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11.10.2023

Insomnia During the Perinatal Period and its Association with Maternal and Infant Psychopathology: A Systematic Review and Meta-Analysis

verfasst von: Laura Palagini, Enrico Cipriani, Valerio Caruso, Verinder Sharma, Angelo Gemignani, Alessandra Bramante, Mario Miniati, Dieter Riemann

Erschienen in: Current Psychiatry Reports | Ausgabe 11/2023

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Abstract

Purpose of Review

While sleep serves important regulatory functions for mental health, sleep disturbances, in particular insomnia, may contribute to mental disorders. Since insomnia symptoms are frequent during the perinatal period, the aim of this work is to systematically review the potential association between perinatal insomnia and maternal and infant psychopathology.

Recent Findings

A systematic search was conducted according with PRISMA guidelines, and meta-analytic calculations were conducted. Totally, 34 studies were included and involved 835,021 perinatal women. Four meta-analysis yielded four statistically significant random-effect models. All models show that women with perinatal symptoms of insomnia possess increased odds of developing clinically relevant symptoms of depression OR = 3.69, p = 0.001 and anxiety OR = 2.81; p < 0.001, as well as increased suicidal risk OR = 3.28; p < 0.001, and distress in the newborn OR = 2.80 (P = 0.007).

Summary

These findings emphasize the role of assessing and addressing insomnia during the perinatal period to mitigate its negative effect on maternal and infant mental health via sleep regulation.

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Titel: Insomnia During the Perinatal Period and its Association with Maternal and Infant Psychopathology: A Systematic Review and Meta-Analysis
verfasst von: Laura Palagini
Enrico Cipriani
Valerio Caruso
Verinder Sharma
Angelo Gemignani
Alessandra Bramante
Mario Miniati
Dieter Riemann
Publikationsdatum: 11.10.2023
Verlag: Springer US
Erschienen in: Current Psychiatry Reports / Ausgabe 11/2023
Print ISSN: 1523-3812
Elektronische ISSN: 1535-1645
DOI: https://doi.org/10.1007/s11920-023-01463-3

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Insomnia During the Perinatal Period and its Association with Maternal and Infant Psychopathology: A Systematic Review and Meta-Analysis