Association between depressive symptoms and poor sleep quality among pregnant women in Northern Rural Bangladesh: a community-based cross-sectional study

• Published in: BMC psychiatry Vol. 22; no. 1; p. 201
• Main Authors: Shaun, Md Mahbubul Alam, Nizum, Md Wahidur Rahman, Shuvo, Md Asaduzzaman, Fayeza, Fahmida, Faruk, Md Omar, Alam, Md Fakrul, Ahmed, Md Sabbir, Zaman, Sanjana, Mali, Sujan Kanti, Hawlader, Mohammad Delwer Hossain
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 19.03.2022; BioMed Central; BMC
• Subjects: Bangladesh; Complications and side effects; Demographic aspects; Depression, Mental; Depressive symptom; Northern rural area; Physiological aspects; Pregnancy, Complications of; Pregnant; Pregnant women; Psychological aspects; Risk factors; Sleep disorders; Sleep quality; Bangladesh; Pregnant; Sleep quality; Bangladesh; Depressive symptom; Northern rural area
• ISSN: 1471-244X; 1471-244X
• DOI: 10.1186/s12888-022-03839-w

Adequate good quality of sleep is essential for physical fitness during pregnancy as well as being a depressive symptoms-free mind. However, there is little evidence of the relationship between depressive symptoms and poor sleep quality among pregnant women in Bangladesh. This study aimed to find the association between depressive symptoms and poor sleep quality among pregnant women in northern rural Bangladesh. A community-based cross-sectional study was carried out from May 2021 to June 2021 among 481 pregnant women tested positive in the pregnancy test of Jaldhaka and Dimla Upazila of Nilphamari district, Rangpur Division. Data were collected with a structured questionnaire including socio-demographic conditions, sleep quality, and depressive symptoms, comprising the Pittsburgh Sleep Quality Index (PSQI) and the Patient Health Questionnaire- 9 (PHQ-9). 8.94% of the women had depressive symptoms, whereas 38.88% of the participants were bad sleepers. However, women who had depressive symptoms [Adjusted odds ratio (AOR) = 2.55; 95% CI 1.33-4.9] and educational qualifications above 10 years [AOR = 0.60; 95% CI: 0.39-0.92] were associated with poor sleep quality. A higher percentage of pregnant women had poor sleep quality, whereas depressive symptoms and academic background of the participants were significantly associated with poor sleep quality. Ensuring adequate sleep time and better quality could be helpful to prevent depressive symptoms.