BACKGROUND Physiological changes during pregnancy are often accompanied by reduced sleep quality, sleep disruptions, and insomnia. Studies conducted among men and non-pregnant women have documented psychiatric disorders as common comorbidities of insomnia and other sleep disorders. However, no previous study has examined the association between stress-related sleep disturbances and psychiatric disorders among pregnant women. METHODS This cross-sectional study included a total of 2051 pregnant women in Peru. The Spanish-language version of the Ford Insomnia Response to Stress Test (FIRST-S) was used to assess sleep disruptions due to stressful situations. Symptoms of antepartum depression, generalized anxiety disorder, and posttraumatic stress disorder (PTSD) were examined using the Patient Health Questionnaire-9, Generalized Anxiety Disorder Scale-7 and PTSD Checklist - Civilian Version, respectively. High risk for psychosis was assessed using the Prodromal Questionnaire. Multivariable logistic regression procedures were used to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CI). RESULTS Stress-related sleep disturbance was reported by 33.2% of women. Of all women, 24.9% had antepartum depression, 32.2% had generalized anxiety disorder, 30.9% had PTSD, and 27.6% were assessed as having a high risk of psychosis. After adjusting for confounders, women with stress-related sleep disturbances were more likely to experience antepartum depression (OR = 2.74; 95%CI: 2.22-3.38), generalized anxiety disorder (OR = 2.48; 95%CI: 2.04-3.02), PTSD (OR = 2.36; 95%CI: 1.93-2.88), and high risk for psychosis (OR = 2.07; 95%CI: 1.69-2.54) as compared to women without stress-related sleep disturbances. CONCLUSIONS Stress-related sleep disturbances during pregnancy are associated with increased odds of psychiatric disorders. Inquiring about stress related sleep disturbances during antenatal care may be beneficial for identifying and caring for women at high risk of psychiatric disorders.

中文翻译：

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孕妇压力相关睡眠障碍与精神症状的关系。

背景技术怀孕期间的生理变化通常伴随着睡眠质量下降、睡眠中断和失眠。在男性和非孕妇中进行的研究表明，精神疾病是失眠和其他睡眠障碍的常见合并症。然而，以前没有研究检查过孕妇压力相关的睡眠障碍与精神疾病之间的关系。方法 这项横断面研究包括秘鲁总共 2051 名孕妇。西班牙语版本的福特失眠压力反应测试 (FIRST-S) 用于评估由于压力情况导致的睡眠中断。使用 Patient Health Questionnaire-9 检查产前抑郁症、广泛性焦虑症和创伤后应激障碍 (PTSD) 的症状，分别为广义焦虑症量表 7 和 PTSD 清单 - 平民版。使用前驱问卷评估精神病的高风险。多变量逻辑回归程序用于估计调整优势比 (OR) 和 95% 置信区间 (CI)。结果 33.2% 的女性报告了与压力相关的睡眠障碍。在所有女性中，24.9% 患有产前抑郁症，32.2% 患有广泛性焦虑症，30.9% 患有 PTSD，27.6% 被评估为患有精神病的高风险。在调整混杂因素后，患有压力相关睡眠障碍的女性更容易出现产前抑郁（OR = 2.74；95%CI：2.22-3.38）、广泛性焦虑症（OR = 2.48；95%CI：2.04-3.02）、 PTSD（OR = 2.36；95%CI：1.93-2.88）和精神病高风险（OR = 2.07；95%CI：1.69-2。54）与没有压力相关睡眠障碍的女性相比。结论 怀孕期间与压力相关的睡眠障碍与精神疾病的几率增加有关。在产前检查期间询问与压力相关的睡眠障碍可能有助于识别和照顾精神疾病高风险的女性。