 1.96–6.18) as compared with those who had neither risk factor. Conclusion: Poor subjective sleep quality was associated with increased odds of suicidal ideation. Replication of these findings may promote investments in studies designed to examine the efficacy of sleep-focused interventions to treat pregnant women with sleep disorders and suicidal ideation.eng
dc.formatapplication/pdfes_PE
dc.language.isoenges_PE
dc.publisherElsevier B.V.es_PE
dc.relation.urlhttp://www.sciencedirect.com/science/article/pii/S0163834315001012es_PE
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.sourceUniversidad Peruana de Ciencias Aplicadas (UPC)es_PE
dc.sourceRepositorio Académico - UPCes_PE
dc.subjectSleep qualityes_PE
dc.subjectSuicide ideationes_PE
dc.subjectSuicidees_PE
dc.subjectDepressiones_PE
dc.subjectPregnancyes_PE
dc.titleAssociation of poor subjective sleep quality with suicidal ideation among pregnant Peruvian womenes_PE
dc.typeinfo:eu-repo/semantics/articlees_PE
dc.typeArticleeng
dc.identifier.journalGeneral Hospital Psychiatry (Gen Hosp Psychiatry)es_PE
dc.description.fundingThis research was supported by an award fromtheNational Institutes of Health (NIH; R01-HD-059835, T37-MD000149 and K01MH100428). The NIH had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication. The authors wish to thank the dedicated staff members of Asociacion Civil Proyectos en Salud (PROESA), Peru and Instituto Especializado Materno Perinatal, Peru, for their expert technical assistance with this research.eng
dc.description.peer-reviewRevisión por pareseng
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