Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation
Por:
Pascal-Capdevila R, Casas I, Genero M, Nakaki A, Youssef L, Larroya M, Benitez L, Gomez Y, Martinez-Aran A, Morilla I, Oller-Guzmán TM, Martín-Asuero A, Vieta E, Crispi F, Gratacós E, Gómez-Roig MD and Crovetto F
Publicada:
1 dic 2023
Ahead of Print:
26 nov 2023
Categoría:
Medicine (miscellaneous)
Resumen:
Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (n = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08-3.81, p = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19-4.02, p = 0.01), and non-university studies (OR 1.86; 95% CI 1.08-3.19, p = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34-9.78, p = 0.01) and non-university studies (OR 1.70; 95% CI 1.11-2.59, p = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07-8.25, p = 0.04) and non-university studies (OR 1.74; 95% CI 1.10-2.74, p = 0.02). Finally, less sleep quality was observed at the end of pregnancy (p < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk.
Filiaciones:
Pascal-Capdevila R:
BCNatal (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Passeig Sant Joan de Déu, 2, 08959 Esplugues de Llobregat, Spain
Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Development Origin, RD21/0012/0003, Instituto de Salud Carlos III, 28040 Barcelona, Spain
Institut de Recerca Sant Joan de Déu (IRSJD), 08950 Barcelona, Spain
Casas I:
BCNatal (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Passeig Sant Joan de Déu, 2, 08959 Esplugues de Llobregat, Spain
Institut D'investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
Genero M:
BCNatal (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Passeig Sant Joan de Déu, 2, 08959 Esplugues de Llobregat, Spain
Institut de Recerca Sant Joan de Déu (IRSJD), 08950 Barcelona, Spain
Nakaki A:
BCNatal (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Passeig Sant Joan de Déu, 2, 08959 Esplugues de Llobregat, Spain
Institut D'investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
:
BCNatal (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Passeig Sant Joan de Déu, 2, 08959 Esplugues de Llobregat, Spain
Institut D'investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
Josep Carreras Leukaemia Research Institute, Hospital Clinic/University of Barcelona Campus, 08036 Barcelona, Spain
:
BCNatal (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Passeig Sant Joan de Déu, 2, 08959 Esplugues de Llobregat, Spain
Institut D'investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
:
BCNatal (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Passeig Sant Joan de Déu, 2, 08959 Esplugues de Llobregat, Spain
Institut D'investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
:
BCNatal (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Passeig Sant Joan de Déu, 2, 08959 Esplugues de Llobregat, Spain
Martinez-Aran A:
Department of Psychiatry and Psychology, Hospital Clinic, Neuroscience Insititute, IDIBAPS, University of Barcelona CIBERSAM, 08035 Barcelona, Spain
Morilla I:
Department of Psychiatry and Psychology, Hospital Clinic, Neuroscience Insititute, IDIBAPS, University of Barcelona CIBERSAM, 08035 Barcelona, Spain
Oller-Guzmán TM:
Instituto esMindfulness, 08015 Barcelona, Spain
Martín-Asuero A:
Instituto esMindfulness, 08015 Barcelona, Spain
Vieta E:
Department of Psychiatry and Psychology, Hospital Clinic, Neuroscience Insititute, IDIBAPS, University of Barcelona CIBERSAM, 08035 Barcelona, Spain
Crispi F:
BCNatal (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Passeig Sant Joan de Déu, 2, 08959 Esplugues de Llobregat, Spain
Institut D'investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
Center for Biomedical Network Research on Rare Diseases, 28029 Madrid, Spain
Gratacós E:
BCNatal (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Passeig Sant Joan de Déu, 2, 08959 Esplugues de Llobregat, Spain
Institut de Recerca Sant Joan de Déu (IRSJD), 08950 Barcelona, Spain
Institut D'investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
Center for Biomedical Network Research on Rare Diseases, 28029 Madrid, Spain
Gómez-Roig MD:
BCNatal (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Passeig Sant Joan de Déu, 2, 08959 Esplugues de Llobregat, Spain
Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Development Origin, RD21/0012/0003, Instituto de Salud Carlos III, 28040 Barcelona, Spain
Institut de Recerca Sant Joan de Déu (IRSJD), 08950 Barcelona, Spain
Crovetto F:
BCNatal (Hospital Sant Joan de Déu and Hospital Clínic), University of Barcelona, Passeig Sant Joan de Déu, 2, 08959 Esplugues de Llobregat, Spain
Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Development Origin, RD21/0012/0003, Instituto de Salud Carlos III, 28040 Barcelona, Spain
Institut de Recerca Sant Joan de Déu (IRSJD), 08950 Barcelona, Spain
Green Submitted, gold
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