Habitual snoring and depressive symptoms during pregnancy

BMC Pregnancy and Childbirth

Leslie M Swanson²  Jocelynn T Owusu¹  Louise M O’Brien³ 

[1] Sleep Disorders Center, Department of Neurology, University of Michigan, Ann Arbor, MI, USA;Sleep and Chronophysiology Laboratory, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA;Department of Oral and Maxillofacial Surgery, University of Michigan, Ann Arbor, MI, USA

关键词: EPDS;    Depressive symptoms;    Sleep quality;    Snoring;    Pregnancy;   

Others  :  1138027
DOI  :  10.1186/1471-2393-13-113

 received in 2013-02-28, accepted in 2013-05-13,  发布年份 2013

【 摘 要 】

Background

Depression is frequently observed in patients with untreated sleep-disordered breathing (SDB) in the general population. Pregnant women are particularly vulnerable since pregnancy increases the risk of both SDB and depressive symptoms. However, no study has investigated whether SDB symptoms prior to or in early pregnancy are associated with such mood problems.

Methods

A retrospective chart review of pregnant women. Women were included if they attended prenatal clinics between June 2007 and July 2010, were ≥18 years old, pregnant with a single fetus, and had been screened for habitual snoring as well as depressive symptoms using the Edinburgh Postnatal Depression Scales (EPDS).

Results

In total, 362 women were included and 32.3% reported habitual snoring. Twenty-nine percent of women had an EPDS score ≥10. Significantly more snoring women, compared to non-snorers, had an EPDS score ≥10 (42.7% vs. 22.9%, p < 0.001) despite the mean EPDS values not reaching statistical significance (6.1 ± 4.9 vs. 5.4 ± 5.0, p = 0.2). In a logistic regression model controlling for parity, the presence of pre-pregnancy obesity, presence of a partner, sleep quality, African American race, maternal educational level, pre-eclampsia, and diabetes, snoring was independently associated with a prenatal EPDS score ≥10 (O.R. 2.0, 95%CI 1.13-3.46; p = 0.023).

Conclusion

Maternal snoring may be a risk factor for prenatal depressive symptoms. Further investigation of the temporal relationship between maternal snoring and depressive symptoms is warranted.

【 授权许可】

   
2013 O’Brien et al.; licensee BioMed Central Ltd.

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