@article{f0a769eb196243b0a3eb343a137cf3b2,
title = "Mid-pregnancy and postpartum maternal mental health and infant sleep in the first year of life",
abstract = "Perinatal depression and anxiety are common and associated with sleep problems in the offspring. Depression and anxiety are commonly comorbid, yet often studied independently. Our study used an integrative measure of anxiety and depressive symptoms to examine the associations of maternal mental health (mid-pregnancy and postnatal) with infant sleep during the first year of life. A total of 797 mother–child dyads from the {\textquoteleft}Growing Up in Singapore Towards healthy Outcome{\textquoteright} cohort study provided infant sleep data at 3, 6, 9 and 12 months of age, using the caregiver reported Brief Infant Sleep Questionnaire. Maternal mental health was assessed at 26–28 weeks gestation and 3 months postpartum using the Edinburgh Postnatal Depression Scale, Beck Depression Inventory and State–Trait Anxiety Inventory. Bifactor modelling with the individual questionnaire items produced a general affect factor score that provided an integrated measure of anxiety and depressive symptoms. Linear mixed models were used to model the sleep outcomes, with adjustment for maternal age, education, parity, ethnicity, sex of the child and maternal sleep quality concurrent with maternal mental health assessment. We found that poorer mid-pregnancy, but not postpartum, maternal mental health was associated with longer wake after sleep onset duration across the first year of life (β = 49, 95% confidence interval 13–85 min). Poor maternal mental health during mid-pregnancy is linked to longer period of night awakening in the offspring during infancy. Interventions that aim to improve maternal antenatal mental health should examine infant sleep outcomes.",
keywords = "anxiety, depression, general affect, infant sleep, mood, wake after sleep onset",
author = "Shirong Cai and Phua, {Desiree Y.} and Tham, {Elaine K. H.} and Goh, {Daniel Y. T.} and Teoh, {Oon H.} and Shek, {Lynette P. C.} and Tan, {Kok H.} and Fabian Yap and Yap-Seng Chong and Helen Chen and Broekman, {Birit F. P.} and Kramer, {Michael S.} and Meaney, {Michael J.}",
note = "Funding Information: We thank participants and staff of the GUSTO study. The GUSTO study group includes Pratibha Agarwal, Arijit Biswas, Choon Looi Bong, Birit F.P. Broekman, Jerry Kok Yen Chan, Yiong Huak Chan, Cornelia Yin Ing Chee, Helen Chen, Yin Bun Cheung, Amutha Chinnadurai, Chai Kiat Chng, Mary Foong‐Fong Chong, Shang Chee Chong, Mei Chien Chua, Doris Fok, Marielle V. Fortier, Anne Eng Neo Goh, Yam Thiam Daniel Goh, Wee Meng Han, Mark Hanson, Christiani Jeyakumar Henry, Joanna D. Holbrook, Chin‐Ying Hsu, Hazel Inskip, Jeevesh Kapur, Ivy Yee‐Man Lau, Bee Wah Lee, Yung Seng Lee, Ngee Lek, Sok Bee Lim, Iliana Magiati, Lourdes Mary Daniel, Cheryl Ngo, Krishnamoorthy Niduvaje, Wei Wei Pang, Anqi Qiu, Boon Long Quah, Victor Samuel Rajadurai, Mary Rauff, Salome A. Rebello, Jenny L. Richmond, Anne Rifkin‐Graboi, Lynette Pei‐Chi Shek, Allan Sheppard, Borys Shuter, Leher Singh, Walter Stunkel, Lin Su, Kok‐Hian Tan, Oon Hoe Teoh, Mya Thway Tint, Hugo P S van Bever, Rob M. van Dam, Inez Bik Yun Wong, P. C. Wong, Fabian Yap and George Seow Heong Yeo. This research was supported by the Singapore National Research Foundation under its Translational and Clinical Research (TCR) Flagship Program and administered by the Singapore Ministry of Health's National Medical Research Council (NMRC), Singapore (NMRC/TCR/004‐NUS/2008; NMRC/TCR/012‐NUHS/2014). Additional funding was provided by A*STAR‐JJSI Co‐Managed Fund Program and the Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR). Funders were not involved in the design of the study or the analysis and preparation of the manuscript. Publisher Copyright: {\textcopyright} 2022 European Sleep Research Society.",
year = "2023",
month = jun,
doi = "https://doi.org/10.1111/jsr.13804",
language = "English",
volume = "32",
journal = "Journal of sleep research",
issn = "0962-1105",
publisher = "Wiley-Blackwell",
number = "3",
}