{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T14:41:20Z","timestamp":1786113680156,"version":"build-2736575974"},"reference-count":43,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to explore psychological distress (PD) patterns in pregnant women with recurrent pregnancy loss (RPL) during early pregnancy and to examine the association between sleep characteristics and these patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 203 pregnant women with RPL were recruited between October 2022 and April 2023 at the study hospital. The patients\u2019 PD was assessed using the Patient Health Questionnaire\u20109 and the Generalized Anxiety Disorder 7\u2010Item Questionnaire. The Pittsburgh Sleep Quality Index (PSQI) was employed to measure the sleep conditions. Latent profile analysis and multivariable logistic regression were used to identify the patterns of PD in RPL women and connections between their sleep characteristics and these identified patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three PD patterns were identified in participants, including \u201cmild PD\u201d (57.15%), \u201cmoderate PD\u201d (36.45%), and \u201csevere PD\u201d (6.40%). Subjective sleep quality, sleep disturbance, sleep efficiency, diurnal dysfunction, and PSQI score in patients varied significantly among the different PD patterns (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Compared with \u201cmild PD,\u201d poor subjective sleep quality (Moderate: aOR=\u20092.76, 95%CI 1.37\u20135.56; Severe: aOR=\u20097.19, 95%CI 1.99\u201325.98) and diurnal dysfunction (Moderate: aOR=\u20093.1, 95%CI 1.62\u20135.97; Severe: aOR=\u200925.16, 95%CI 5.57\u2013113.61) were significantly associated with \u201cmoderate\u201d or \u201csevere\u201d PD. Addtionally, low sleep efficiency markedly increased the risk of \u201csevere PD\u201d (aOR=\u200928.76, 95%CI 1.09\u2013759.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study identified three distinct patterns of PD (mild, moderate, and severe) among women with RPL during early pregnancy. Specific sleep characteristics, including poor subjective sleep quality, diurnal dysfunction, and low sleep efficiency, were significantly associated with moderate\/severe PD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70168","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T07:44:52Z","timestamp":1783151092000},"page":"1403-1412","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological Distress Profiles in Women With Recurrent Pregnancy Loss During Subsequent Early Pregnancy and Their Association With Sleep Characteristics: A Latent Profile Analysis"],"prefix":"10.1002","volume":"82","author":[{"given":"Bingxi","family":"Ma","sequence":"first","affiliation":[{"name":"Faculty of Psychology, Beijing Normal University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2036-6352","authenticated-orcid":false,"given":"Fangxiang","family":"Mu","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine Lanzhou University Second Hospital Lanzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine Lanzhou University Second Hospital Lanzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuo","family":"Han","sequence":"additional","affiliation":[{"name":"Faculty of Psychology, Beijing Normal University Beijing China"},{"name":"Beijing Key Laboratory of Applied Experimental Psychology, School of Psychology Beijing Normal University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7895-374X","authenticated-orcid":false,"given":"Fang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine Lanzhou University Second Hospital Lanzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.2810"},{"key":"e_1_2_12_3_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/hropen\/hoad002"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.083105"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2025.102149"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.1058160"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/01674820209074668"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2017.10.002"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/1518-8345.3382.3350"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1677\/joe-08-0415"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-020-00228-z"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2023.103673"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30136-X"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-023-05578-6"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.12.129"},{"key":"e_1_2_12_18_1","volume-title":"Statistical Methods in Psychiatry and Related Fields: Longitudinal, Clustered, and Other Repeated Measures Data","author":"Gueorguieva R.","year":"2017"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2023.1295261"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989x.11.1.36"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbmo.2021.04.018"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-002-0146-2"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0033-3182(97)71428-2"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291721002221"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2008.12.048"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2023.103845"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00101"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2011-0313"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03752-2"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-023-04124-5"},{"key":"e_1_2_12_31_1","unstructured":"Muth\u00e9n L. 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