Kimberly L D'Anna-Hernandez1, Esmeralda Garcia2, Mary Coussons-Read3, Mark L Laudenslager4, Randal G Ross4. 1. Department of Psychology, SBSB 3229, California State University San Marcos, 333 S. Twin Oaks Valley Rd, San Marcos, CA, 92096, USA. kdanna@csusm.edu. 2. Department of Psychology, SBSB 3229, California State University San Marcos, 333 S. Twin Oaks Valley Rd, San Marcos, CA, 92096, USA. 3. Department of Psychology, University of Colorado Colorado Springs, Colorado Springs, CO, USA. 4. Department of Psychiatry, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO, USA.
Abstract
OBJECTIVE: Greater acculturation is associated with adverse perinatal outcomes in Mexican-American women, but the mechanisms by which acculturation influences perinatal outcomes are unclear. Pregnant acculturated Mexican-American women are more likely to engage in unhealthy prenatal behaviors relative to those less acculturated, including poor sleep. As sleep disruptions are associated with acculturation and negative perinatal outcomes, particularly maternal depression, alterations in sleep may adversely affect pregnant Mexican-American women. METHODS: Sixty pregnant women of Mexican descent completed surveys about sleep, acculturation, depressive symptoms and potential protective factor of social support. RESULTS: Acculturation, but not social support, significantly predicted increased sleep disruptions as well as overall feeling less refreshed upon waking across pregnancy. Moderation analysis indicated that more acculturated women who took longer to fall asleep reported increased depressive symptoms. Feeling refreshed upon waking also mediated the relationship between increased acculturation and elevated maternal depressive symptoms. CONCLUSIONS: Acculturation and altered sleep contribute to greater risk in Mexican-American women for maternal depressive symptoms in the perinatal period. These findings have implications for prevention and treatment of maternal mental health disorders, which may adversely affect perinatal outcomes in the vulnerable Mexican-American population.
OBJECTIVE: Greater acculturation is associated with adverse perinatal outcomes in Mexican-American women, but the mechanisms by which acculturation influences perinatal outcomes are unclear. Pregnant acculturated Mexican-American women are more likely to engage in unhealthy prenatal behaviors relative to those less acculturated, including poor sleep. As sleep disruptions are associated with acculturation and negative perinatal outcomes, particularly maternal depression, alterations in sleep may adversely affect pregnant Mexican-American women. METHODS: Sixty pregnant women of Mexican descent completed surveys about sleep, acculturation, depressive symptoms and potential protective factor of social support. RESULTS: Acculturation, but not social support, significantly predicted increased sleep disruptions as well as overall feeling less refreshed upon waking across pregnancy. Moderation analysis indicated that more acculturated women who took longer to fall asleep reported increased depressive symptoms. Feeling refreshed upon waking also mediated the relationship between increased acculturation and elevated maternal depressive symptoms. CONCLUSIONS: Acculturation and altered sleep contribute to greater risk in Mexican-American women for maternal depressive symptoms in the perinatal period. These findings have implications for prevention and treatment of maternal mental health disorders, which may adversely affect perinatal outcomes in the vulnerable Mexican-American population.
Authors: Mary E Coussons-Read; Marci Lobel; J Chris Carey; Marianne O Kreither; Kimberly D'Anna; Laura Argys; Randall G Ross; Chandra Brandt; Stephanie Cole Journal: Brain Behav Immun Date: 2012-03-07 Impact factor: 7.217
Authors: Erin M Fekete; Julia Seay; Michael H Antoni; Armando J Mendez; Mary Ann Fletcher; Angela Szeto; Neil Schneiderman Journal: Behav Sleep Med Date: 2013-06-25 Impact factor: 2.964
Authors: D K Rassin; K S Markides; T Baranowski; D E Bee; C J Richardson; W D Mikrut; B A Winkler Journal: Am J Med Sci Date: 1993-07 Impact factor: 2.378