{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T05:14:12Z","timestamp":1740028452221,"version":"3.37.3"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"S1","license":[{"start":{"date-parts":[[2020,4,15]],"date-time":"2020-04-15T00:00:00Z","timestamp":1586908800000},"content-version":"unspecified","delay-in-days":2661,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. psychiatr."],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:sec id=\"S0924933800122400_abst0001\" sec-type=\"intro\"><jats:title>Introduction<\/jats:title><jats:p>Socially prescribed perfectionism has been associated with long-term sleep disturbances (Azevedo <jats:italic>et al.<\/jats:italic>, 2010).<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800122400_abst0002\" sec-type=\"other\"><jats:title>Objective<\/jats:title><jats:p>To investigate the association between perfectionism dimensions and insomnia in pregnancy.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800122400_abst0003\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>581 pregnant women, mean age 29.8 years (SD=4.5), average weeks of gestation 32.6 (SD=3.5), mostly married (75%) and <jats:italic>nulliparae<\/jats:italic> (64%) participated in the study. The multidimensional perfectionism scale (Hewitt and Flett, 1991; Soares <jats:italic>et al<\/jats:italic>., 2003) was used to assess total levels of perfectionism, self-oriented perfectionism (SOP) and dimensions of socially prescribed perfectionism (SPP): others high expectations (OHE) and conditional acceptance (CA) (Macedo <jats:italic>et al.<\/jats:italic>, 2009). Insomnia symptoms and related daytime impairment were assessed with an insomnia questionnaire (Marques <jats:italic>et al.<\/jats:italic>, 2011). Objective estimations of sleep were obtained through actigraphy in a small group (n=60).<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800122400_abst0004\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>In comparison to good sleepers, insomniacs showed higher levels of SPP (M=53.4, SD=13.0 <jats:italic>versus<\/jats:italic> M=49.6, SD=12.3, <jats:italic>p<\/jats:italic>&lt; .05) and SPP-CA (M=19.6, SD=6.1, <jats:italic>versus<\/jats:italic> M=18.0, SD=5.5, <jats:italic>p<\/jats:italic>&lt; .05). Women with difficulties initiating sleep reported higher levels of SPP-CA than good sleepers. Analyses of actigraphy revealed that SPP-CA was associated with less sleep time (r=-.45, <jats:italic>p<\/jats:italic>&lt; .05), less sleep efficiency (r= -.34, <jats:italic>p<\/jats:italic>&lt; .05), more time awake during sleep (r= .43, <jats:italic>p<\/jats:italic>&lt; .05) and more mean activity asleep (r= .38, <jats:italic>p<\/jats:italic>&lt; .05).<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800122400_abst0005\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Conditional acceptance is the SPP perfectionism sub-dimension particularly associated with self-reported insomnia and sleep alterations measured objectively with actigraphy in pregnancy.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800122400_abst0006\" sec-type=\"other\"><jats:title>Financial support<\/jats:title><jats:p>Portuguese foundation for science and technology (POCI\/SAU-ESP\/57068\/2004).<\/jats:p><\/jats:sec>","DOI":"10.1016\/s0924-9338(13)76939-6","type":"journal-article","created":{"date-parts":[[2013,7,8]],"date-time":"2013-07-08T09:02:38Z","timestamp":1373274158000},"source":"Crossref","is-referenced-by-count":0,"title":["2004 \u2013 Perfectionism And Insomnia In Pregnancy"],"prefix":"10.1017","volume":"28","author":[{"given":"S.C.","family":"Bos","sequence":"first","affiliation":[]},{"given":"M.","family":"Marques","sequence":"additional","affiliation":[]},{"given":"B.","family":"Maia","sequence":"additional","affiliation":[]},{"given":"A.T.","family":"Pereira","sequence":"additional","affiliation":[]},{"given":"M.J.","family":"Soares","sequence":"additional","affiliation":[]},{"given":"J.","family":"Valente","sequence":"additional","affiliation":[]},{"given":"M.H.","family":"Azevedo","sequence":"additional","affiliation":[]},{"given":"A.","family":"Macedo","sequence":"additional","affiliation":[]}],"member":"56","published-online":{"date-parts":[[2020,4,15]]},"container-title":["European Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0924933813769396?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0924933813769396?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0924933800122400","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T13:04:03Z","timestamp":1739970243000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0924933800122400\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":0,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2013]]}},"alternative-id":["S0924933800122400"],"URL":"https:\/\/doi.org\/10.1016\/s0924-9338(13)76939-6","relation":{},"ISSN":["0924-9338","1778-3585"],"issn-type":[{"type":"print","value":"0924-9338"},{"type":"electronic","value":"1778-3585"}],"subject":[],"published":{"date-parts":[[2013]]},"article-number":"28-E1227"}}