The Relationship between Sleep Quality, Depression, and Anxiety in Pregnant Women: A Cohort Study

  • Mamak Shariat Department of Pediatrics AND Maternal, Fetal and Neonatal Health Research Center, Institute of Family Health, Tehran University of Medical Sciences, Tehran, Iran
  • Nasrin Abedinia Department of Pediatrics AND Maternal, Fetal, and Neonatal Health Research Center AND Iranian Research Centers for HIV/AIDS, Institute of Family Health, Tehran University of Medical Sciences, Tehran, Iran
  • Ahmad Ali Noorbala Department of Psychiatry, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  • Maedeh Raznahan Department of Ophthalmology AND Noor Ophthalmic Research Center, Tehran University of Medical Sciences, Tehran, Iran
Keywords: Anxiety, Depression, Pregnancy trimesters, Sleep hygiene


Abstract Background and Objective: Sleep disturbances are common in women, especially during pregnancy. This can re-sult in emotional and psychological consequences in pregnant women. The aim of this study was to assess the preva-lence and identify the relationship between sleep quality, anxiety, and depression during pregnancy. Materials & Methods: This cohort study included 283 pregnant women. Participants completed Beck Depression Inventory, State-Trait Anxiety Inventory, and Pittsburgh Sleep Quality Index at first, second, and third gestational tri-mesters. Data were analyzed by descriptive statistics and Cramer’s V correlation technique.Results: The findings indicated that nearly 30% of participants suffered from depression. Mild depression reported from the first, second, and third trimesters was 18%, 11%, and 4.9%, respectively, while severe depression frequency was found to be 4.9% in the third trimester. Moreover, the highest proportion of mild anxiety was 28.3% in the first trimester, and moderate and severe anxiety had a prevalence of 4.9 and 14.1% in the third trimester, respectively. In the third trimester, sleep quality was lower and the prevalence of sleep problems was 75.26%. The findings also showed that there is a significant association between sleep problems and depression and anxiety (P < 0.0500).Conclusion: Psychological problems such as anxiety and depression were prevalent among the studied population of pregnant women. Thus, psychological counseling before pregnancy or early pregnancy in this population may pro-vide safer pregnancy, convenient delivery, and healthier newborns.


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How to Cite
Shariat M, Abedinia N, Noorbala AA, Raznahan M. The Relationship between Sleep Quality, Depression, and Anxiety in Pregnant Women: A Cohort Study. JSS. 2(1-2):20-7.
Original Article(s)