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Maternal Sleep Quality and Diurnal Cortisol Regulation Over Pregnancy

Year: 2016
Type: article
Study design: Observational Study
Abstract: Poor sleep in pregnancy is related to adverse neonatal health. Elevated maternal cortisol has been proposed as a pathway, yet the association in pregnancy is not well understood. The goals of the current study were to examine associations between (a) sleep and cortisol, (b) sleep, cortisol, and neonatal outcomes, and (c) variables that could explain these associations. Two hundred pregnant women completed the Pittsburgh Sleep Quality Index (PSQI; Buysse, Reynolds, Monk, Berman, & Kupfer, 1989) and provided diurnal salivary cortisol samples at two times over pregnancy. Poor sleep quality was associated with greater evening cortisol concentrations at 36 weeks' gestation. This association was mediated by anxiety symptoms. Higher evening cortisol at 36 weeks' gestation was associated with shorter gestation.
DOI: 10.1080/15402002.2016.1210147
Language: English
Field: Medicine
Open Access status: green
Funders: National Institutes of Health, National Heart, Lung, and Blood Institute, National Institute of Mental Health, National Institute on Drug Abuse, National Institute of Child Health and Human Development, Eunice Kennedy Shriver National Institute of Child Health and Human Development
Awards: G1957061859, G2318878803, Predictors of de novo development of obstructive sleep apnea in pregnancy, Maternal Depression Placental HPA Regulation & Fetal-Neonatal Stress Response, Placental role in mediating adverse outcomes in obstructive sleep apnea, Fetal Behavior, Brain & Stress Response: Ultrasound Markers of Maternal Smoking
OpenAlex ID: W2480028060
FWCI: 2.314
Cites: 62
Cited by: 59
Related to: 10