Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women

Descripción del Articulo

bgelaye@hsph.harvard.edu
Detalles Bibliográficos
Autores: Gelaye, Bizu, Barrios, Yasmin V., Zhong, Qiu-Yue, Rondón, Marta B., Borba, Christina P.C., Sánchez, Sixto E., Henderson, David C., Williams, Michelle A.
Formato: artículo
Fecha de Publicación:2015
Institución:Universidad Peruana de Ciencias Aplicadas
Repositorio:UPC-Institucional
Lenguaje:inglés
OAI Identifier:oai:repositorioacademico.upc.edu.pe:10757/555873
Enlace del recurso:http://hdl.handle.net/10757/555873
Nivel de acceso:acceso abierto
Materia:Sleep quality
Suicide ideation
Suicide
Depression
Pregnancy
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dc.title.es_PE.fl_str_mv Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women
title Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women
spellingShingle Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women
Gelaye, Bizu
Sleep quality
Suicide ideation
Suicide
Depression
Pregnancy
title_short Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women
title_full Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women
title_fullStr Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women
title_full_unstemmed Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women
title_sort Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women
author Gelaye, Bizu
author_facet Gelaye, Bizu
Barrios, Yasmin V.
Zhong, Qiu-Yue
Rondón, Marta B.
Borba, Christina P.C.
Sánchez, Sixto E.
Henderson, David C.
Williams, Michelle A.
author_role author
author2 Barrios, Yasmin V.
Zhong, Qiu-Yue
Rondón, Marta B.
Borba, Christina P.C.
Sánchez, Sixto E.
Henderson, David C.
Williams, Michelle A.
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Gelaye, Bizu
Barrios, Yasmin V.
Zhong, Qiu-Yue
Rondón, Marta B.
Borba, Christina P.C.
Sánchez, Sixto E.
Henderson, David C.
Williams, Michelle A.
dc.subject.es_PE.fl_str_mv Sleep quality
Suicide ideation
Suicide
Depression
Pregnancy
topic Sleep quality
Suicide ideation
Suicide
Depression
Pregnancy
description bgelaye@hsph.harvard.edu
publishDate 2015
dc.date.accessioned.es_PE.fl_str_mv 2015-05-27T12:13:23Z
dc.date.available.es_PE.fl_str_mv 2015-05-27T12:13:23Z
dc.date.issued.fl_str_mv 2015-05-27
dc.type.es_PE.fl_str_mv info:eu-repo/semantics/article
dc.type.eng.fl_str_mv Article
format article
dc.identifier.citation.es_PE.fl_str_mv Gelaye B., et al, Association of poor subjective sleep qualitywith suicidal ideation among pregnant Peruvianwomen, Gen Hosp Psychiatry (2015), http://dx.doi.org/10.1016/j.genhosppsych.2015.04.014
dc.identifier.issn.es_PE.fl_str_mv 0163-8343
dc.identifier.doi.es_PE.fl_str_mv 10.1016/j.genhosppsych.2015.04.014
dc.identifier.uri.es_PE.fl_str_mv http://hdl.handle.net/10757/555873
dc.identifier.journal.es_PE.fl_str_mv General Hospital Psychiatry (Gen Hosp Psychiatry)
identifier_str_mv Gelaye B., et al, Association of poor subjective sleep qualitywith suicidal ideation among pregnant Peruvianwomen, Gen Hosp Psychiatry (2015), http://dx.doi.org/10.1016/j.genhosppsych.2015.04.014
0163-8343
10.1016/j.genhosppsych.2015.04.014
General Hospital Psychiatry (Gen Hosp Psychiatry)
url http://hdl.handle.net/10757/555873
dc.language.iso.es_PE.fl_str_mv eng
language eng
dc.relation.url.es_PE.fl_str_mv http://www.sciencedirect.com/science/article/pii/S0163834315001012
dc.rights.es_PE.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.es_PE.fl_str_mv application/pdf
dc.publisher.es_PE.fl_str_mv Elsevier B.V.
