{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:04:45Z","timestamp":1790960685070,"version":"4.1.0"},"reference-count":65,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T00:00:00Z","timestamp":1641340800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"National Health and Medical Research Council Fellowships, and DMP and NQ by Australian Postgraduate Awards by the Department of Education and Training"},{"DOI":"10.13039\/501100007564","name":"DMP","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007564","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007912","name":"Department of Education and Training","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007912","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,14]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Study Objectives<\/jats:title><jats:p>Insomnia Disorder diagnoses require persistent sleep complaints despite \u201cadequate sleep opportunity.\u201d Significant Perinatal Sleep Disruption makes this diagnosis challenging. This longitudinal study distinguished between Insomnia Disorder and Perinatal Sleep Disruption and their sleep and mental health correlates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred sixty-three nulliparous females (age M \u00b1 SD = 33.35 \u00b1 3.42) participating in a randomized controlled trial repeated the Insomnia Disorder module of the Duke Structured Interview for Sleep Disorders and Patient-Reported Outcome Measurement Information System measures for sleep and mental health at 30- and 35-weeks\u2019 gestation, and 1.5, 3, 6, 12, and 24 months postpartum (944 interviews, 1009 questionnaires completed). We compared clinical features when Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Insomnia Disorder criteria (without the Duration criterion) were: (1) met (Insomnia Disorder), (2) not met only because of the sleep opportunity criteria (Perinatal Sleep Disruption), and (3) not met due to other criteria (Low Complaint).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Proportions of Insomnia Disorder were 16.0% and 19.8% during early and late third trimester, and ranged 5.3%\u201311.7% postpartum. If the sleep opportunity criteria were not considered, rates of Insomnia would be 2\u20134 times higher (21.4%\u201340.4%) across time-points. Mixed-effects models adjusting for covariates showed that compared to Low Complaint, both Insomnia Disorder and Perinatal Sleep Disruption scored significantly higher on insomnia and sleep disturbance scales, sleep effort, and sleep-related impairments (p values &amp;lt; .01), but depression and anxiety were comparable (p values &amp;gt; .12).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Assessing sleep complaints without considering sleep opportunities can result in over-diagnosis of Insomnia Disorder in the perinatal periods. Insomnia Disorder and Perinatal Sleep Disruption were both associated with adverse sleep and mood outcomes, and need to be carefully differentiated and appropriately addressed.<\/jats:p><jats:p>Clinical Trial Registration: The SEED Project (Sleep, Eat, Emotions, and Development): A randomized controlled pilot study of a perinatal sleep intervention on sleep and wellbeing in mothers and infants. https:\/\/www.anzctr.org.au\/Trial\/Registration\/TrialReview.aspx?id=371634, Australian New Zealand Clinical Trials Registry: ACTRN12616001462471.<\/jats:p><\/jats:sec>","DOI":"10.1093\/sleep\/zsab293","type":"journal-article","created":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T14:20:42Z","timestamp":1641478842000},"source":"Crossref","is-referenced-by-count":55,"title":["Differentiating perinatal Insomnia Disorder and sleep disruption: a longitudinal study from pregnancy to 2 years postpartum"],"prefix":"10.1093","volume":"45","author":[{"given":"Nina","family":"Quin","sequence":"first","affiliation":[{"name":"Turner Institute for Brain and Mental Health, School of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University , Melbourne, VIC , Australia"},{"name":"Women\u2019s Mental Health Service, Royal Women\u2019s Hospital , Parkville, VIC , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin Joo","family":"Lee","sequence":"additional","affiliation":[{"name":"Turner Institute for Brain and Mental Health, School of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University , Melbourne, VIC , Australia"},{"name":"Women\u2019s Mental Health Service, Royal Women\u2019s Hospital , Parkville, VIC , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna M","family":"Pinnington","sequence":"additional","affiliation":[{"name":"Turner Institute for Brain and Mental Health, School of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University , Melbourne, VIC , Australia"},{"name":"Women\u2019s Mental Health Service, Royal Women\u2019s Hospital , Parkville, VIC , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Newman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Melbourne , Melbourne, VIC , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Manber","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Stanford University , Palo Alto, CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9660-6573","authenticated-orcid":false,"given":"Bei","family":"Bei","sequence":"additional","affiliation":[{"name":"Turner Institute for Brain and Mental Health, School of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University , Melbourne, VIC , Australia"},{"name":"Women\u2019s Mental Health Service, Royal Women\u2019s Hospital , Parkville, VIC , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,1,5]]},"reference":[{"key":"2023031313563983900_","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1186\/s12884-015-0577-1","article-title":"Trajectories of maternal sleep problems before and after childbirth: a longitudinal population-based study","volume":"15","author":"Sivertsen","year":"2015","journal-title":"BMC Pregnancy Childbirth."},{"issue":"1","key":"2023031313563983900_","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1097\/AOG.0b013e3181c4f8ec","article-title":"Sleep disturbances in pregnancy","volume":"115","author":"Facco","year":"2010","journal-title":"Obstet 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