{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T05:15:27Z","timestamp":1783574127355,"version":"3.55.0"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T00:00:00Z","timestamp":1726012800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000071","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01HD098153"],"award-info":[{"award-number":["R01HD098153"]}],"id":[{"id":"10.13039\/100000071","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["1K23MH117278-01A"],"award-info":[{"award-number":["1K23MH117278-01A"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["T32MH017119"],"award-info":[{"award-number":["T32MH017119"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["U01MH110925"],"award-info":[{"award-number":["U01MH110925"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"name":"the University of Bristol provide core support for ALSPAC"},{"name":"The UK Medical Research Council and Wellcome","award":["217065\/Z\/19\/Z"],"award-info":[{"award-number":["217065\/Z\/19\/Z"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Sleep problems are common in the perinatal period. But the effects of sleep health on long-term postpartum depression and anxiety are underexamined. Using marginal structural models, we estimated the effect of sustained restful sleep quality, or adequate sleep quantity, or both, on clinically significant depression and anxiety at 23 and 32 weeks\u2019 gestation, and at 8 weeks, and 8, and 21 months postpartum. Women (n\u00a0=\u00a09211) in the Avon Longitudinal Study of Parents and Children cohort reported on sleep quality (difficulty falling asleep, early morning awakening), sleep quantity (\u2264 or\u00a0&amp;gt;\u00a05\u00a0hours and perceived sleep adequacy), depression (Edinburgh Postnatal Depression Scale), and anxiety (Crown-Crisp Experiential Index). Analyses adjusted for fixed (maternal education, age, body mass index, parity, marital status, smoking) and time-varying (alcohol use, psychosocial adversities, depression, anxiety, or sleep problems at prior time periods) covariates. Descriptive analyses suggest that sleep alterations persist beyond the immediate postpartum period. Estimates of counterfactual prevalences of outcomes under restful sleep quality and adequate sleep suggest a reduction of the population burden of clinically significant depression between 2.4% and 5.9% and of anxiety by 3.4% to 8.0% for the time points assessed. Interventions for perinatal sleep problems may reduce clinically significant depression and anxiety.<\/jats:p>\n               <jats:p>This article is part of a Special Collection on Mental Health.<\/jats:p>","DOI":"10.1093\/aje\/kwae349","type":"journal-article","created":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T05:52:05Z","timestamp":1726206725000},"page":"1881-1889","source":"Crossref","is-referenced-by-count":4,"title":["An examination of sleep as a protective factor for depression and anxiety in the perinatal period: novel causal analyses in a prospective pregnancy cohort"],"prefix":"10.1093","volume":"194","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2585-868X","authenticated-orcid":false,"given":"Archana","family":"Basu","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Harvard T. H. Chan School of Public Health , Boston, MA ,","place":["United States"]},{"name":"Department of Psychiatry, Massachusetts General Hospital , Boston, MA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7621-8570","authenticated-orcid":false,"given":"Aaron","family":"Sarvet","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Harvard T. H. Chan School of Public Health , Boston, MA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7412-1783","authenticated-orcid":false,"given":"Jarvis T","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health , Boston, MA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4362-203X","authenticated-orcid":false,"given":"Christy","family":"Denckla","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital , Boston, MA ,","place":["United States"]},{"name":"Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health , Boston, MA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3874-6671","authenticated-orcid":false,"given":"Yiwen","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Harvard T. H. Chan School of Public Health , Boston, MA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2978-7655","authenticated-orcid":false,"given":"Karestan C","family":"Koenen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Harvard T. H. 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