dc.source.es_PE.fl_str_mv Universidad Peruana de Ciencias Aplicadas (UPC)
Repositorio Académico - UPC
dc.source.none.fl_str_mv reponame:UPC-Institucional
instname:Universidad Peruana de Ciencias Aplicadas
instacron:UPC
instname_str Universidad Peruana de Ciencias Aplicadas
instacron_str UPC
institution UPC
reponame_str UPC-Institucional
collection UPC-Institucional
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spelling a50daf310fd98a4312e81a9dbc57c33c-1e2b8710d09e57a04a1887a05693dfbef-1fcf15ca6303154161ba9577307d31022-1fa76f5cb0f08251ad2eb869d57c5b5c6-1351df1025cfbd520d4c372adc48ea677-1b277c6e2746672d99cfd6b0efa565aef-17ab55b9ade77fd450c39bc903ee10e5c-1f746e9e5c15516bec68d90e7a6f779c6-1Gelaye, BizuBarrios, Yasmin V.Zhong, Qiu-YueRondón, Marta B.Borba, Christina P.C.Sánchez, Sixto E.Henderson, David C.Williams, Michelle A.2015-05-27T12:13:23Z2015-05-27T12:13:23Z2015-05-27Gelaye B., et al, Association of poor subjective sleep qualitywith suicidal ideation among pregnant Peruvianwomen, Gen Hosp Psychiatry (2015), http://dx.doi.org/10.1016/j.genhosppsych.2015.04.0140163-834310.1016/j.genhosppsych.2015.04.014http://hdl.handle.net/10757/555873General Hospital Psychiatry (Gen Hosp Psychiatry)bgelaye@hsph.harvard.eduArticleObjective: To examine the independent and joint relationships of poor subjective sleep quality and antepartum depression with suicidal ideation among pregnant women. Methods: A cross-sectional study was conducted among 641 pregnant women attending prenatal care clinics in Lima, Peru. Antepartumdepression and suicidal ideationwere assessed using the Patient Health Questionnaire-9 scale. Antepartumsubjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Logistic regression procedures were performed to estimate odds ratios (aOR) and 95% confidence intervals (95% CI) adjusted for confounders. Results: Overall, the prevalence of suicidal ideation in this cohort was 16.8% and poor subjective sleep qualitywas more common among women endorsing suicidal ideation as compared to their counterpartswho did not (47.2% vs. 24.8%, Pb.001). After adjustment for confounders including maternal depression, poor subjective sleep quality (defined using the recommended criteria of PSQI global score of N5 vs. ≤5) was associated with a 1.7-fold increased odds of suicidal ideation (aOR=1.67; 95% CI 1.02–2.71). When assessed as a continuous variable, each 1-unit increase in the global PSQI score resulted in an 18% increase in odds for suicidal ideation, even after adjusting for depression (aOR=1.18; 95% CI 1.08–1.28). Women with both poor subjective sleep quality and depression had a 3.5-fold increased odds of suicidal ideation (aOR=3.48; 95% CI 1.96–6.18) as compared with those who had neither risk factor. Conclusion: Poor subjective sleep quality was associated with increased odds of suicidal ideation. Replication of these findings may promote investments in studies designed to examine the efficacy of sleep-focused interventions to treat pregnant women with sleep disorders and suicidal ideation.This research was supported by an award fromtheNational Institutes of Health (NIH; R01-HD-059835, T37-MD000149 and K01MH100428). The NIH had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication. The authors wish to thank the dedicated staff members of Asociacion Civil Proyectos en Salud (PROESA), Peru and Instituto Especializado Materno Perinatal, Peru, for their expert technical assistance with this research.Revisión por paresapplication/pdfengElsevier B.V.http://www.sciencedirect.com/science/article/pii/S0163834315001012info:eu-repo/semantics/openAccessUniversidad Peruana de Ciencias Aplicadas (UPC)Repositorio Académico - UPCreponame:UPC-Institucionalinstname:Universidad Peruana de Ciencias Aplicadasinstacron:UPCSleep qualitySuicide ideationSuicideDepressionPregnancyAssociation of poor subjective sleep quality with suicidal ideation among pregnant Peruvian womeninfo:eu-repo/semantics/articleArticle2018-06-20T07:25:37ZObjective: To examine the independent and joint relationships of poor subjective sleep quality and antepartum depression with suicidal ideation among pregnant women. Methods: A cross-sectional study was conducted among 641 pregnant women attending prenatal care clinics in Lima, Peru. Antepartumdepression and suicidal ideationwere assessed using the Patient Health Questionnaire-9 scale. Antepartumsubjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Logistic regression procedures were performed to estimate odds ratios (aOR) and 95% confidence intervals (95% CI) adjusted for confounders. Results: Overall, the prevalence of suicidal ideation in this cohort was 16.8% and poor subjective sleep qualitywas more common among women endorsing suicidal ideation as compared to their counterpartswho did not (47.2% vs. 24.8%, Pb.001). After adjustment for confounders including maternal depression, poor subjective sleep quality (defined using the recommended criteria of PSQI global score of N5 vs. ≤5) was associated with a 1.7-fold increased odds of suicidal ideation (aOR=1.67; 95% CI 1.02–2.71). When assessed as a continuous variable, each 1-unit increase in the global PSQI score resulted in an 18% increase in odds for suicidal ideation, even after adjusting for depression (aOR=1.18; 95% CI 1.08–1.28). Women with both poor subjective sleep quality and depression had a 3.5-fold increased odds of suicidal ideation (aOR=3.48; 95% CI 1.96–6.18) as compared with those who had neither risk factor. Conclusion: Poor subjective sleep quality was associated with increased odds of suicidal ideation. 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Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women
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