Leslie M Swanson1, David A Kalmbach2, Greta B Raglan3, Louise M O'Brien4. 1. Department of Psychiatry, University of Michigan, 4250 Plymouth Rd, Ann Arbor, MI, 48109, USA. LMSwan@med.umich.edu. 2. Sleep Disorders and Research Center, Henry Ford Hospital, Detroit, MI, USA. 3. Department of Psychiatry, University of Michigan, 4250 Plymouth Rd, Ann Arbor, MI, 48109, USA. 4. Department of Neurology, Sleep Disorders Center, University of Michigan, Ann Arbor, MI, USA.
Abstract
PURPOSE OF REVIEW: The perinatal period is a time of high risk for insomnia and mental health conditions. The purpose of this review is to critically examine the most recent literature on perinatal insomnia, focusing on unique features of this period which may confer specific risk, associations with depression and anxiety, and emerging work on perinatal insomnia treatment. RECENT FINDINGS: A majority of perinatal women experience insomnia, which may persist for years, and is associated with depression and anxiety. Novel risk factors include personality characteristics, nocturnal perinatal-focused rumination, and obesity. Mindfulness and physical activity may be protective. Cognitive-behavioral therapy for insomnia is an effective treatment. Perinatal insomnia is exceedingly common, perhaps due to factors unique to this period. Although closely linked to perinatal mental health, more work is needed to establish causality. Future work is also needed to establish the role of racial disparities, tailor treatments, and determine whether insomnia treatment improves perinatal mental health.
PURPOSE OF REVIEW: The perinatal period is a time of high risk for insomnia and mental health conditions. The purpose of this review is to critically examine the most recent literature on perinatal insomnia, focusing on unique features of this period which may confer specific risk, associations with depression and anxiety, and emerging work on perinatal insomnia treatment. RECENT FINDINGS: A majority of perinatal women experience insomnia, which may persist for years, and is associated with depression and anxiety. Novel risk factors include personality characteristics, nocturnal perinatal-focused rumination, and obesity. Mindfulness and physical activity may be protective. Cognitive-behavioral therapy for insomnia is an effective treatment. Perinatal insomnia is exceedingly common, perhaps due to factors unique to this period. Although closely linked to perinatal mental health, more work is needed to establish causality. Future work is also needed to establish the role of racial disparities, tailor treatments, and determine whether insomnia treatment improves perinatal mental health.
Authors: Michael T Smith; Michael L Perlis; Amy Park; Michelle S Smith; JaeMi Pennington; Donna E Giles; Daniel J Buysse Journal: Am J Psychiatry Date: 2002-01 Impact factor: 18.112
Authors: T Leigh Signal; Philippa H Gander; Michel R Sangalli; Noémie Travier; Ridvan T Firestone; Jeremy F Tuohy Journal: Aust N Z J Obstet Gynaecol Date: 2007-02 Impact factor: 2.100
Authors: R M Román-Gálvez; C Amezcua-Prieto; I Salcedo-Bellido; J M Martínez-Galiano; K S Khan; A Bueno-Cavanillas Journal: Eur J Obstet Gynecol Reprod Biol Date: 2017-12-07 Impact factor: 2.435
Authors: Daniel J Buysse; Anne Germain; Douglas E Moul; Peter L Franzen; Laurie K Brar; Mary E Fletcher; Amy Begley; Patricia R Houck; Sati Mazumdar; Charles F Reynolds; Timothy H Monk Journal: Arch Intern Med Date: 2011-01-24
Authors: Jennifer N Felder; Elissa S Epel; John Neuhaus; Andrew D Krystal; Aric A Prather Journal: JAMA Psychiatry Date: 2020-05-01 Impact factor: 21.596
Authors: Maristella Lucchini; Louise M O'Brien; Linda G Kahn; Patricia A Brennan; Kelly Glazer Baron; Emily A Knapp; Claudia Lugo-Candelas; Lauren Shuffrey; Galit Levi Dunietz; Yeyi Zhu; Rosalind J Wright; Robert O Wright; Cristiane Duarte; Margaret R Karagas; Pakkay Ngai; Thomas G O'Connor; Julie B Herbstman; Sean Dioni; Anne Marie Singh; Carmela Alcantara; William P Fifer; Amy J Elliott Journal: Sleep Date: 2022-09-08 Impact factor: 6.313
Authors: David A Kalmbach; Philip Cheng; Andrea Roth; Thomas Roth; Leslie M Swanson; Louise M O'Brien; David M Fresco; Nicholas C Harb; Andrea S Cuamatzi-Castelan; Anthony N Reffi; Christopher L Drake Journal: Sleep Adv Date: 2022-03-11
Authors: Laura Palagini; Alessandra Bramante; Chiara Baglioni; Nicole Tang; Luigi Grassi; Ellemarije Altena; Anna F Johann; Pierre Alexis Geoffroy; Giovanni Biggio; Claudio Mencacci; Verinder Sharma; Dieter Riemann Journal: Arch Womens Ment Health Date: 2022-04-13 Impact factor: 4.405