Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women
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Autor
Gelaye, BizuBarrios, Yasmin V.
Zhong, Qiu-Yue
Rondón, Marta B.
Borba, Christina P.C.
Sánchez, Sixto E.
Henderson, David C.
Williams, Michelle A.
Fecha de publicación
2015-05-27
Metadatos
Mostrar el registro completo del ítemCitation
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.2015.04.014Editorial
Elsevier B.V.Journal
General Hospital Psychiatry (Gen Hosp Psychiatry)DOI
10.1016/j.genhosppsych.2015.04.014Enlaces adicionales
http://www.sciencedirect.com/science/article/pii/S0163834315001012Resumen
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.Tipo
info:eu-repo/semantics/articleArticle
Derechos
info:eu-repo/semantics/openAccessIdioma
engISSN
0163-8343ae974a485f413a2113503eed53cd6c53
10.1016/j.genhosppsych.2015.04.014
Scopus Count
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