Speaker
Description
Over 70% of peripartum women experience insomnia symptoms. Sleep difficulties increase psychological and health risks during peripartum. Longitudinal psychophysiological research is lacking. This ongoing longitudinal study include ecological-momentary assessment (EMA) and randomized controlled trial (RCT) designs to understand the interplay between physiological, hormonal and subjective indices of maternal sleep and psychopathology.
Women from early pregnancy (baseline) are assessed after 6 and 12 weeks (FU1-2), and at 1-to-2 weeks (FU3), 3- and 6-months post-partum (FU4-5). Included women are divided into those without (Group A) and those with sleep difficulties (Group B). Group B is randomly assigned to digital psychoeducational sleep intervention or a control condition (pregnancy information). A 7-days EMA design assesses sleep and emotions (sleep diary), sleep-wake parameters (actigraphy) and stress reactivity (salivary cortisol) at baseline, FU1 and FU5. Saliva samples are used for gene methylation as biomarkers of prenatal insomnia. Partners’ and newborns’ sleep is also assessed.
Among 41 interested women, 20 within the 2nd trimester have been enrolled (34.60 + 4.11 years): 10 without and 10 with relevant insomnia symptoms. 2 participants reported moderate anxiety and 3 screened positive for risk of peripartum depression. Group B tended to report higher anxiety and depressive symptoms compared to Group A.
Currently, 6 participants gave birth. No pregnancy complications were reported.
The present prospective study aims to understand the psychophysiological mechanisms linking sleep health and peripartum psychopathology. This will contribute to interventive and preventive programs to reduce long-term consequences of sleep difficulties during early pregnancy.
Preregistration:https://clinicaltrials.gov/study/NCT06379074
Protocol: https://doi.org/10.1186/s40359-024-01827-1
| If you're submitting a symposium talk, what's the symposium title? | Innovative approaches to sleep and well-being: Methodological and research implications |
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| If you're submitting a symposium, or a talk that is part of a symposium, is this a junior symposium? | Yes |
