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Cho: Subjective Sleep Quality in Depressed and Non-Depressed Mothers During the Late Postpartum Period
Original Article
Korean Journal of Women Health Nursing

Korean Journal of Women Health Nursing 2009; 15(2): 108-120.

Published online: 30 June 2009

DOI: https://doi.org/10.4069/kjwhn.2009.15.2.108

Subjective Sleep Quality in Depressed and Non-Depressed Mothers During the Late Postpartum Period

Eun-Jung Cho1

1Department of Nursing, Sorabol College, Korea.

Address reprint requests to: Cho, Eun-Jung(Corresponding Author). Department of Nursing, Sorabol College 165, Chunghyo-dong, Gyeongju-si, Gyeongsangbuk-do, 780-711, Korea. Tel: 82-54-770-3658, C.P.: 82-18-525-3711, Fax: 82-54-770-3757, ejc10004@sorabol.ac.kr

Received 8 January 2009       Accepted 10 June 2009

Copyright © 2009 Korean Academy of Women's Health Nursing

Abstract

Purpose

This study aimed to explore the subjective sleep quality of depressed and non-depressed mothers in the late postpartum period and to determine the relationship with their health promoting behaviors, family functioning, parenting stress.

Method

A non-probability sample of 128 mothers completed a self-administered questionnaires at 4-6weeks postpartum. The Edinburgh postnatal Depression Scale (EPDS) and Pittsburgh Sleep Quality Index were used to measure mother's experiences of depression symptoms and sleep. Related factors of sleep quality were measured by the Korean Family Functioning Scale, Health Promoting Lifestyle Profile, and Parenting Stress Index. The data was analysed using t-test, one-way ANOVA, and the Pearson's correlation coefficients.

Result

The results indicated that the depressed mothers(EPDS≥10) had poorer sleep quality than the non-depressed mothers(EPDS<10), reported shortened sleep duration, and experienced more daytime dysfunctions. Depressed mothers who had no job, did not drink coffee, and were primipara tended to report poorer sleep quality. There were significant correlation between poorer sleep quality and lower health promoting behaviors, higher family intimacy and lower family communication, and higher parenting stress among depressed mothers.

Conclusion

Our findings support the view that depressed mothers' experiences of poor sleep are much higher than non-depressed mothers and multi-faced. Nurse professionals should screen for sleep problems in the depressed mothers with a different biopsychosocial and behavioral aspect from the non-depressed mothers in the late postpartum period.

Keywords: Sleep, Depression, Postpartum period

Figures and Tables

Table 1
Comparison of maternal characteristics between postpartum depressive and non-depressive mothers (N=128)
kjwhn-15-108-i001
Table 2
Comparison of main variables between postpartum depressive and non-depressive mothers (N=128)
kjwhn-15-108-i002

*<.05, **<.01, ***<.001

Table 3
Differences in postpartum sleep quality by general characteristics (N=128)
kjwhn-15-108-i003

*<.05

a Means with the different alphabet letter are significantly different in Duncan's post hoc analysis

Table 4
Correlation among postpartum sleep quality and independent variables (N=128)
kjwhn-15-108-i004

*<.05, **<.01

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