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The Effect of the Sleep Support for ...

Bhati, Sulochani Rao.

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The Effect of the Sleep Support for Moms Intervention on Postpartum Sleep and Depressive Symptoms. A Pilot Randomized Controlled Trial.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The Effect of the Sleep Support for Moms Intervention on Postpartum Sleep and Depressive Symptoms. A Pilot Randomized Controlled Trial./
作者:	Bhati, Sulochani Rao.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2014,
面頁冊數:	139 p.
附註:	Source: Dissertation Abstracts International, Volume: 76-02(E), Section: B.
Contained By:	Dissertation Abstracts International76-02B(E).
標題:	Psychobiology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3638130
ISBN:	9781321216387

The Effect of the Sleep Support for Moms Intervention on Postpartum Sleep and Depressive Symptoms. A Pilot Randomized Controlled Trial.
Bhati, Sulochani Rao.

The Effect of the Sleep Support for Moms Intervention on Postpartum Sleep and Depressive Symptoms. A Pilot Randomized Controlled Trial. - Ann Arbor : ProQuest Dissertations & Theses, 2014 - 139 p.

Source: Dissertation Abstracts International, Volume: 76-02(E), Section: B.

Thesis (Ph.D.)--George Mason University, 2014.

This item is not available from ProQuest Dissertations & Theses.

Postpartum sleep disturbance is highly prevalent, especially in first time mothers. More importantly, sleep disturbance is associated with postpartum depression, and is independent of other risk factors. Sleep disturbance may be a modifiable risk factor for postpartum depression but few studies have examined interventions to improve postpartum sleep. The purposes of this pilot randomized controlled trial were to determine: 1) the feasibility, facilitators, and barriers of the Sleep Support for Moms Intervention (SSMI), and the smart phone sleep application, Sleep Time ("Azumio Inc., 2013"), as an objective measure of sleep in first time postpartum mothers, and 2) the effect of the SSMI on sleep disturbance and depressive symptoms in the mothers and on the sleep of their infants. The conceptual framework that guided this study was the Health Belief Model, which best supports how the mothers are influenced to be proactive in their health. First time mothers (n = 40) from a suburban Mid-Atlantic nonprofit, obstetric clinic, serving low income women, were consented and randomized to the SSMI or the active control group. The researcher provided the SSMI sessions consisting of a 45 minute, prenatal anticipatory guidance class on improving sleep and the risk for postpartum depression. The SSMI included: awareness of the risk for postpartum depression due to sleep disturbance, enlisting family/partner support, room sharing, enhancing infant sleep, sunlight exposure, sleep hygiene, and weekly texting. The active control group received a class identical to the SSMI group, except the topic was infant care and safety. Sleep was measured subjectively with reports of refreshed sleep, nighttime sleep, and the General Sleep Disturbance Scale, and objectively with the sleep application. Depression was measured by the Edinburgh Postnatal Depression Scale. The Positive and Negative Affect Schedule was used in additional exploratory analyses. The women reported nighttime sleep totals daily by cellular phone texting for the 6 weeks of postpartum. The final sample was 34 women (mean age 26.6 years) from varying racial/ethnic backgrounds. The SSMI was found to be acceptable as evidenced by minimal attrition (15%), and an adherence of 92%. The use of the sleep application was not feasible. The SSMI group had significantly better subjective sleep and fewer depressive symptoms when compared to the active control group. Infant sleep was not significant between the groups. In additional analyses the SSMI group had less negative affect compared to the control group. These findings suggest that anticipatory guidance on simple sleep strategies provided by a health professional can improve sleep and decrease depressive symptoms in first time mothers.

ISBN: 9781321216387Subjects--Topical Terms:

555678
Psychobiology.

The Effect of the Sleep Support for Moms Intervention on Postpartum Sleep and Depressive Symptoms. A Pilot Randomized Controlled Trial.
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