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Psychological and sleep-related functioning among women with unsettled infants in Victoria, Australia: a cross-sectional study
journal contribution
posted on 2019-01-01, 00:00 authored by Karen WynterKaren Wynter, Nathan Wilson, Patsy Thean, Bei Bei, Jane FisherOBJECTIVE: To identify (a) clinical symptom profiles based on psychological and sleep-related functioning among women admitted to a residential early parenting service (REPS) and (b) factors associated with membership of profile groups. BACKGROUND: Depression and anxiety are common among women with unsettled infants; less is known about other indicators of psychological distress and about maternal sleep. METHODS: Women admitted to a REPS during a 5-month period completed validated measures of depression, anxiety, stress, irritability, alcohol use, fatigue, sleepiness and sleep quality. Latent class analysis was used to identify symptom profiles. Factors significantly associated with class membership were identified. RESULTS: Surveys were completed by 167/380 women. Scores on all measures were statistically significantly poorer than community norms. Two classes were identified, characterised by high versus low psychological distress. Mean scores on measures of fatigue, sleepiness and sleep quality were high in both classes. High psychological distress was associated with having previous mental health problems and an unmet need for emotional support. CONCLUSION: Fatigue and poor sleep quality are universal among women admitted to REPS. Health services providing assistance with unsettled infant behaviour should include strategies to improve maternal sleep, and encourage social interaction among women to protect against social isolation.
History
Journal
Journal of reproductive and infant psychologyVolume
37Pagination
413 - 428Publisher
Taylor & FrancisLocation
Abingdon, Eng.Publisher DOI
ISSN
0264-6838Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2018, Society for Reproductive and Infant PsychologyUsage metrics
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No categories selectedKeywords
AIC, Akaike information criterionAUDIT-C, Alcohol Use Disorders Identification Test – ConsumptionBIC, Bayesian information criterionDASS-21, Depression, Anxiety and Stress ScalesEPC, Early Parenting CentreESS, Epworth Sleepiness ScaleFSS, Fatigue Severity ScaleMaternal fatiguePOMS, Profile of Mood StatesPSQI, Pittsburgh Sleep Quality IndexREPS, residential early parenting serviceSAIS-6, S elf-Assessment of Irritability Scale (six items)VAS, Visual Analogue Fatigue Scalepostnatal mental healthresidential early parenting servicesunsettled infant behaviourSocial SciencesPsychology, MultidisciplinaryPsychologyFATIGUE SEVERITY SCALEPOSTNATAL DEPRESSIONPSYCHOMETRIC PROPERTIESDAYTIME SLEEPINESSMOODMOTHERSIRRITABILITYDEFINITIONVALIDATIONSUPPORT
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