Sleep and perinatal mood disorders: a critical review
- PMID: 16049568
- PMCID: PMC1160560
Sleep and perinatal mood disorders: a critical review
Abstract
Pregnancy and the postpartum period are recognized as times of vulnerability to mood disorders, including postpartum depression and psychosis. Recently, changes in sleep physiology and sleep deprivation have been proposed as having roles in perinatal psychiatric disorders. In this article we review what is known about changes in sleep physiology and behaviour during the perinatal period, with a focus on the relations between sleep and postpartum "blues," depression and psychosis and on sleep-based interventions for the treatment and prevention of perinatal mood disorders. The interaction between sleep and perinatal mood disorders is significant, but evidence-based research in this field is limited. Studies that measure both sleep and mood during the perinatal period, particularly those that employ objective measurement tools such as polysomnography and actigraphy, will provide important information about the causes, prevention and treatment of perinatal mood disorders.
Il est reconnu que les femmes sont vulnérables aux troubles de l'humeur, y compris la dépression postpartum et la psychose, au cours de la grossesse et en période postpartum. On a posé récemment une hypothèse selon laquelle les changements de la physiologie du sommeil et la privation de sommeil joueraient un rôle dans les troubles psychiatriques périnataux. Ce manuscrit passe en revue les connaissances actuelles au sujet des changements de la physiologie et du comportement du sommeil en période périnatale, avec accent sur le lien entre le sommeil et la dépression des premiers jours du postpartum, la dépression postpartum et la pychose pospartum, ainsi que sur les interventions axées sur le sommeil pour le traitement et la prévention des troubles de l'humeur périnataux. L'interaction entre le sommeil et les troubles de l'humeur périnataux est importante, mais peu de recherches factuelles ont été effectuées dans ce domaine. La réalisation d'études mesurant tant le sommeil que l'humeur au cours de la période périnatale, surtout si elles font appel à des outils de mesure objective comme la polysomnographie et l'actigraphie, produira des données importantes sur les causes, la prévention et le traitement des troubles de l'humeur périnataux.
Similar articles
-
Poor sleep maintenance and subjective sleep quality are associated with postpartum maternal depression symptom severity.Arch Womens Ment Health. 2013 Dec;16(6):539-47. doi: 10.1007/s00737-013-0356-9. Epub 2013 Jun 4. Arch Womens Ment Health. 2013. PMID: 23733081 Free PMC article.
-
Sleep and Mood During Pregnancy and the Postpartum Period.Sleep Med Clin. 2015 Mar;10(1):25-33. doi: 10.1016/j.jsmc.2014.11.011. Epub 2014 Dec 12. Sleep Med Clin. 2015. PMID: 26055670 Review.
-
Sleep, daily activity rhythms and postpartum mood: A longitudinal study across the perinatal period.Chronobiol Int. 2016;33(7):791-801. doi: 10.3109/07420528.2016.1167077. Epub 2016 Apr 20. Chronobiol Int. 2016. PMID: 27097327
-
Perinatal mood disorders: position paper.Psychopharmacol Bull. 1998;34(3):301-6. Psychopharmacol Bull. 1998. PMID: 9803759 Review.
-
Exploring the association between maternal mood and self-reports of sleep during the perinatal period.J Obstet Gynecol Neonatal Nurs. 2014 Jul-Aug;43(4):465-77. doi: 10.1111/1552-6909.12464. Epub 2014 Jun 19. J Obstet Gynecol Neonatal Nurs. 2014. PMID: 24946912
Cited by
-
The association between physical activity and maternal sleep during the postpartum period.Matern Child Health J. 2014 Nov;18(9):2106-14. doi: 10.1007/s10995-014-1458-3. Matern Child Health J. 2014. PMID: 24577601 Free PMC article.
-
Effects of a single night of postpartum sleep on childless women's daytime functioning.Physiol Behav. 2016 Mar 15;156:137-47. doi: 10.1016/j.physbeh.2016.01.014. Epub 2016 Jan 15. Physiol Behav. 2016. PMID: 26776447 Free PMC article.
-
Maternal postpartum sleepiness and fatigue: associations with objectively measured sleep variables.J Psychosom Res. 2010 Nov;69(5):467-73. doi: 10.1016/j.jpsychores.2010.07.004. Epub 2010 Sep 1. J Psychosom Res. 2010. PMID: 20955866 Free PMC article.
-
The stress of losing sleep: Sex-specific neurobiological outcomes.Neurobiol Stress. 2023 May 13;24:100543. doi: 10.1016/j.ynstr.2023.100543. eCollection 2023 May. Neurobiol Stress. 2023. PMID: 37252645 Free PMC article.
-
Multidimensional influencing factors of postpartum depression based on the perspective of the entire reproductive cycle: evidence from western province of China.Soc Psychiatry Psychiatr Epidemiol. 2024 Nov;59(11):2041-2048. doi: 10.1007/s00127-024-02686-2. Epub 2024 May 24. Soc Psychiatry Psychiatr Epidemiol. 2024. PMID: 38789557 Free PMC article.
References
-
- Russell JA, Douglas AJ, Ingram CD. Brain preparations for maternity — adaptive changes in behavioral and neuroendocrine systems during pregnancy and lactation. An overview. Prog Brain Res 2001;133:1-38. - PubMed
-
- Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 2004;26:289-95. - PubMed
-
- Saper CB, Chou TC, Scammell TE. The sleep switch: hypothalamic control of sleep and wakefulness. Trends Neurosci 2001;24:726-31. - PubMed
-
- Jones B. Basic mechanisms of sleep–wake states. In: Kryger M, Roth T, Dement W, editors. Principles and practice of sleep medicine. 2nd ed. Philadelphia: WB Saunders; 1994. p. 145-62.
-
- Dijk DJ, Hayes B, Czeisler CA. Dynamics of electroencephalographic sleep spindles and slow wave activity in men: effect of sleep deprivation. Brain Res 1993;626:190-9. - PubMed
