Sleep disturbance is common in gestational parents during pregnancy and postpartum periods. This study evaluated the feasibility and efficacy of a scalable cognitive behavioural therapy (CBT) sleep intervention tailored for these periods.

This is a two-arm, parallel-group, single-blind, superiority randomised controlled trial. Nulliparous females without severe medical/psychiatric conditions were randomised 1:1 to CBT or attention- and time-matched control. All participants received a 1 h telephone session and automated multimedia emails from the third trimester until 6 months postpartum. Outcomes were assessed with validated instruments at gestation weeks 30 (baseline) and 35 (pregnancy endpoint), and postpartum months 1.5, 3, 6 (postpartum endpoint), 12 and 24.

In total, 163 eligible participants (age M ± s.d. = 33.35 ± 3.42) were randomised. The CBT intervention was well accepted, with no reported adverse effect. Intention-to-treat analyses showed that compared to control, receiving CBT was associated with lower insomnia severity and sleep disturbance (two primary outcomes), and lower sleep-related impairment at the pregnancy endpoint (p values ⩽ 0.001), as well as at 24 months postpartum (p ranges 0.012–0.052). Group differences across the first postpartum year were non-significant. Participants with elevated insomnia symptoms at baseline benefitted substantially more from CBT (v. control), including having significantly lower insomnia symptoms throughout the first postpartum year. Group differences in symptoms of depression or anxiety were non-significant.

A scalable CBT sleep intervention is efficacious in buffering against sleep disturbance during pregnancy and benefitted sleep at 2-year postpartum, especially for individuals with insomnia symptoms during pregnancy. The intervention holds promise for implementation into routine perinatal care.

睡眠障碍在怀孕期间和产后期间的孕父母中很常见。这项研究评估了针对这些时期量身定制的可扩展认知行为疗法 (CBT) 睡眠干预的可行性和有效性。

这是一项双臂、平行组、单盲、优效性随机对照试验。没有严重医疗/精神疾病的未产女性以 1:1 的比例随机接受 CBT 或注意力和时间匹配对照。从妊娠晚期到产后 6 个月，所有参与者都收到了 1 小时的电话会议和自动多媒体电子邮件。使用经过验证的仪器在妊娠第 30 周（基线）和第 35 周（妊娠终点）以及产后第 1.5、3、6 个月（产后终点）、12 和 24 个月评估结果。

总共 163 名符合条件的参与者（年龄 M ± sd = 33.35 ± 3.42）被随机分组​​。CBT 干预被广泛接受，没有不良反应的报道。意向治疗分析表明，与对照组相比，接受 CBT 与较低的失眠严重程度和睡眠障碍（两个主要结局）以及妊娠终点时较低的睡眠相关损害相关（p 值≤ 0.001），以及产后 24 个月（p范围 0.012–0.052）。产后第一年的组间差异并不显着。基线时失眠症状加重的参与者从 CBT 中获益更多（v.控制），包括在产后第一年失眠症状显着降低。抑郁或焦虑症状的组间差异不显着。

可扩展的 CBT 睡眠干预可有效缓解怀孕期间的睡眠障碍，并有益于产后 2 年的睡眠，特别是对于怀孕期间有失眠症状的个体。该干预措施有望实施到常规围产期护理中。